Application For Vehicle Finance
McCarthy Woodmead
Personal Details
Title
*
Mr.
Mrs.
Miss.
Dr.
Prof.
Full Names
*
Surname
*
ID Number / Permit Number
*
Gender
*
Male
Female
Ethnic Group
*
White
Coloured
African
Indian
Other
Number of Dependants
*
1
2
3
4
5
6
7
8
9
10 and More
Marital Status
*
Single
Married
Divorced
Widowed
Home Address
*
Street Address / Complex
Subburb
Province
Postal Code
Period At Address
*
Less than 6 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years and Longer
Previous Home Address
Street Address / Complex
Subburb
Province
Postal Code
Period At Previous Address
Less than 6 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years and Longer
Spouse Details
Full Names
Surname
ID Number / Permit Number
Employer's Details
Name of Company
Relative's Details
Full Names
*
Surname
*
Contact Details
*
Mobile
Relative's Home Address
*
Street Address / Complex
Subburb
Province
Postal code
Relationship
*
Friend
family
Other
Home Ownership
Do You Own A property?
*
No
Yes, In my Name
Yes, In Spouse's Name
Yes, In Both our Names
Property Type
House
Flat
Townhouse
Bond Holder Name
Access Bond Facility
Yes
No
Bond Details
Amount
Bond / Rental per Month
Property Value
Outstanding Balance
Access Bond Facility Amount
Banking Details
Name of Bank
*
Account Holder's Name
*
Account Number
*
Account Type
*
Saving
Cheque
Transmission
Branch Code
Do you have a Credit Card Facility
*
Yes
No
If "Yes" Complete the following
Amount
Credit Card Limit?
Credit Card Balancem
Monthly Payment on Credit Card?
Do you have an Overdraft Facility
*
Yes
No
If "Yes" Complete the following
Amount
Overdraft Limit?
Monthly Payment on Overdraft (Interested
Amount)
Credit References/ Existing Accounts
1. Company Name
Account Status
Current
To be Settled
Paid Up
Installment Amount Monthly
2. Company Name
Account Status
Current
To be Settled
Paid Up
Installment Amount Monthly
3. Company Name
Account Status
Current
To be Settled
Paid Up
Installment Amount Monthly
4. Company Name
Account Status
Current
To be Settled
Paid Up
Installment Amount Monthly
Do you have Existing Vehicle Finance with a Credit Provider?
*
No
Yes, keeping my current Vehicle with this Application
Yes, Vehicle to be settled with this Application
If "Yes" Vehicle Make and Model
Settlement Amount?
Employment Details
Employer's Name
*
Company Name
Industry Type
*
Ex.Finance/Health/Government/Sales/
Occupation
*
Company Contact Details
*
Company Telephone Number
Company Address
*
Street Address / Complex
Subburb
Province
Postal Code
Period at Company
*
Less than 3 Months
6-12 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years and Longer
Previous Employer's Name
Company Name
Industry Type
Ex.Finance/Health/Government/Sales/
Occupation
Company Contact Details
Company Telephone Number
Previous Company Address
Street Address / Complex
Subburb
Province
Postal Code
Period at Previous Company
Less than 3 Months
6-12 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years and Longer
Total Monthly Income
Salary Payment Date
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21th
22th
23th
24th
25th
26th
27th
28th
29th
30th
31st
Monthly Income Details
*
Amount
Basic Salary
Car Allowance
Monthly Commission
Other Source of Income
Ex.Trust/Maintenance/ Overtime
Total Monthly Income
Total Monthly Expenses
Monthly Household Expenses
*
Amount
Bond / Rent Repayment
Rates, Water, Electricity
Vehicle Installment (Notto be Settled)
Personal Loan Repayments
Credit Card Repayments
Furniture Accounts
Clothing Accounts
Monthly Overdraft Repayments
Medical Aid
Pension
Policy / Insurance Repayments
Telephone Repayments
Transport Costs
Food and Entertainment
Education Costs
Maintenance
Household Expenses
Total Tax
UIF
Other Expenses
Total Monthly Expenses
Total Disposable Income
Are you Liable as: Surety, Guarantor or Co-Debtor?
*
Yes
No
If "Yes" Specify Details of Liability
I agree that: I am not a minor. A court has never declared me mentally unfit. I am not subject to an Administration Order. I do not have any current application pending for debt restructuring or alleviation. I do not have any current debt re-arrangement. I am not under sequestration. I do not have applications pending for credit, nor open quotations as envisaged in Section 92 of the National credit Act. I understand that I will be liable for the monthly service fee. I hereby consent to this Credit Provider making Enquiries regarding my credit history with any Credit Bureau. I consent to this Credit provider reporting the conclusion of any credit agreement with me to the National Loans Register in compliance with this Credit Provider's obligation under the National credit Act. I hereby declare that the information provided by me is true and correct.
*
Signature
*
Submit
Should be Empty: