At Cars and Bakkies - Online Finance Application Form

Nico Du Preez

Referred by?

YESNO

Description of Vehicle You're Looking For*

First Name*

Middle Name

Surname*

South African ID

ID Number*

ID Number (Confirm)*

YesNo

No DepositWith Deposit

Deposit Amount

Preferred Language*

MaleFemale

AsianBlackColouredWhite

Country Nationality*

SingleMarriedDivorcedWidower

Marital contract?

Mobile Number*

Mobile Number (Confirm)

Work Number*

Work Number (Confirm)

Email

Confirm Email

Residential Address (Home Address)*

Address Line 2*

City*

Postal Code*

State / Province / Region*

Country*

Period Here (Years)*

Period Here (Months)*

Employer Name (Company Name)*

Occupation (Job Title)*

Employer Business Address*

Address Line 2*

City*

State / Province / Region*

Postal Code*

Country

Period Employed (Years)*

Period Employed (Months)*

Gross Salary*

Net Salary*

MonthlyWeeklyFortnightly

Total Monthly Income*

Bond Payment

Monthly Rent

Water & Electricity

Car Payments

Personal Loan

Credit Card

Furniture Accounts

Clothing Accounts

Overdraft Payments

Policy / Insurance

Telephone Payments

Transport Costs

Food & Entertainment

Education Costs

Maintenance Expenses

Household Expenses

First Name (Next of Kin)*

Surname (Next of Kin)*

Relation (Next of Kin)*

Phone Number (Next of Kin)*

Address (Next of Kin)*

Address Line 2*

City*

State / Province / Region*

Postal Code

Country*

Bank Account Holder Name

Bank Name*

Bank Branch

Account Number*

ChequeSavingsTransmission

Account Number (Confirm)

I hereby consent to @Cars & Bakkies accessing my credit profile from the credit bureaus for the purposes of a credit assessment and possibly a finance application for the purpose of purchasing a vehicle. I hereby consent that my application for credit, together with my personal information be submitted to all major vehicles finance banks and carefully selected business partners for the purpose of vehicle finance and insurance, in the event that my loan application is successful, for ongoing account maintenance purposes, setting limits, development of credit tools/products/model and insurance purposes and where unsuccessful to Lucid for credit. I consent that my details may be shared with other lenders or banks, collection agencies, lawyers, accountants ,auditors, regulators and law enforcement agencies, to the extent necessary to protect, preserve or enforce @Cars & Bakkies' rights and interests in respect of any agreement or any finance document or to respond to any legal enquiry or to comply with any regulatory obligation;

If you do not wish us to disclose this information to us or any otherparties, please contact us at the contact details set out herein. We may,however, not be able to provide products or services to you if such disclosureis necessary.

Latest 3 months Payslips

Browse Files

Latest 3 Months Bank Statements

Browse Files

Valid South African ID Document

Browse Files

Valid Driver's License

Browse Files

Application for Finance

Personal Details

Contact Information

Residential Details

Employer Details

Income & Expenses

Relative Details

Banking Details

Should you have the below documents available at the time of submission, please feel free to add them to your application.