Vehicle Finance
Parkview Auto Vereeniging
FOR ANY ASSISTANCE
📞 0746034212
Vehicle
Please specify the vehicle you want to Purchase.
Vehicle
Year Model
Personal Info
Full Names & Last Name
*
First Name
Last Name
ID Number
*
Title
*
Please Select
Mr
Mrs
Miss
Marital satus
*
Single
Married
Married Date
-
Month
-
Day
Year
Date
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Residential address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment
Are you Employed ?
*
Self Employed
Permanently Employed
Name of The Company
*
Period of Employment
Occupation
Work Phone Number/ HR Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Work Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HR / Work Email (For work Conformation)
example@example.com
Trade In & Deposit
Do you Have other vehicles currently financed?
Yes
No
If Yes do you want to trade it in ?
Yes
No
If Yes please select the Financial Institution the vehicle is financed at.
Please Select
ABSA Bank
MFC Bank
WESBANK Bank
CAPITEC Bank
STANDARD Bank
What is the Settlement Amount
Description of the Trade in Vehicle
Year Model
KM Reading
Do you want to give a Cash deposit?
Yes
No
If Yes Cash Deposit Amount?
Income Detail
Source of Income
*
Salary
Commission
Salary&Commission
Other
Gross Remuneration Amount R ?
*
“Your cost to Company”
Monthly Commissions R ?
*
Overtime R ?
Net Take-Home Pay R ?
*
Payment into your Bank Account
Other Income R ( Rental Income)
Current Vehicle Instalments not to be settled R ?
Do you pay a Bond Payment or Rental Agreement ?
*
Bond Payment
Rental Agreement
None
The Payment Amount of the option chosen?
Rates, Water & Electricity R ?
Personal Loan Repayments R ?
Credit Card Repayments R ?
Clothing Accounts Repayments R ?
Policy & Insurance R ?
Telephone Payments R ?
Transport Costs R ?
Food & Entertainment R ?
Household Expenses R ?
Any Other Expenses please specify R ?
Banking Details
Please supply your banking Details .
Bank ?
*
Bank Account Number.
*
Bank Account Type
Current
Saving
Relative Details
Name & Surname
*
Relation
Mother
Father
Wife
Husband
Friend
Partner
Phone Number.
*
Residential Address
*
Postal Code
I hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for on-going account maintenance purposes, setting limits, development of credit tools/products/models and insurance purposes.
Yes
No
WesBank | ABSA | MFC I hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for on-going account maintenance purposes, setting limits, development of credit tools/products/models and insurance purposes.
Yes
No
Signature
Submit
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