• Loan Application Form

    Kia Ora! Thanks for taking the time to complete our online application.
  • Do you understand and agree to these terms of the Privacy Policy and consent to finance companies that work with AJ Motors completing a credit check?*
  • Application Type*
  • Choose a Loan Term

  • Main Borrower

  • Gender*
  • Marital Status:*
  •  -
  • Email Address*

  • Drivers Licence & Resident

  • Drivers Licence*
  • Licence Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Are you a NZ resident or a citizen of New Zealand, Australia, Niue, Tokelau or the Cook Islands?*
  • If you're not NZ resident, please advise your current Visa Status and Expiry Date.*

  • Address

  • Current Address Status*
  • Mortgage Details*
  • Mortgage/Renting/Boarding Cost*
  • How long have you been living here ?*
  • How long had you been living there ?*

  • Employment Information

  • Incomes*
  • Current Employed Status*
  • Work Type*
  • How long have you been on current employed status ?*
  • Did you work before?*
  • How long had you been on previous employed status ?*

  • Expenses & Liabilities----Other Debts

  • Are you aware of any reason your expense may increase within the loan term?*
  • Are there any other regular outgoings material to your expenses that are not listed above? (regular religious/church donations, regular charitable donations, overseas remittances)*
  • Liabilities*

  • Two Next of Kin

    Not living with you. Must be at different addresses in New Zealand. Joint application: Your guarantor/co-borrower can't be your next of kin.
  •  -
  •  -

  • The Privacy Act 1993

  • I/we authorise AJ Motors * to collect, retain and use the personal information about me/us, for the purposes of:

    • Assessing my/our credit worthiness;
    • Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing AJ Motors’s rights thereunder;
    • Marketing and/or informing me/us about the goods and services provided by AJ Motors


    I/we authorise AJ Motors to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

    I/we authorise AJ Motors to provide this information:

    • To any person for the foregoing purposes;
    • To any employees and agents of AJ Motors and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
    • To credit agencies for the purpose of maintaining proper or effective records.


    I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 1993, I/we have a right of access to information collected by AJ Motors about me/us and to request that this information be corrected. The information will be held at the office of AJ Motors, 53 Springs Road, East Tamaki, Auckland or the registered offices of any party nominated by AJ Motors.

    *AJ Motors and other associated third parties

  • The Guarantor/Co-borrower

  • Gender*
  • Marital Status:*
  •  -
  • Email Address*

  • Guarantor/Co-borrower: Identification & Resident

  • Identification*

  • Licence Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Are you a NZ resident or a citizen of New Zealand, Australia, Niue, Tokelau or the Cook Islands?*
  • If you're not NZ resident, please advise your current Visa Status and Expiry Date.*

  • Guarantor/Co-borrower: Address

  • Current Address Status*
  • Mortgage Details*
  • Mortgage/Renting/Boarding Cost*
  • How long have you been living here ?*
  • How long had you been living there ?*

  • Guarantor/Co-borrower: Employment Information

  • Incomes*
  • Are you aware of any reason your income may be adversely effected during the term of the loan?*
  • Current Employed Status*
  • Work Type*
  • How long have you been on current employed status ?*
  • Did you work before?*
  • How long had you been on previous employed status ?*

  • Guarantor/Co-borrower: Expenses & Liabilities----Other Debts

  • Are you aware of any reason your expense may increase within the loan term?*
  • Are there any other regular outgoings material to your expenses that are not listed above? (regular religious/church donations, regular charitable donations, overseas remittances)*
  • Do you have any liabilities?*
  • Liabilities*

  • The Privacy Act 1993

  • I/we authorise AJ Motors* to collect, retain and use the personal information about me/us, for the purposes of:

    Assessing my/our credit worthiness;
    Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing AJ Motors’s rights thereunder;
    Marketing and/or informing me/us about the goods and services provided by AJ Motors

    I/we authorise AJ Motors to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

    I/we authorise AJ Motors to provide this information:

    To any person for the foregoing purposes;
    To any employees and agents of AJ Motors and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
    To credit agencies for the purpose of maintaining proper or effective records.

    I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 1993, I/we have a right of access to information collected by AJ Motors about me/us and to request that this information be corrected. The information will be held at the office of AJ Motors, 53 Springs Road, East Tamaki, Auckland or the registered offices of any party nominated by AJ Motors.

    *AJ Motors and other associated third parties

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