Online Finance Application

 

Complete our pre-qualification assessment to see if you qualify for finance. Upon submitting the application, our dealer representative will contact you within 24 hours with a review of your assessment or to request additional information if needed.

 

Note: Please complete all fields to ensure prompt processing.
 
Online Finance Application
Title *
Name *
Surname *
ID Number *
Mobile *
Email *
1a. Home address
1b. Specify - Rent or Own ?
1c. Number of years residing at current home address
2a. Married ?
2b. Date of marriage
2c. Marriage in community of property ?
3a. Bank name
3b. Branch
3c. Branch code
3d. Name of account holder
3e. Account number
3f. Account type
4a. Occupation
4b.Type of Industry
4c. Employer name
4d. Employer address
4e. Telephone Work
4f. Number of years at current company ?
5a. Gross monthly income
5b. Nett monthly income
5c. Bond monthly payment
5d. Food and Entertainment monthly payment
5e. Transport monthly payment
5f. Clothing and Furniture Account monthly payment
5g. Cellphone Contract monthly payment
6a. Vehicle trade in available ?
6b. Trade in brand & model
6c. Trade in registered year
6d. Trade in paid off ?
6e. Settlement amount
6f. Bank/finance house
7a. Which vehicle are you interested in financing ?
7b. Specify New or Used ?
8a. Next of kin/friend/relative’s name and surname (not living with you)
8b. Number of next of kin/friend/relative (not living with you)
8c. Home Address of next of kin/friend/relative (not living with you)
8d. Relationship to Yours of next of kin/friend/relative (not living with you)
9a. Are you currently under debt review? *
9b. Do you have a valid driver's license? *
10a. I hereby declare that all of the above information is true and correct *
10b. I give consent to the credit provider to make enquiries about my credit record *
Preferred contact method:
Phone (call)
Phone (SMS)
Email
 
iX Online Motoring