Pls filled up the details below


LOAN TYPE Purchase of New Vehicle
Purchase of Second Hand /Pre-Owned Vehicle
Refinancing (with existing unit)
Loan Take Out

Car Applied For

Brand:
Type:
Year Model:

APPLICANT'S INFO

Name:
Middle Name:
Surname:
Birthdate:
Status:
No of Dependents:
Residence:
Residence Address:
No. of years in Residence:
Previous Address or Ancestral Address: (if rented and or less than 5 years residency)
Telephone/Landline:
Cellphone/Mobile:
Email Address:

EMPLOYMENT / SOURCE OF INCOME

Employment/Source of Income:
Company/Business Name:
Company/Business Address:
Position:
Company/Business Tel:
No. of years in Company/Business:

If less than 2 years in Employment:

Previous Company/Business/Employers Name:
No of Years (Previous Employment):
Previous Company/Business Address:
Previous Position:
Monthly Net Income:

SPOUSE'S INFO / CO MAKER (if applicable)

Name:
Middle Name:
Surname:
Birthdate
Employment/Source of Income:
Company/Business Name:
Company/Business Address:
Position:
Company/Business Tel:
No of years in the company/business:
Monthly Net Income:
Previous Company Details: Name, Address & tel (for less than 2 years in employment)

PERSONAL REFERENCES:

Do you have previous or existing car loan? If yes, pls indicate Bank or Financing/Lending group.
How did you hear about us?

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