Vehicle
Finance

 

 

Online Finance Application

* How much money do you need? $
What security do you have for the loan?  
Other Comments?  
Personal Details
     
* Title:  
* Surname:  
* First Names:
* Date of Birth:
/ /
Day / Month / Year
 
* NZ Drivers Licence Number: 5a.  
* Version: 5b.
* Issue Date: 4a.
* Expiry Date: 4b.
 
Contact Details
     
* Physical Address:
        
Own House Renting Other
* Period of Residence:
Years Months
 
If less than five years please complete the places of residence for this period
   
Previous Address:
Period of Residence:
Years Months
     
Previous Address:
Period of Residence:
Years Months
     
Mailing Address:
(If different)
   
* Home Phone:  
Mobile Phone:
Email Address:
     
Employment Details
     
* Occupation:
* Employer:
* Paid Hours of Work Per Week:
Permanent Part Time Casual
Self Employed Beneficiary  
* How long have you
worked here?
Years Months
  If less than five years please complete the details of previous employers
   
Previous Employer:
Occupation:
How Long:
Years Months
   
Previous Employer:
Occupation:
How Long:
Years Months
     
Other Contact
     
Name and Address of a relative not living with you:
     
* First Names:
* Surname:  
* Relationship To Applicant:
* Phone:  
* Address:
* Period of Residence:
Years Months
     
Financial Details
       
Income:
* Weekly Fortnightly Monthly
* Salary / Wages / Benefit:
(After Tax) 		$    
Other Income: $    
       
Expenditure:      
* Mortgage / Rent /
Board: 		$    
* Hire Purchase /
Credit Card: 		$    
* Insurance: $    
Other: $    
       
 
Is this a Joint Application? (Check box if Yes)
Second Applicant
     
* Relationship To Applicant:  
* Title:  
* Surname:  
* First Names:
* Date of Birth:
/ /
Day / Month / Year
 
* NZ Drivers Licence Number: 5a.  
Version: 5b.
Issue Date: 4a.
Expiry Date: 4b.
   
Employment Details
     
* Occupation:
* Employer:
* Paid Hours of Work:
Permanent Part Time Casual
Self Employed Beneficiary  
* How long have you
worked here?
Years Months
  If less than five years please complete the details of previous employers
   
Previous Employer:
Occupation:
How Long:
Years Months
   
Previous Employer:
Occupation:
How Long:
Years Months
     
 
Declaration
I do solemnly promise the information provided on this application is true and I hereby declare that I am over the age of 18 years of age.

  1. I have never committed any act of bankruptcy. I am not an undischarged bankrupt nor have I entered into any arrangement with my creditors.

  2. Pursuant to Privacy Act 1993 - personal information may be collected from persons nominated on the application form under personal details and employment details, and from credit reference agencies as part of the process of approving this application. Information may be used for the purpose of identification, credit risk assessment, administration of the account and debt recovery. This information can be accessed and corrected by me. This clause is irrevocable.

  3. I understand my application may not receive full consideration unless I supply all information requested.

  4. I authorise you to furnish limited discretion details of my finance contract and to record any defaults or to record its successful completion.
* Date:
 
Check List:
Items that will need to be provided when application is approved:
  • NZ Driver's Licence
  • Recent Payslips or proof of income
  • Verification of address (Phone or Power bill, or official letter)
  • Verifiction of Bank Account Number
  • Full Insurance Cover (We can help with this if required)