RENT TO OWN
Application
form
DRIVE TO OWN IT!
|
Vehicle Description
|
| Make |
|
| Model |
|
| Year |
|
| Colour Choices |
|
| Deposit |
|
| Monthly Rental |
|
Accident/Theft Risk Cover
Incl Tracker |
|
Personal
information |
| Your title: |
|
| Your surname: |
|
| Your names: |
|
| Your ID No |
|
Residential
information |
|
| How long at present address? |
yy
mm
|
| How long at previous address? |
yy
mm
|
| Home telephone and code: |
|
| Mobile phone number: |
|
| E-Mail address: |
|
Occupation / Employment
information |
| Company name: |
|
| Company telephone no.: |
|
| Occupation |
|
| Type of Industry |
|
| Employers Name |
|
|
| How long with your present employer? |
yy
mm
|
| How long with your previous employer? |
yy
mm
|
| What is your gross monthly income? |
R.p.m
|
| Nett income before household expenses |
R.p.m
|
Total monthly expenses:
Bond/rent.Car inst.Credit cards.Clothing,furniture,loan,telephone and water and lights accounts.Maintenance.Groceries,education,transport etc. |
R.p.m
|
| Nett surplus income: |
R.p.m
|
| Total Income |
R.p.m
|
Marital
Status |
| Status |
Single
Married
Divorced
Widowed |
| Date Married |
|
|
ANC
COP
Other |
| |
| Name |
|
| Salary / Month |
|
| ID number |
|
| Date of Birth |
|
| Employer Name |
|
| Employer
Address |
|
| Occupation |
|
| Period of Employment
at current Employee |
|
Relatives
Details |
| Name of next of kin
not living with you |
|
| Address of next of
kin not living with you |
|
| Relationship |
|
| Tel code &
Number |
|
Banking Details |
| Which bank do you
bank with? |
|
| Branch |
|
| Type of Account |
Savings
Cheque
Transmission |
| Type of Credit Card |
None
Visa
Mastercard
Other |
Do you have
property?
|
|
| Bondholder |
|
Do you have existing or previous
accounts with vehicle finance ? |
|
| Name of company you financed with |
|
What type of account do you have
|
|
| Do you have your own insurance? |
|
|