Vehicle Finance - Online Application

Vehicle Finance – Online Application

Diversity Auto > Vehicle Finance – Online Application

For Financing or Rent to Own

Complete and Submit the Online Application Form below for pre approval
and we will contact you within 24 hours.

The necessary documents can be submitted at a later date.

Email: diversityautope@gmail.com
WhatsApp: 061 699 4163

ONLINE APPLICATION FORM

Fields marked with * must be completed
* All entered information regarded as confidential and treated as such

CAR INFORMATION:

** If you are only applying for pre approval please leave all car information blank and we will contact you with a list of vehicles you may qualify for..

Make

Exterior Color

Car Description

PERSONAL DETAILS:

Title *

Full Names *

Last Name *

ID Number

Gender*

Marital Status *

Date Married

Dependents *

CONTACT DETAILS:

Tel: (W)

Cell Number *

E-mail Address *

ADDRESS DETAILS:

Home Address *

Period

Postal Address

Postal Code

SPOUSE DETAILS:

Spouse Names

Spouse ID

Next of kin *

Relationship

Contact Number *

EMPLOYER DETAILS:

Employer *

Occupation *

Employer Address *

Company Tel *

No. of Years *

Salary Date *

Spouse Employer

Occupation

Employer Address

Company Tel

No. of Years

BANK DETAILS:

Name of Account Holder *

Account Type *

Account Number *

Bank Name *

Branch Name *

Branch Code *

ETHNIC GROUP:

Race *

Language *

PERSONAL APPLICATION:

* Gross Salary: R

Net Salary: R

HOUSEHOLD EXPENSES PER MONTH:

Bond Repayment / Rent R

Rates, Water & Electricity R

Vehicle (Excluding those to be settled) R

Personal Loan Repayments R

Credit Card Repayments R

Furniture Account Repayments R

Clothing Account Repayments R

Overdraft Account Repayments R

Policy / Insurance repayments R

Telephone Account Repayments R

Transport cost Payments R

Food & Entertainment Budget R

Education Cost Payments R

Maintenance & Repair Payments R

Other Household Expenses R

Other Expenses & Payments R

Total Monthly Household Expenses R

Household Surplus / Disposable Income R

* I Confirm that: A. I am not a minor. B. I have never been declared mentally unfit by a court. C. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act. YES

DECLARATION BY CLIENT:

I am currently subject to the following (Mark only applicable fields):

ITCBlack listedUnder Administration

* I hereby give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to process the application. I also give consent to the Credit Provider to share my payment behavior with any credit agency.

YESNO