Personal Capacity application form

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Apply for vehicle finance
Car Listings
Contact Us
I want to sell my car
Our Staff
Gallery

I want to apply for the following vehicle ... *

I would like to give a deposit of ... *

My maximum budget for the monthly instalment is ... *

This is the first time I am applying for Vehicle Finance ... *

ID Number *

Title *

Name *

First

Middle

Last

Is your drivers licence valid *

Yes
No

Preffered Language *

English
Afrikaans

Gender *

Male
Female

Ethnic Group *

Asian
Black
Coloured
White

Marital Status *

Divorced
Married COP
Married ANC
Single
Widow/er

Marital Date *

Mobile Number *

Email *

Residential Address (Street Number & Street Name) *

First

Last

Residential Address (Suburb & Postal Code) *

First

Last

Period at Current Address *

First

Last

Spouse Full Names & Surname as per ID

Spouse ID Number

Spouse Mobile Number

Employer *

Occupation *

Employer HR Contact Number *

Industry type *

Employment Type *

Employer Address (Street Number & Street Name) *

First

Last

Employer Address (Suburb & Postal Code) *

First

Last

Period Employed (Years * Months) *

First

Last

Income (Gross & Nett) *

First

Last

Expenses (Bond / Rent)

Expenses (Rates, Water & Electricty)

Expenses (Vehicle instalments)

Expenses (Personal Loan)

Expenses (Credit Card)

Expenses (Furniture accounts)

Expenses (Clothing accounts)

Expenses (Overdraft)

Expenses (Policy / Insurance)

Expenses (Telephone)

Expenses (Transport)

Expenses (Food & Entertainment)

Expenses (Education)

Expenses (Maintenance)

Expenses (Household Expenses)

Expenses (Other Expenses)

Relative Details (Has to be someone who is not living with you) *

First

Last

Relationship *

Relative Contact Number *

Relative Address (Street Number & Street Name) *

First

Last

Relative Address (Suburb & Postal Code) *

First

Last

Bank *

Account type *

Account Number *

Salary date *

Do you consent to your information being shared in order to receive marketing regarding insurance and related products? *

Yes
No

hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for on-going account maintenance purposes, setting limits, development of credit tools/products/models and insurance purposes. *

Yes
No

I hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for ongoing account maintenance purposes, setting limits, development of credit tools/products/model and insurance purposes and where unsuccessful to Lucid for credit rehabilitation assistance. *

Yes
No

I hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for on-going account maintenance purposes, setting limits, development of credit tools/products/models and insurance purposes. *

Yes
No

I agree that the FirstRand Group may get and use my information from: 1. Credit bureaus, such as TransUnion 2. Third-party qualification data providers, that use information from universities and other educational institutions To determine my eligibility for this application and if the solution being applied for is right for me – whether it is for transact, telecommunication, invest, rental and/or other value-added solutions. I agree that the Group may get, use and share my information with: 3. The South African Fraud Prevention Services To detect, prevent and prosecute financial crime or if the Group reasonably believes that I have given false or misleading information or documents. You can manage your consent at any time through “My Profile” on the app. Your consent is important to proceed with your application. Without it, we won’t be able to process your application. If you withdraw your consent it will impact the ongoing use of the solution. For more information about the FirstRand Group, our solutions and your privacy, go to the Privacy Notice on our website. *

Yes
No

I understand and acknowledge that as part of the finance application process, the financial institution/s with whom my application has been shared, may approach my primary bank to obtain additional information on my profile, in order to assist to process my application, which includes, but is not limited to information that may be required for behavioral analysis to provide product suggestions, FICA, fraud, income and affordability verification purposes. *

Yes
No

Email *

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