Online Finance Application

CUSTOMER INFORMATION - Part 1 of 10

Id number
Date of Birth:
Citizenship
change if not South African
Title
Initials
Full Names*:
Surname*:
Gender:
FemaleMale
Email*:
Cellphone*:
Home Telephone:
Alternative Phone:
Home Address:
Suburb:
Postal Code:
City:
Province:
Postal Address:
Suburb:
Postal Code:
City:
Province:
Years at Current Address:
Years at Previous Address:



MARITAL STATUS - Part 2 of 10

Marriage type
SingleANCCOPTraditionalWidow/er
Date Married:
Spouse Name:
Spouse Surname:
Spouse ID Number:
Spouse Date of Birth:
Spouse Email:
Spouse Telephone:
Spouse Income:
Spouse No of Dependants:
Spouse Employer:
Spouse Work Address:
Suburb:
Postal Code:
City:
Province:



NEXT OF KIN DETAILS(NOT LIVING WITH YOU) - Part 3 of 10

Relationship:
First Name:
Surname:
Telephone:
Address:
Suburb:
Postal Code:
City:
Province:



EMPLOYMENT DETAILS Part 4 of 10

Employer Name:
Telephone:
Occupation:
Type of Industry:
Salary Date if Monthly:
Salary Date*:
Work Address:
Suburb:
Postal Code:
City:
Province:
Time at Current Employer:
Time at Previous Employer:



BANKING DETAILS - Part 5 of 10

Account Type:
ChequeSavingsTransmission
Bank Name:
Account Number:
Branch Name:
Branch Code:
Account Holder:

SECONDARY ACCOUNT

Account Type:
ChequeSavingsTransmission
Bank Name:
Account Number:
Branch Name:
Branch Code:
Account Holder:



HOME OWNERSHIP DETAILS - Part 6 of 10

Do you own property?:
YesNo
If YES, specify:
In your name?:
YesNo

***Specify your bont details even if it is a paid up bond***

Bond/Rental Payment: R
Bond Outstanding: R
Purchase Price: R
Current Value: R
Mortage Holder bank:



EXISTING OR PREVIOUS VEHICLE FINANCE - Part 7 of 10

Financial Institution:
Account Number:
Instalment: R
Settlement Amount: R
To be settled?::
YesNo



VEHICLE TO BE FINANCED - Part 8 of 10

Make & Model:
Deposit:
Monthly Payment:
To be settled?::
YesNoTemporaryLearners >Expiry
Drivers License:



Make and Model:

VEHICLE TRADE IN - Part 9 of 10

Year:
Colour:
Mileage:
Condition:
Transmission:
ManualAuttomatic



APPLICANT'S INCOME & EXPENSES - Part 10 of 10

INCOME

Applicant

Spouse

[clear]

Gross Remuneration: R

[clear]

Overtime/Commission included in Gross: R

[clear]

Car Allowance included in Gross: R

[clear]

Spouse ID Number: R

[clear]

Net Take Home Pay: R

[clear]

Income other than Salary/Wages: R

[clear]

TOTAL MONTHLY INCOME: R

[clear]
[spacer][spacer]

EXPENSES

[spacer]

Bond/Rental Payment: R

[clear]

Rates/ Water/Electricity: R

[clear]

Car Instalments: (excl those to be settled) R

[clear]

Furniture Accounts: R

[clear]

Clothing Accounts: R

[clear]

Overdraft Repayments: R

[clear]

Policy/Insurance Repayments: R

[clear]

Telephone:

[clear]

Transport Costs: R

[clear]

Food and Entertainment: R

[clear]

Household Expenses: R

[clear]

Other Expenses: R

[clear]

TOTAL MONTHLY EXPENSES: R

[clear]

DISPOSABLE INCOME: R

Total Monthly Income less Total Monthly Expenses = Disposable Income


CONFIRMATION

I CONFIRM THAT:

  1. I am not a minor.
  2. I have never been declared mentally unfit by a court.
  3. I am not subject to an Administration Order.
  4. I do not have any current application pending for debt restructuring or alleviation.
  5. I do not have any current debt re-arrangement in existence.
  6. I have not previously applied for a debt re-arrangement.
  7. I am not under sequestration.
  8. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.
If anything is incorrect, please indicate it here:

MARKETING CONSENT

I would like to be included in any telemarketing campaign
YesNo
I would like to be included in any telemarketing list that you may sell or distribute:
YesNo
I would like to be included in any mass distribution of e-mails or sms messages
YesNo
I understand that I will be liable for any monthly service fee
YesNo

I hereby consent to the credit provider making enquiries regarding my credit history with any credit bureau.

I consent with the credit provider reporting the conclusion of any credit agreement with me to the national loans register in compliance with the credit provider's obligation under the national credit act. I hereby declare that the information provided by me is true and correct in all material respects.

The credit provider, a member of the banking council of South Africa wishes to inform you that all information regarding your personal and financial matters is treated as strictly confidential. to enable the credit provider to offer you a full range of services and products suited to your needs, we require your consent to utilise your personal information within the group and to communicate to you on an ongoing basis.

The credit provider is committed to comply with national and international laws, rules and regulations and policies regarding the combating of criminal activities, money laundering and terrorist financing. all applications and all information concerning the customer, are therefore subject to verification, processing and screening and may decline certain applications. In addition, upon the acceptance of an application, all information, instructions and transactions for and on behalf of the customer will be subject to continuous screening which may prohibit, limit or delay the execution thereof and which may oblige the credit provider to terminate its relationship with the customer. To the extent permissible, the credit provider shall advise the customer of any prohibitions or limitations on such applications, instructions or transactions. The credit provider and any of their affiliates shall not be liable for any special, punitive, indirect or consequential losses or damages, including, without limitations, loss of profits or any anticipated savings.

I/WE HEREBY CONSENT TO THE ABOVEI/WE HEREBY WITHHOLD CONSENT AND FULLY UNDERSTAND THE IMPLICATIONS AND RAMIFICATIONS OF MY/OUR DECISION

X

Vehicle Finance Repayment Calculator



Disclaimer: These calculations serve as a guideline only. The actual amount you pay will depend on variables incorporated into calculations, as well as any or all of the following variables: Warranty, Service & Delivery Fees, Licence & Registration Fees, Number Plates, Fuel and Insurance. Olgar’s Auto cannot accept responsibility for any loss suffered as a result of information derived from this calculator.

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