Applying for Finance
 

We are here to make life as easy and convenient for you as we can. That is why we created this online application at L & J Motors, so that you can fill out your details and one of our professional and friendlly staff members will get back to you as soon as possible.

 
  Please complete your personal details.
     
  Title:
  Initials:
  Full Names:
  Surname:
  ID No:
  Dependents:
  Nationality:
     
 
     
  Male
  Female
   
 
     
  Date Married:
  Home Address:
 
  Tel Home:
  Cell:
  Fax:
  Tel Work:
  E-Mail:
  Postal Address:
  Code:
  Previous Address:
 
  Spouse Name:
  Spouse ID:
  Next of Kin:
  Relationship:
  Address:
  Tel:
     
  Bond details.
     
  Bond Holder:
  Amount Outstanding:
  Property Value:
  Installments R:
  Purchase Price:
  Date Purchased:
     
 
     
  Registered spouse
  Own name
   
 
     
  Renting R:
     
  Employer Details
     
  Employer:
  Occupation:
  Industry type:
  Employer Address:
  Tel:
  No of years:
  Salary:
  Date of appointment:
  Previous employer:
  No of years:
  Spouse Employer:
  No of years:
  Tel:
  Occupation:
     
  Salary details
     
  Basic monthly (excl car allow ):
  Car Allow:
  Total Salary and car allow:
  Monthly commission:
  Net take home pay:
  Income other than salary:
  Sources of other income:
 
     
  Bank details
     
  Bank name:
  Branch:
  Branch code:
  Name of account holder:
  Account number:
  Account type:
     
  Household Income
     
  Bond payment/rent:
  Rates water electricity:
  Vehicle Installments:
  Personal Loan Repayments:
  Credit Card Repayments:
  Furniture Accounts:
  Clothing Accounts:
  Overdraft Repayments:
  Policy / Insurance Payments:
  Telephone Repayments:
  Transport Costs:
  Food & Entertainment:
  Education Costs:
  Maintenance:
  Household Expenses:
  Other:
  Total Monthly Household Expenses :
  Household Surplus / Disposable income *:
  Are You Currently Liable As;
  Surety:
  Guarantor:
  Co-Debtor:
  None:
  Specify Details:
  If you have signed Surety or Co-Debtor Please Indicate the Full Amount Outstanding:
 
     
  Vehicle Details
     
  Make:
  Model:
  Year:
  Price:
  Km:
     
 
     
  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 and obtain an insurance quote.
   
 
     
  I hereby declare that all of the above information is true and correct.
   
 
Security Check:   


 
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