Mon - Fri 8.00 - 17.00, Sat 9.00 - 13.00
119 Pretoria Road, Boksburg, Gauteng
+27 81 750 4245
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081 750 4245
119 pretoria rd boksburg, 119 pretoria rd boksburg, Boksburg
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Neels
Vulo
Preference
Mohammed Asif
Roxanne
Imran
Nathan
Vanessa
Ahmed
Please select one Sales Representative to assist you with the process.
Vehicle Make / Model
Title
Name & Surname
Sex
ID Number
Dependants
Are you married?
If Married how?
Address
How long are you living at the above address?
Postal Address
Home Number
Work Number
Cell Number
*
Email
Spouse Name
Spouse ID Number
Spouse Cell number
Bank
Outstanding Amount
Installment amounts
Employer Name
Occupation
Duration of work at the above Employer
Employer Address
Employer Contact Number
Employer Name (Spouse)
Occupation (Spouse)
Employer Contact Number (Spouse)
Duration of work at the above Employer (Spouse)
Employer Address (Spouse)
Who do you Bank with?
Account type
Branch Name / Number
Bank Account Number
Name of Account Holder
Basic Monthly Expenses (Excl Car assets)
Car Allowance
Total Salary (Basic and Car allowance)
Monthly Commission
Net take home pay
Income other than Salary / Wages
Total Monthly Household (Net + Other)
Bond Payment / Rent
Vehicle Installments
Credit Card Repayments
Clothing Accounts
Insurance Repayments
Transport Costs
Education Costs
Household Expenses:
Rates, Water, & Electricity
Personal Loan Repayments
Furniture Accounts
Overdraft Repayments
Telephone Payments
Food and Entertainment
Maintenance
Other
Total Monthly Household Expenses
Household Surplus / Disposable Income:
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