Finance Application - Japan Cars

Applicant

Check if this is this a joint application.

First Name *

Middle Name *

Last Name *

Date of Birth *

Marital Status *

Number of Dependants *

Driver Licence Type *

Licence Number *

Licence Version Number *

Licence Expiry *

Home Phone

Mobile Phone *

Work Phone

Email *

Partner Information

First Name *

Middle Name *

Last Name *

Date of Birth *

Marital Status *

Number of Dependants *

Driver Licence Type *

Licence Number *

Licence Version Number *

Licence Expiry *

Previous Finance Details

Finance Reference 1

Finance Reference 2

Finance Reference 3

Finance Reference 4

Address & Employment

Address Details

Own House

Renting

Boarding

Other

Other *

Home Address *

Suburb *

City *

Year Lived at Address *

Home Address *

Suburb *

City *

Year Lived at Address *

Employment Details

Employment Type

Since *

Occupation *

Employer *

Hours Per Week *

Address *

Suburb *

City *

Phone *

Employment Details - Partner

Employment Type

Since *

Occupation *

Employer *

Hours Per Week *

Address *

Suburb *

City *

Phone *

Contact

Next to Kin Details (NB - Must not live at the same address as you)

Name *

Relationship *

Phone *

Address *

Suburb *

City *

Another Contact's Details (eg. Friend, Workmate, etc.)

Name *

Relationship *

Phone *

Address *

Suburb *

City *

Financials

Applicant 1

Primary Income Type *

Amount(In the hand) *

Pay Frequency *

Other Income

Other Income Source

Applicant 2 / Partner Income

Primary Income Type

Amount(In the hand)

Pay Frequency

Other Income

Other Income Source

Assets

Property 1

Address

Value (RV/GV)

Name on Title

Mortgage Balance

Mortgage Repay (Monthly)

Is Renting

Yes

Rent Income (Monthly)

Property 2

Address

Value (RV/GV)

Name on Title

Mortgage Balance

Mortgage Repay (Monthly)

Is Renting

Yes

Rent Income (Monthly)

Vehicle 1

Year

Make

Model

Registration No.

Current Value

Financed By

Amount Still Owing

Monthly Repayments

Vehicle 2

Year

Make

Model

Registration No.

Current Value

Financed By

Amount Still Owing

Monthly Repayments

Other Assets

Description

Market Value

Description

Market Value

Description

Market Value

Description

Market Value

Outgoings (IE. Your expenses and repayments)

Expenses

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Loan Repayments

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Loan Detail

Finance Amount *

Vehicle Description *

Comments

Preferred Term *

What is a comfortable payment for you to make? *

Frequency *

Other Information

Do you have any previous credit related issues that may need to be addressed prior to a successful application?

Yes

Please explain below *

Are you an NZ citizen/NZ born?

Yes

Please detail your visa type

Apply

The Privacy Act 1993

I/we authorise Japan Cars* to collect, retain and use the personal information about me/us, for the purposes of:

Assessing my/our credit worthiness;
Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Japan Cars’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by Japan Cars

I/we authorise Japan Cars to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Japan Cars to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Japan Cars and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 1993, I/we have a right of access to information collected by Japan Cars about me/us and to request that this information be corrected. The information will be held at the office of Japan Cars, 669 Main Street, Palmerston North or the registered offices of any party nominated by Japan Cars.

*Japan Cars and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue