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CARBASE APPLICATION FOR FINANCE

* Required Field

Please complete as much of the form as possible to assist with processing.
Lack of information will require us to contact you for more information and delay Finance approval.

PERSONAL DETAILS APPLICANT ONE

Name*:

    

 

  

Surname

  

First Name

 

        

 

  

Middle Name

  

Date of Birth

GST Number

      

Address*:

  

 

No.

Street

  

Suburb

 

    

 

 

Town/City

  

Postcode

 

   Own   Rent  

 

 

 

  

How Long? (years/months)

Email

  

Phone

    

 

  

Home

  

Mobile

NZ driver licence:

        

 

Employer:

    

 

  

Current Employer

  

Phone Number

 

   

 

  

Position

  

How Long? (years/months)

 

    

 

  

Previous Employer (if less than 3 years)

  

Phone Number

 

   

 

  

Position

  

How Long? (years/months)
PERSONAL DETAILS APPLICANT TWO

Name:

    

 

  

Surname

  

First Name

 

        

 

  

Middle Name

  

Date of Birth

GST Number

      

Address:

  

 

No.

Street

  

Suburb

 

    

 

 

Town/City

  

Postcode

 

   Own   Rent  

 

 

 

  

How Long? (years/months)

Email

  

Phone

    

 

  

Home

  

Mobile

NZ driver licence:

        

 

Employer:

    

 

  

Current Employer

  

Phone Number

 

   

 

  

Position

  

How Long? (years/months)

 

    

 

  

Previous Employer (if less than 3 years)

  

Phone Number

 

   

 

  

Position

  

How Long? (years/months)
GENERAL INFORMATION

Bank account:

Name on Account:

Insurance Company

Nearest Relative
DECLARATION AND CREDIT CHECK AUTHORISATION

Each Applicant, by submitting this form agrees with Motor Trade Finances Ltd (MTF) and acknowledges as follows:

1.MTF may disclose to a credit reporting agency any personal information about me that MTF holds including; information contained in this application; my identification; the amount of credit applied for; payments which may become overdue; advice that payments are no longer overdue; any serious infringement which MTF believes I have committed. That MTF in assessing this application, any later request for a credit limit increase and monitoring my credit status may obtain from a credit reporting agency personal credit information about me including credit reports containing information about my commercial activities or commercial credit worthiness. MTF may give to and obtain from any third party, information about my personal or commercial credit arrangements including information about my credit worthiness, credit standing, credit history or credit capacity for the particular purpose for which the information is required.
2.Under the Privacy Act 1993, I have the right of access to, or correction of, any personal information about me held by MTF.
3.I have never been subject to any bankruptcy proceedings nor have I entered into any agreement with my creditors.
4.I understand my application may not receive full consideration unless I supply all information requested.
* I declare the information provided in this application is true and correct, that I am over the age of 18 years, and that I have read and understood these terms.