zz Personal Application Form

Welcome to M & W Motors App Personal Finance Application Form.

If you do not owe anything or do not have any details, fill in with a 0.

Please ensure that you select your Sales Rep from the list otherwise it will not complete...

Thank You.

Sales Representative

Which Vehicle (ie 2010 Toyota 2.0)

MM Code (To be completed by Store)

Personal Details

Title

Surname

Full Names

Sex

ID Number

Dependants

Are you married

If you are married, how?

Date of Marriage (dd/mm/yyyy):

Home Address

How long have you stayed at this address? (Years/Months)

Postal Address

Telephone (Home)

Telephone (Work)

Cell Number

Email Address

Spouse Name (If Married)

Spouse ID (If Married)

Spouse Cell Number (If Married)

Details of Somebody NOT Living With You

Name

Surname

Cell Number

Relationship

Address

Bond Details

Bank

Outstanding Amount

Installment

Registered In

Employer Details

Employer Name

Occupation? (What work do you do?)

How long at work?

Employer Address

Employer Telephone

What date do you get paid?

Banking Details

Who do you Bank with?

Type of Account

Bank Branch Name?

Bank Account Number?

Bank Branch Number?

Name of Account Holder

Income and Expenses

Total Income BEFORE Deductions

Total Income AFTER Deductions

Total Expenses ie Rent, Vehicles, Food, Telephone, Electricity, etc

Breakdown of Expenses

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 Payment

Food and Entertainment

Maintenance

Other

Agreement

I hereby give consent to the Credit Provider to make enquiries about my credit record with any of credit agencies and to obtain whatever information on me that they might require to process the credit application and / or application for insurance. I hereby declare that all of the above information is true and correct.
I agree