2003 MINI Hatch Cooper Auto

[vc_row][vc_column width="1/2"][vc_cf7_elements label="Salesman assisting you?"][/vc_cf7_elements][/vc_column][vc_column width="1/2"][vc_cf7_elements label="Vehicle Details"][/vc_cf7_elements][/vc_column][/vc_row][vc_row css=".vc_custom_1538993762638{background-color: #ffffff !important;}"][vc_column css=".vc_custom_1538993831630{background-color: #ffffff !important;}"][vc_tta_accordion active_section="1" css=".vc_custom_1538993857030{background-color: #ffffff !important;}"][vc_tta_section title="1. PERSONAL INFORMATION" tab_id="1538991862171-bb93ae1a-9d06"][vc_row_inner css=".vc_custom_1538993788080{background-color: #ffffff !important;}"][vc_column_inner width="1/4"][vc_cf7_elements label="Title"]—Please choose an option—Mr.Mrs.Miss.Dr.Prof.Sir[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="First Name"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Middle Name"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Surname"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space height="20px"][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="ID / Passport Number"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Birth Date..."][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Ethnic Group"]—Please choose an option—BlackWhiteIndianColoredOriental[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Nationality"]—Please choose an option—South AfricanForeign National[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Country if foreign National"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Graduate"]—Please choose an option—YesNo[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Marital Status"]—Please choose an option—Married - ANCMarried - COPMarried - Customary Law / TribalWidowedDivorcedSingle[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Date Married"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Email Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Mobile Number"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Land Line Number"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Work Phone Number"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][/vc_tta_section][vc_tta_section title="2. RESIDENTIAL INFORMATION" tab_id="1538991862190-195b5ac2-962e"][vc_row_inner css=".vc_custom_1539287115296{background-color: #ffffff !important;}"][vc_column_inner][vc_cf7_elements label="Residential Street Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287421622{background-color: #ffffff !important;}"][vc_row_inner css=".vc_custom_1539287122336{background-color: #ffffff !important;}"][vc_column_inner width="1/2"][vc_cf7_elements label="Suburb"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="City"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287414401{background-color: #ffffff !important;}"][vc_row_inner css=".vc_custom_1539287346517{background-color: #ffffff !important;}"][vc_column_inner width="1/3"][vc_cf7_elements label="Province"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Postal Code"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Years at Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287406011{background-color: #ffffff !important;}"][vc_row_inner css=".vc_custom_1539287358236{background-color: #ffffff !important;}"][vc_column_inner][vc_cf7_elements label="Postal Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287398712{background-color: #ffffff !important;}"][vc_row_inner css=".vc_custom_1539287365556{background-color: #ffffff !important;}"][vc_column_inner width="1/3"][vc_cf7_elements label="City"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Province"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Postal Code"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287390506{background-color: #ffffff !important;}"][vc_row_inner css=".vc_custom_1539287374396{background-color: #ffffff !important;}"][vc_column_inner width="1/2"][vc_cf7_elements label="Occupation Type"]—Please choose an option—Owner - Bond FreeOwner - BondedTenantBoarder[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Financial Institution - If Owner"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space css=".vc_custom_1539287382706{background-color: #ffffff !important;}"][/vc_tta_section][vc_tta_section title="3. EMPLOYMENT INFORMATION" tab_id="1539001712897-92057190-252d"][vc_row_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Company"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Occupation"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Employment Type"]—Please choose an option—PermanentContractSelf EmployedPensioner[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/4"][vc_cf7_elements label="Years at Company"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner][vc_cf7_elements label="Employer Street Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Suburb"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="City"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Province"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Postal Code"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="4. INCOME INFORMATION" tab_id="1539012585130-e9b66376-aa15"][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Gross Income"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Monthly Commission"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Car Allowance"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Overtime"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Net Take-home Pay"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Other Income"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="5. EXPENSES" tab_id="1539013366106-dea7dd67-7b94"][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Bond Payment / Rent"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Credit Card Repayments"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Clothing Accounts"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Furniture Accounts"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Overdraft Repayments"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Transport Costs"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Education Costs"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Maintenance"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Vehicle Installments"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Personal Loan's"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Food & Entertainment"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Insurance Costs"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Rates, Water & Electricity"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Telephone & Pre-Paid"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Household Expenses"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Other Costs"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="6. FRIEND / FAMILY INFORMTION (NOT RESIDING WITH YOU)" tab_id="1539017134782-5ac01d88-89e9"][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Name"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Surname"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Relationship"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Phone Number"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner][vc_cf7_elements label="Relative Residential Street Address"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Suburb"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="City"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Province"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Postal Code"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="7. BANKING INFORMATION" tab_id="1539017813136-cd49bdf3-b23e"][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Bank Name"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Account Number"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Account Type"]—Please choose an option—CurrentSavings[/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="8. TRADE-IN DETAILS" tab_id="1539018179517-7be5852c-eb9b"][vc_row_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Are you trading in a vehicle?"]—Please choose an option—YesNo[/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/2"][vc_cf7_elements label="Do you need to settle the vehicle?"]—Please choose an option—YesNo[/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Trade-in Vehicle Bank Name"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Account Number to Settle"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Amount To Settle"][/vc_cf7_elements][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][vc_tta_section title="9. Required Documents" tab_id="1539286613111-88307949-75ea"][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="ID Doc / Passport"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Drivers Licence"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="3 Months Payslips"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][vc_cf7_elements label="3 months Bank statements"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][/vc_row_inner][vc_empty_space][vc_row_inner][vc_column_inner width="1/3"][vc_cf7_elements label="Proof of address (not older than 3 months)"][/vc_cf7_elements][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][vc_column_inner width="1/3"][/vc_column_inner][/vc_row_inner][vc_empty_space][/vc_tta_section][/vc_tta_accordion][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

CONSENT TO CREDIT PROVIDER

[/vc_column_text][vc_separator border_width="2"][vc_empty_space][vc_column_text]I/we provide my/our express consent to the credit provider to request bank statements in respect of the bank account/s listed on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance[/vc_column_text][vc_empty_space][vc_cf7_elements label="Date Accepted"][/vc_cf7_elements][/vc_column][/vc_row][vc_row][vc_column width="1/3"][vc_empty_space][vc_cf7_elements][/vc_cf7_elements][/vc_column][vc_column width="1/3"][/vc_column][vc_column width="1/3"][/vc_column][/vc_row]

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