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APPLY FOR FINANCE
Applicant for finance
Assisted by:
Web
Identification type:
South African ID
ID Number
ID Number (Confirm)
Do you have a valid drivers license?
Yes
No
Description of vehicle you're looking for
Instalment type:
No deposit
With deposit
Deposit Value
Personal details
First Name
Middle Name
Surname
Country Nationality
Preferred Language
Gender
Male
Female
Prefer not to answer
Race
Asian
Black
Coloured
White
Prefer not to answer
Marital Status
Single
Married
Divorced
Widower
Contact Information
Mobile Number
Work Number
Confirm Mobile Number
Confirm Work Number
Email Address
Confirm Email
Residential Details
Residential Status
Owner - Bonded
Owner - Bond Free
Tenant
Lodger
Living with parents
Residential Address (Home Address)
Suburb
City
Province
Postal Code
Country
South Africa
Period Here (Years)
Period Here (Months)
Employer Details
Employer Name (Company Name)
Occupation (Job Title)
Industry Type
Private
Government
Mining
Farming
Self Employed
Employer Business Address
Suburb
City
Province
Postal Code
Country
South Africa
Period Employed (Years)
Period Employed (Months)
Income & Expenses
Gross Salary
Net Salary
Frequency of Salary
Monthly
Weekly
Fortnightly
Total Monthly Income
Bond Repayment
Monthly Rent
Water & Electricity
Car Payments
Personal Loans
Credit Cards
Furniture Accounts
Clothing Accounts
Overdraft Payments
Policies / Insurance
Telephone Payments
Transport Costs
Food & Entertainment
Education Costs
Maintenance Expenses
Household Expenses
Relative Details
First Name (Next Of Kin)
Surname (Next Of Kin)
Relation (Next Of Kin)
Phone Number (Next Of Kin)
Address (Next Of Kin)
Suburb
City
Province
Postal Code
Country
South Africa
Banking Details (Optional)
Bank Account Holder Name
Bank Name
Bank Branch
Account Number
Account Type
Cheque
Savings
Transmission
Confirm Account Number
How did you hear of us (Optional)
Newspaper Ad
Online Ad
Social Media
Friends
Other
Credit Provider Consent
I hereby consent to the Credit Provider accessing my credit profile from the credit bureaus for the purposes of a credit assessment and in the event that my loan application is successful, for ongoing account maintenance purposes, setting limits, development of credit tools/products/model and insurance purposes and where unsuccessful to Lucid for credit rehabilitation assistance.
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