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Apply For Finance Personal details Addresses Employment References Vehicle Financial Finished Please fill in all fields marked with before continuing to next section Personal Details Title First Name Middle Name Surname Date of Birth Gender Marital Status No of Dependents Dependents Age(s) Mr Mrs Miss Ms Male Female Marital Status Married Single Defacto Other Driver Licence Details Licence Type Licence Number Licence Version No Driver Licence Expiry Date Licence Type No Licence Learners Restricted Full Citizenship Details New Zealand Resident Country of Birth Country of Citizenship 1 Country of Citizenship 2 Country of Citizenship 3 Yes No Phone And Email Details Business Phone Number Home Phone Number Mobile Phone Number Fax Number Email Enter Physical Address Attention Building Name Unit/Floor Type Unit/Lot Street No Street Name Street Type Suburb City Postcode Country Time at Address Ave Broadway Close Cres Drive Esplanade Lane Mews Place Road Street Terrace Years Months Enter Previous Physical Address Attention Building Name Unit/Floor Type Unit/Lot Street No Street Name Street Type Suburb City Postcode Country Time at Address Ave Broadway Close Cres Drive Esplanade Lane Mews Place Road Street Terrace Years Months Current Employment Employer Name Occupation Employment Type Employer Phone Number Employer Fax Number Employer Address Time With This Employer Beneficiary Full Time Part Time Self Employed Contractor Years Months Previous Employment Employer Name Occupation Employment Type Employer Phone Number Employer Fax Number Employer Address Time With This Employer Beneficiary Full Time Part Time Self Employed Contractor Years Months Nearest Relative(not living with you) Name of Relative Relationship to Customer Phone Number Relative Address Credit Reference Credit Reference Name/Detail Are you physically at the dealership? Vehicle Details Stock# Make Model Year All Makes AudiBMWCadillacChryslerFordHondaJaguarLand RoverLexusMazdaMercedes-BenzMiniMitsubishiNissanSkodaSmartSubaruSuzukiTeslaToyotaVolkswagenVolvo Tradein Vehicle Details Make Model Year Mileage Reg# Assets Home Value($) Vehicle Value($) Furniture and Effects Value($) Liabilities Mortage/Rent Loans Credit Cards Personal Loan/ H.P Balance Owing($) Monthly Payment($) Lender Income Take Home Pay (After Tax) Partner Take Home Pay (After Tax) Amount($) Frequency Weekly Fortnightly Monthly Other Weekly Fortnightly Monthly Other Additional Details We authorise Wholesale Cars Direct and UDC Finance Ltd, Marac, NZ Credit Union its related companies, agents, assigns, associates, transferees, to collect, check and exchange such personal, information about me/ us to determine whether to open a credit account in our name. I/ We apply for the above loan and certify that the particulars above are true and correct. I/ We authorise Wholesale Cars Direct and UDC Finance Ltd, Marac, NZ Credit Union, to contact any credit reporting agencies, credit providers, my/ our employers, accountants, or any other source, to obtain, check and exchange such personal financial and commercial information and references as it necessary for the purpose of considering this application, the protection and administration of any loan arising out of this application and to assist the enforcement of any agreement between me/ us and any finance company. I/ We agree that you may reproduce this authority to such parties for the purpose of collecting information. Under the provisions of the Privacy Act 1993, you are entitled to have access and request correction to personal information about yourself. Type the word ACCEPT to continue Type the word ACCEPT to continue Please fill in all fields marked with before continuing to next section NEXT