Bidvest Bank
Toll number: 0860 111 177
Security centre
Head

APPLICATION FOR FINANCE - Professional and Travel allowance receiver

Title
Surname *
First names *
SA ID number *
ID type
Gender
Passport number
Nationality
Date of Birth
Language of choice
Marital Status
Marriage type
No of dependants (incl. spouse)
Were you previously disadvantaged?
Do you own your own property?
Home address
Code
How long at present address
How long at previous address
Home Telephone Number
-
Cellphone Number *
-
Fax Number
-
Postal address
Code
E-mail Address *
Address where vehicle will be kept
Code
Employer's Name
Occupation
Employer's address
Code
Telephone Number
-
E-mail address
Length of Service
Length of service with previous employer?
VEHICLE DETAILS
Vehicle description
Model
FINANCE DETAILS
Retail purchase price
Discount
Accessories
(E.g. Sun-roof, aircon, tow-hitch etc.)
Description
Value
Value Added Extras
Description
Value
Do you wish to pay the initiation fee of R1000 (excl VAT) in cash?
 
Yes
No
Section total
R 0.00
Value Added Tax calculated at 14%;
R 0.00
Principal Debt
R 0.00
Balloon payment (if allowed) %
R 0.00
LOAN DETAILS
Instalment sale
Rental
Term (months)
Day of the month to be debited
Document delivery manner
MARKETING
My details being sold for marketing lists
Yes
No
Telesales solicitation
Yes
No
E-mail solicitations
Yes
No
STATUTORY AFFORDABILITY ASSESSMENT (NATIONAL CREDIT ACT 34/2005)
Salary (Gross) R
Car Allowance R
Commission R
Fuel allowance (if any) R
Investment income R
Pension R
Disability R
Other
R
OTHER COSTS
Are you a minor?
Yes
No
Have you even been declared mentally unfit by a court?
Yes
No
Are you an emancipated minor?
Yes
No
Are you subject to an Administration Order?
Yes
No
Do you have any current applications pending for debt restructuring/alleviation?
Yes
No
Do you have any current debt re-arrangements in existence?
Yes
No
Have you ever previously applied for a debt re-arrangement?
Yes
No
Do you have any applications pending for credit with any other credit provider?
Yes
No
Do you have any open quotations per Section 92 of the National Credit Act?
Yes
No
If the answer to any of the above is yes please provide details?
When submitting your application, kindly include a copy of the following or submit your application by fax to 086 230 0567:
Identity document - photo page


Drivers license:


Latest payslip:


FICA - Proof of residential address (eg. Utility bill not older than 3 months):


Letter from employer confirming that you receive an allowance:
I understand that I will be liable for a monthly service fee. *
I hereby consent to Bidvest Bank Ltd making enquiries about my credit record and and carrying out fraud prevention checks with any credit reference agency to confirm details on this application. *
I consent to Bidvest Bank Ltd providing Credit Reference Agencies with regular updates, including how I manage my account. *
I hereby declare that the information provided herein by me is true and correct. *


* Indicates a required field.
Submit
Save as PDF
Fleet and Asset Finance - Vehicle Application Form
Thank you! Your application was submitted successfully.
A consultant will contact you shortly.
Herewith a copy of your online application.
For further assistance, contact the Bidvest Bank call centre on 0860 11 11 77
Kind regards
Bidvest Bank Fleet and Asset Finance
Foot
Regulatory requirements  |  Sitemap  |  Opt out of sms or email communication  |  Pricing Communication 2011
© Copyright 2012 Bidvest Bank Limited. All rights reserved.
Bidvest Bank Limited is a licensed financial services provider and a registered credit provider, NCRCP17. The only valid Bidvest Bank websites are www.bidvestbank.com and www.bidvestbank.co.za. Beware of websites purporting to be either a Bidvest Bank website or a site associated with Bidvest Bank - these sites are fraudulent. Please report any such site to fraudsquad@bidvestbank.co.za.