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APPLY ONLINE
JANJIRA MOTOR CITY ONLINE APPLICATION
PLEASE SUBMIT YOUR DETAILS HERE.
APPLICANT
Title:
First Name:
Surname:
ID NO:
Gender:
Tel Home:
Tel Work:
Tel Cell:
Address:
Since:
Marital Status:
No of Dependants:
Email Address: *
Drives License:
YES
NO
EMPL0YMENT
Occupation:
Employer's Name:
Employer's Address:
Date Employed:
INCOME
Gross Income + Com:
Net Income:
BANK:
Type of Account:
Savings
Cheque
Other
Account Number:
Branch Code:
Date opened:
DEBT REPAYMENTS
Home Loans:
Vehicle Loans:
Personal Loans:
Installment Loans:
Revolving/Credit Card:
LIVING EXPENSES
Rates Water and Electricity:
Telephone and Cellphones:
Rent and Accommodation:
Education and School Fees:
Transport and Petrol:
Groceries, Food, Clothing:
SPOUSE
First Name:
Surname:
ID NO:
Tel Home:
Tel Work:
Tel Cell:
Net Income:
ADDITIONAL CONTACT
DETAILS (Relative or Friend)
Title:
First Name:
Surname:
Relationship
Tel Work:
Employers Name:
Email Address:
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Testimonials
Thanks for the great service from start to finish. From apply for finance to delivering my vehicle. I am definately a returning
customer - Mr Hendricks - 16 -09 -2012
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