Finance Application

By filling out the details below you hereby give consent to the credit provider to make enquiries about your credit record with any of the credit agencies and to obtain whatever information on you that they might require to process the credit application and/or application for insurance. You hereby declare that all of the information below is true and correct.

CheryFinance Application

Name

First Name

Last Name

Mobile Phone

(###)

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Work Phone

(###)

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Sex

ID Number

Dependants

Are you married?

Date of Marriage (dd/mm/yyyy)

Spouses Name (If Married)

Spouses ID (If Married)

Spouses Mobile Number (If Married)

(###)

###

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Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you lived at this address? (Years/Months)

Postal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Person Not Living With You

Relationship

Their Mobile Number

(###)

###

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Their Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Is Your Occupation?

Employers Company Name

Managers Name

Employers Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employers Phone Number

(###)

###

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How Long Have You Worked There?

What Date Do You Get Paid?

Who Do You Bank With?

Type of Account

Branch Name

Branch Number

Bank Account Number

Name of Account Holder

Total Income Before Deductions

Total Income After Deductions

Total Expenses (Rent, Vehicle, Food, Phone, Electricity, etc)

Bond Payment/Rent

Rates, Water & Electricity

Vehicle Instalments

Personal Loan Repayments

Credit Card Repayments

Furniture Accounts

Clothing Accounts

Overdraft Repayments

Insurance Repayments

Telephone Payment

Transport Costs

Food & Entertainment

Education Costs

Maintenance Costs

Household Expenses

Other Expenses