Application Form Financing APPLICATION FORM Personal DetailsID NumberFull names & surname*Residential addressPeriod at above addressHome tel. noCell no*Employment DetailsName of employerOccupationWork tel. noWork addressPeriod at employerMarital DetailsSingleDivorcedMarriedWidowedDate marriedANC/COPSpouses nameNext of kin details (not living with you)RelationshipSurnameNameAddressTel. noHome ownershipDo you own property?Which bank is it bonded with?Is it a joint amount?Outstanding bond amount?Current value of property?Banking detailsBank nameBranchAccount no.Cheque / savingsExisting vehicle finance with credit providerBankMonthly InstalmentVehicleTo be settled?Income detailsGross salaryNett salaryAddition income (going into your bank account)What is the source of the additional incomeExpensesBond/ RentRates/ water/ electricityVehicle instalmentPersonal loan paymentCredit card repaymentsFurniture accountsOverdraft repaymentPolicy/ insurance repaymentTelephone paymentTransport costsFood & entertainmentEducation costsWhat term would you like it to be submitted over?3648546072Do you want a residual/balloon payment on your final instalment?YesNoWould you pay a deposit? If so, how much?Please enable JavaScript to submit this form.SendBy clicking on the SUBMIT button, I hereby consent to Mahindra PMB (hereafter referred to as ‘the Company) and its employees collecting and processing the Personal Information that I have provided for the purpose of enquiring about cars for sale by the Company. I also consent to the Company retaining the Personal Information provided, in any form, for as long as the Company deems desirable, for the purpose of contacting me regarding future promotions that the Company may run. I am aware that I am able to opt out of any further communications at any time.This field should be left blank