354 Johan Heyns Dr, Gezina | 369 Steve Biko Rd, Capital Park
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Select Your Assigned Sales Representative
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Corne
Denzil
Donavan
Henry
Lance
Riana
Steven
Viwe
Duwan
Remo
Braeden
Trevor
Junior
Lebo
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Model
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Year
E.g. 2017
Vehicle Purchase Price
Deposit
Application Details
Title
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Advocate
Doctor
Mr
Professor
Reverend
Miss
Mrs
Unknown
Ms
SIR
Messrs
Mr and Mrs
Attorney
Sister
Major
Commandant
Colonel
Brigadier
General
Captain
First Name
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Middle Name
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ID Number
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Date of Birth
MM slash DD slash YYYY
Email
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Phone
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Personal Details
Cultural Information
Preferred Language
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Afrikaans
English
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IsiNdebele
NorthernSotho
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Antarctica
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Cook Islands
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Ecuador
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Equatorial Guinea
Eritrea
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Eswatini
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Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
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Gabon
Gambia
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Germany
Ghana
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Greenland
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India
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Israel
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Panama
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Poland
Portugal
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Sweden
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Taiwan
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Tanzania, the United Republic of
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Togo
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Turks and Caicos Islands
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US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Zimbabwe
Ã…land Islands
Gender
*
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Male
Female
Race/Ethnic Group
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White
Coloured
Black
Asian
Indian
Graduate
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Yes
No
Marital Status
*
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Single
Married
Divorced
Widowed
Separated
Domestic Partnership
Marital Contract
*
ANC
COP
Other
Date of Marriage
*
MM slash DD slash YYYY
Spouse Details
Name
*
First
Last
Phone
*
ID Number
*
Contact Information
Preferred Contact Method
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Cell Phone
Home phone
Work phone
Email
Postal
All
Telephone
SMS
None
Mobile Type
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Pay as you go
Contract
Home Phone Number
Work Phone Number
Residential Details
Residential Address 1
Residential Address 2
Residential City
Residential Suburb
Postal Code
Years at Address (YY)
Month at Address (MM)
same
My postal Address is the same as my residential address
Postal Address
Postal Address Line 1
Postal City
Postal Suburb
Postal Code
Period at Previous Address (YY)
Period at Previous Address (MM)
Owner/Tenant/Lodger
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Owner – Bonded
Owner – Bond Free
Tenant
Lodger
Living With Parents
Banking Details
Bank Name
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ABN AMRO BANK
ABSA BANK
AFRICAN BANK
BANK WINDHOEK
BIDVEST BANK
BOE BANK (NEDBANK)
CAPITEC BANK
CITIBANK
FBC FIDELITY BANK LTD
FIRST NATIONAL BANK
GRINDROD BANK
HABIB OVERSEAS BANK
HBZ BANK
INVESTEC BANK LIMITED
ITHALA (ABSA)
MERCANTILE BANK
NBS (NEDBANK)
NEDBANK
NEDBANK (Lesotho)
NEDBANK (Namibia)
NEDBANK (Swaziland)
OTHER
PEP BANK (NEDBANK)
RESERVE BANK
SA BANK OF ATHENS
SA POST OFFICE
STANDARD BANK
STANDARD BANK (SWAZILAND)
STANDARD CHARTERED BANK (20TWENTY)
STANDARD LESOTHO BANK LIMITED
TEBA BANK
TOYOTA FINANCIAL SERVICES
UNIBANK LIMITED
WESBANK
AL BARAKA
Alphera Finance
BANK OF ATHENS
BMW FINANCE
RAND MERCHANT BANK
VOLKSWAGEN FINANCIAL SERVICES
AUDI FINANCIAL SERVICES
MERCEDES BENZ FINANCE
DISCOVERY BANK
TYMEBANK
OLD MUTUAL BANK
PERMANENT BANK
ACCESS BANK
Account Holder
Account Number
Bank Branch
Type of Account
Savings Account
Current/Cheque Account
Other
Relative Details
Please note that the details of relative you are providing should be for an individual who does not reside at the same address as you.
First Name
Surname
Relation
–Select Model
Not Selected
Aunt
Brother
Brother in Law
Cousin
Daughter
Father
Father in Law
Friend
Grandfather
Grandmother
Husband
Mother
Mother in Low
Sister
Sister in Law
Son
Uncle
Wife
Relative
Preferred Contact Method
–Select Model
Cell Phone
Home phone
Work phone
Email
Postal
All
Telephone
SMS
None
Phone
Relative Address 1
Relative Address 2
Relative City
Relative Subrub
Postal Code
Employer Details
Employer Name (Please capture exactly as per payslip)
Occupation
Not Selected
Not Selected
Able Seaman
Accommodation Occupations
Accountant/Auditor
Actor or Actress
Admin Assistant
Admin Clerk
Admin Manager
Admiral
Advocate
Air Transport Occupations
Ammunition Seeker
Anaesthetist
Appraiser
Apprentice
Architect
Area Manager
Artisan
Artist
Assembler
Assessor
Assistant
Assistant Manager
Assistant to the Trades
Attorney
Auctioneer
Author
Baker
Bank Employee
Bank Teller
Barmaid
Barman / Bartender
Beautician
Biologist
Bombardier
Book Maker
Bookkeeper
Bricklayer
Brigadier
Broker
Builder
Building Contractor
Building Inspector
Building Painter
Business Consultant
Butcher
Buyer
Cabinet Maker
Cabinet Minister
Cable Joiner
Candidate Officer
Captain
Carpenter / Joiner
Carpenter or Joiner
Cashier
Casting Worker
Catering Occupations
Chairman of Company
Chartered Accountant
Chefs
Chemist
Chief Petty Officer
Chiropracter
Civil Servant
Colonel
Commander
Commandore
Commissioner
Computer Operator
Computer Programmer
Computer System Analyst
Constable
Consultants
Cook
Copywriter
Corporal
Credit Collector or Personnel
Dance Instructor
Data Puncher
Dean
Debtors / Creditors Clerk
Dental Assistant
Dentist
Diplomat – not RSA Citizen
Director
District Manager
Doctor / General Practitioner
Draughtsman
Driver – Vehicle
Electrician
Engineer
Ensign
Estate Agent
Extension Officer – Agricultural
Factory Worker
Farm Foreman
Farm Worker
Farmer (Private Capacity)
Farmer ie Grower
Farmer Parttime
Financial Advisors
Fireman
Fisherman or Hunter
Fisherman/Hunter
Fitter And Turner
Flight Sargeant
Foreman
Forensic Analyst
Foundry Worker
Funeral Director
General
General Manager – Company
Geologist
Glazier
Government Employees
Grinder
Gynecologist
Hairdresser / Barber
Head of Technikon/College/School
Headmaster
Housekeeper
Housewife
Inspector
Inspector of Schools
Insurance Agent
Insurance Broker
Insurance Consultant
Interior Decorator
Iron Worker
Jeweller
Journalist
Judge
Labourer / Unskilled Labourer
Labourer or Unskilled Labourer
Laundryman
Lay preacher
Leading Seaman
Lecturer
Legal Professions Other
Librarian
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lumberman
Machine Operator
Machinist
Major
Major General
Manager
Managing Director
Market Checker
Mason
Mechanic
Medic
Medical Doctor
Member of Parliament
Member of Provincial Council
Metal Worker
Meter Reader
Midshipman
Millwright
Mine Worker
Minister
Missionary
Model
Moulder
Municipal Servant
Musician
Nurse
Nursery Worker
Nursing Sister
Office Worker
Officer
Operator/Production Worker
Optician
Other Occupations Not Mentioned
Packer
Painter
Painter – Buildings
Paramedics
Part time / Contract Worker
Pensioner
Personnel Occupations
Petty Officer
Pharmacist
Photographer
Pilot
Pipefitter
Plasterer
Plumber
Police Officer
Porter
Postal Services Occupations
President
Priest
Prison Officer
Private
Production Control
Production Line Worker
Professor
Prospector
Psychiatrist
Psychologist
Quality Control
Quality Surveyor
Radio Announcer
Rail Transport Occupation
Rear Admiral
Receptionist
Rector
Regional Manager
Repair Man
Reporter
Researchers
Retired
Rigger / Scaffolder
Road Transport Occupations
Salesman
Salesman/Marketer
Sargeant
Sargeant Major
Scholar
Scientist
Sculptor
Sea Transport Occupations
Seaman
Second Bombardier
Second Corporal
Second Lieutenant
Secretary
Security Guard
Security Officer
Self Employed(non-professional)
Self Employed(Professional)
Senator
Senior Executive Consultant
Senior Superintendent
Serviceman
Shopfitter
Singer
Slaughterman
Social Worker
Soldier
Sole Owner
Sole Owner – Individual(retail bank)
Sole Owner(Business Bank)
Specialist
Sport Occupations
Spray Painter
Staff Sargeant
Stage Artist
Steel Worker
Steeplejack
Stock Controller
Student
Sub-Lieutenant
Superintendent
Supervisor
Surgeon
Surveyor
Taxi Owner / Driver
Teacher
Technician
Telecommunication Occupation
Telephonist
Therapeutist
Traffic Officer
Train Driver
Transport Contractor
Typist
Unemployed
Veterinarian
Vice Admiral
Vice Corporal
Waiter
Warrent Officer
Welder
Zoologist
Analyst
Boilermaker
Co-ordinator
Designer
Graphic Designer
IT/IT Technician
Logistics
Merchandiser
Protective Services
Education
Self Employed
Auditor
Accountant
Artisans and Related
Quantity Surveyor
Safety Officer
Executive
Academical
Actuary
Agricultural And Related Occupations
Airline Cabin Staff
Articled Clerk
Arts & Entertainment And Related Occupations
Bank Clerk
Bookmaker
Building And Related Occupations
Casher
Chairman(Exec)
Chartered Accntnt
Chemical Engineer
Civil Servant – Managerial
Civil Srvnt-Clerck
Clerical
Co Secrtry(Exec)
Controller
Credit Controller
Customs Officer
Diamond Digger
Diamond Sorter
Director(Exec)
Doctor
Electrician & Related Occupations
Fabrication & Repair Of Stone, Sand, Clay
Fabrication And Repair Of Wood & Wood Products And Related Occupations
Financial Advisor
Fishery & Related Occupations
Food, Beverage Preparation & Related Occupations
Forestry & Related Occupations
Game Ranger
General Manager (Exec)
General Manager (Non-Exec)
Hair & Beauty And Related Occupations
Income Tax Inspector
Internal Medicine
Jockey
Lawyer
Lodging & Related Occupations
Magistrate
Managerial
Managing Dir(Exec)
Mechanics & Machinery Repairers
Medical Specialist
Member Of Parlement
Metal Mining, Fabricating And Related Occupations
Mining Engineer
Minister Of Relgn
Minister(Gov)
Painting & Decorating And Related Occupations
Personnel Officer
Plumber & Related Occupations
Postal Service Occupations
Prof/Graduate Self Employed
Public Prosecutor
Salesperson & Related Occupations
Sports Professional
Tax Consultant
Teller
Textile Occupations
Trader
Transportation And Related Occupations
Welders & Cutters And Related Occupations
Departmental Head (At Schools)
Game Ranger
Field Ranger
Office worker
IT Consultant
Business Analyst
Software developer
Developer
Call centre agent
Key Account Manager
Project Manager
Product Manager/Owner
Test Analyst
Senior Manager
Winemaker
Employer Industry Type
Not Selected
Not Selected
Accounting/Finance
Advertising/Public Relations
Aerospace/Aviation
Arts/Entertainment/Publishing
Automotive
Banking/Mortgage
Business Development
Business Opportunity
Clerical/Administrative
Construction/Facilities
Consumer Goods
Customer Service
Education/Training
Energy/Utilities
Engineering
Government/Military
Green
Healthcare
Hospitality/Travel
Human Resources
Installation/Maintenance
Insurance
Internet
Job Search Aids
Law Enforcement/Security
Legal
Management/Executive
Manufacturing/Operations
Marketing
Non-Profit/Volunteer
Pharmaceutical/Biotech
Professional Services
QA/Quality Control
Real Estate
Restaurant/Food Service
Retail
Sales
Science/Research
Skilled Labor
Technology
Telecommunications
Transportation/Logistics
Other
Employment Level
Not Selected
Not Selected
Senior Management
Management
Supervisor
Skilled Worker
Semi-Skilled Worker
Unskilled Worker
Junior Position
Employer Type
Not Selected
Not Selected
Permanent
Contractual
Part time
Student
Self employed
Pensioner
Unemployed
Company
Full Time
UNKNOWN
Client Type
Not Selected
Not Selected
Private Individual
Self employed(non-professional) – Sole Proprietor
Self employed(non-professional) – Farmer
Self employed(professional) – Sole Proprietor
Self employed(professional) – Farmer
Self employed(non-professional)
Self employed(professional)
Sole Proprietor
Employer Address Line 1
Employer Address Line 2
Employer Suburb
Postal Code
Period Currently Employed (MM)
Period Currently Employed (YY)
Period Previously Employed (YY)
Period Previously Employed (MM)
Your Needs
Source of income
Not Selected
Not Selected
Salary
Pension
Investments
Policy
Retirement Annuity
Donation/Gift
Inheritance
Self Employed
Pay Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day of the Month Selection
Gross Remuneration
Monthly Commission (Inc in Gross)
Car allowance (Inc in Gross)
Overtime (Inc in Gross)
Reimbursement (Inc in Gross)
Net Take-home Pay
Rental Income
Maintenance Income
Other Income
Other Income Description
TOTAL Monthly Income
Bond Payment
Rent
Bond Payment/Rent Total
Rates, Water & Electricity
Vehicle Instalments
Personal Loan Repayments
Credit Card Repayments
Furniture Accounts
Clothing Accounts
Overdraft Repayments
Policy/Insurance Payments
Telephone Payments
Transport Costs
Food and Entertainment
Education Costs
Maintenance
Household Expenses
Security Payment (Installment Value)
Other Expenses 1
Other Expenses Description 1
Other Expenses 2
Other Expenses Description 2
Other Expenses 3
Other Expenses Description 3
Loans repaid via payroll deduction
Total Expenses
Disposable Income
Payment History
Are You Currently Under Debt-Review?
Yes
No
Do you have a re-arrangement in place with any credit provider as a result of debt Counselling
Yes
No
Do you have a re-arrangement in place with any credit provider as a result of debt Counselling?
Yes
No
Are you currently under sequestration order?
Yes
No
Are you currently under administration order or Curator Bonis?
Yes
No
Have you ever been under administration order?
Yes
No
Have you ever had a judgment against you to your knowledge?
Yes
No
Do you have a dispute in progress with a credit bureau?
Yes
No
To be submitted with application
ID Document
Max. file size: 7 MB.
Drivers Licence
Max. file size: 7 MB.
Proof of Address
Max. file size: 7 MB.
3 Months Bank Statements
Drop files here or
Select files
Max. file size: 5 MB.
Issues uploading? Email your files directly to finance@infiniteauto.co.za.
3 Months Payslip
Drop files here or
Select files
Max. file size: 5 MB.
Issues uploading? Email your files directly to finance@infiniteauto.co.za.
Consent
*
I hereby consent to the Credit Provider to inquire about my credit record and obtain necessary information for processing my application. Additionally, I grant permission for the Credit Provider to share my payment behavior with credit agencies. I also consent to sharing my details within the Alphera Group Companies and dealerships for enhanced service. Furthermore, I provide explicit consent for the credit provider to request and process bank statements for the sole purpose of applying for vehicle/asset finance.
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