Alton – Auto Platinum Used Vehicles Gezina, Pretoria

ALTON ERASMUS

Sales Executive
076 519 3911
alton@autoplatinum.co.za

ALTON ERASMUS

Sales Executive
076 519 3911
alton@autoplatinum.co.za

Call

Finance Application

Alton

Personal Details

Please provide your personal details

Name

Middle Name

Surname

Contact Number

ID Number

Address

Suburb

Marital Status

Date of Marriage

Martital Contract

Details of your Employer:

Please provide the details of your employer.

Company Name

Company Contact Number

Employment Occupation

How long have you been employed?

Employer Address

Employer Suburb

Salary Date

Bank Details:

Please provide your banking details.

Bank Name

Bank Account Number

Your Monthly Expenses

Please provide your monthly expenses.

Gross Salary

Net Salary

Bond / Rent Repayment

Water & Electricity Payment

Personal Loans Payment

Credit Card Payment

Furniture Account Payment

Clothing Account Payment

Telephone/contract Payment

Transport Costs

Food and Entertainment

Details of Relative:

Please provide the details of a relative

Relative Name

Relative's Surname

Relative's Contact Number

Relationship

Address of Relative

Relative Suburb

Captcha

If you are human, leave this field blank.

ADDRESS	318 JOHAN HEYNS DR. GEZINA
TEL	TEL: (012) 329 0730
E-MAIL	admin@autoplatinum.co.za

MONDAY	7:30 – 17:30
TUESDAY	7:30 – 17:30
WEDNESDAY	7:30 – 17:30
THURSDAY	7:30 – 17:30
FRIDAY	7:30 – 17:30
SATURDAY	8:30 – 13:00
SUNDAY	CLOSED

ADDRESS

SALES

ALTON ERASMUS

ALTON ERASMUS

Finance Application

Personal Details

Details of your Employer:

Bank Details:

Your Monthly Expenses

Details of Relative: