Finance application

For what do you require finance
Description of item
Purchase price
Deposit
Finance Amount
Surname
First Names
Title
ID Type
ID Number
Current Home Address
Previous Home Address
Years at current address
Years at previous address
Postal Address
Contact numbers(home,work,cell)
Maritial status
Spouse; Surname
Spouse id type
Spouse Id number
Spouse contact number
Next of kin (Not living with you)
Home Address
Contact Tel
Type of employement (applicant)
Employers Name
Years Employed
Business Address
Occupation
Contact for reference
Position
Tel
Previous Employer
Years Employed
Salary Frequency (Monthly/ Weekly
Salary Date
Debit Order date
Banking details (bank)
Branch
Account Number
Branch Number
Account Type
Financial and Trade References
Property and Bond Details(Financial Institution
Purchase Price
Date Acquired
Property Value
Outstanding Balance
Monthly Installment
Trade or Business references (Only for Self employed Applicants)
I am not a minor and have not declared mentally unfit by any court	True False
I have not been sequestrated nor is any application for sequestration pending	True False
I am not and have not undergone debt counseling in the past 12 months	True False
If married in COP, my spouse consents to me entering into this agreement	True False
I am willing to obtain vehicle insurance and to pay all premiums when due	True False
I am willing to obtain credit life insurance and to pay all premiums when due	True False
I am willing to fit a tracking device to the vehicle and pay all fees when due	True False
I authorize the Credit Provider to conduct background, reference checks in connection with this application	True False
I consent to Credit Provider sharing my payment behavior with a credit agency	True False
Please provide details if any answer is status False
Personal monthly income (statistical information)
Household monthly income
Financial Information: Assets
Financial Information: Liabilities