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Please complete the following application form to apply for finance through Motor Brothers.
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2013 Audi SQ5 3.0BITDI 230KW NZ NEW

133,855km, Automatic, Diesel, 2967cc $21,980

Note: Clean Car fee/rebate does not apply

Applicant

Address & Employment

Contact

Financials

Loan Detail

Apply

1. Applicant Information

Is this a joint application? No

First Name(s) required Please enter your first name(s)

Middle Name(s) required Please enter your middle name(s)

Last Name required Please enter your last name

Date of Birth required

Marital Status required Please enter your marital status

Number of Dependants required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers Licence No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers Licence Expiry Date

Home Phone

Mobile Phone

Work Phone

Email Address required Please enter a valid email address

Partner Information

First Name(s) required Please enter your first name(s)

Middle Name(s) required Please enter your middle name(s)

Last Name required Please enter your last name

Date of Birth required

Home Phone

Mobile Phone

Marital Status required Please enter your marital status

Number of Dependants. required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers Licence No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers Licence Expiry Date

Address Details

Own House

Renting

Boarding

Other

Please enter a Tenancy Type

Home Address required Please enter a your address

Suburb required Please enter suburb

City required Please enter city

Years lived at Address required Please enter the years lived at the above address

Employment Details

Employment Type required Please enter a your employment type

Since required

Please enter your employment start month

Please enter your employment start year

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Previous Employment Type

Since required

Please enter your employment start month

Please enter your employment start year

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Employment Details - Partner

Employment Type required Please enter a your employment type

Since required

Please enter your employment start month

Please enter your employment start year

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Previous Employment Type

Since required

Please enter your employment start month

Please enter your employment start year

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

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3. Contact Details

Next of Kin Details (NB - Must not live at the same address as you)

Name required Please enter the name

Relationship required Please enter the relationship (eg mother/father etc)

Phone required Please enter the contact number

Address required Please enter a the address

Suburb required Please enter the suburb

City required Please enter the city

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4. Financials

Income

Applicant 1

Primary Income Type required Please enter your income type

Amount (in the hand) required

Please enter the amount in the hand

.00

Pay Frequency required Please enter your pay frequency

Other Income

Other Income Source

Applicant 2 / Partner Income

Primary Income Type

Amount (in the hand)

.00

Pay Frequency

Other Income

Other Income Source

Loan Repayments

Type

Amount

.00

Owed To

Repayments

.00

Frequency

Still Owing

.00

Type

Amount

.00

Owed To

Repayments

.00

Frequency

Still Owing

.00

Type

Amount

.00

Owed To

Repayments

.00

Frequency

Still Owing

.00

Type

Amount

.00

Owed To

Repayments

.00

Frequency

Still Owing

.00

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5. Loan Details

2013 Audi SQ5 3.0BITDI 230KW NZ NEW

133,855km, Automatic, Diesel, 2967cc $21,980

Note: Clean Car fee/rebate does not apply

Finance Amount required

.00

Please enter the amount you wish to finance

Deposit

.00

Trade in amount

.00

Vehicle Description required Please describe the vehicle you wish to finance

Comments

Preferred Term required Please select your preferred payment term

What is a comfortable payment for you to make? required

.00

Please enter your preferred repayment amount

Frequency required Please enter your preferred repayment frequency

Other Information

Do you have any previous credit related issues that may need to be addressed prior to a successful application?

Are you an NZ citizen/NZ born?

Yes

I am also interested in

purchasing Mechanical Breakdown Insurance for this vehicle

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The Privacy Act 2020

I/we authorise Motor Brothers* to collect, retain and use the personal information about me/us, for the purposes of:

Assessing my/our credit worthiness;
Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Motor Brothers’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by Motor Brothers

I/we authorise Motor Brothers to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Motor Brothers to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Motor Brothers and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Motor Brothers about me/us and to request that this information be corrected. The information will be held at the office of Motor Brothers, 622 Great South Road, Manukau, Auckland or the registered offices of any party nominated by Motor Brothers.

*Motor Brothers and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue

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2013 Audi SQ5 3.0BITDI 230KW NZ NEW

1. Applicant Information

Partner Information

2. Address & Employment

Address Details

Employment Details

Employment Details - Partner

3. Contact Details

Next of Kin Details (NB - Must not live at the same address as you)

4. Financials

Income

Applicant 1

Applicant 2 / Partner Income

Loan Repayments

5. Loan Details

2013 Audi SQ5 3.0BITDI 230KW NZ NEW

Other Information

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The Privacy Act 2020

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