Application Form

We help people who are blacklisted and have a low credit score.

Contact Sumarie Thomas for any financing enquiries.

• Phone: 063 000 1050
• Email: sales1@tooters.co.za

Contact Andre Thomas for any other enquiries.

• Phone: 082 260 7638

Application Date

Date *

Application Type

Application Type *FinancingRent to Own

Employment *EmployedSelf Employed

Nature of Business *

Sales Person Assisting *Sales Person AssistingAndre Thomas - 0822607638Andrew Sefuno - 0724291134Boyd Wilmot - 0647513088Brian Gabonewe - 0737687797George le Roux - 0686022814Johan Smal - 0834300659Sumarie Thomas - 0630001050please choose the correct sales person to avoid your application being delayed

Car Interested inThe car you and the Sales Executive where discussing

Applicant Details

PrefixMr.Mrs.Ms.Mx.MissDr.Prof.

First Name *

Middle Name

Surname *

Gender *Please select an optionMaleFemaleOther

ID Number *

Cell Number *

Whatsapp Number

Cell phone contract *Please select an optionPre-PaidMonthly Contract

Email Address *

Language *AfrikaansEnglishOther

Ethnic Group *AfricanColouredIndianWhite

No. of Dependents *

Marital Status *SingleWidowedMarried

Marriage DetailsANCCOPTribal

Marriage Date

First License Issue Date *

Last Vehicle Accident *

Vehicle Insurance Declined *YesNo

Spouse Details

First Name

Last Name

ID Number

Cell Number

Employer

Occupation

Work Number

Current Home Address

Street Address *

Apartment, Flat, etc

City *

Province *

Postal Code *

Period *

Previous Home Address

Street Address *

Apartment, Flat, etc

City *

Province *

Postal Code *

Period *

Bond *YesNoDo you have a bond?

Bond Details

Bank *

Bond Amount *

ZAR

Instalment Amount *

ZAR

Registered in *Own NameSpouses NameBoth

Employment Details

Company Name *

Occupation *

Street Address *

Apartment, suite, etc

City *

ZIP / Postal Code

Telephone Number *

Period *

Salary Date *

Previous Employment

Company Name *Enter none if you had no previous employment

Occupation

Period worked there

Applicant Monthly Income

Basic/Gross Salary *

ZAR

Before deductions

Car/House Allowance

ZAR

Commission

ZAR

Net Salary *

ZAR

After deductions

Other IncomeSource of income

Other Income

ZAR

Spouse Monthly Income

Basic/Gross Salary

ZAR

Car/House Allowance

ZAR

Commission

ZAR

Net Salary

ZAR

Other IncomeSource of income

Other Income

ZAR

Banking Details

Bank Name *

Account Holder *

Account Number *

Branch Code *

Account Type *ChequeSavingsTransmission

Applicant Expense Details

Total Expenses

ZAR

Next of Kin's DetailsNot staying with the applicant

First Name *

Last Name *

Relationship *

Cell Number *

Street Address *

Apartment, Flat, etc

City *

Province *

Postal Code *

Upload Documents

ID

Drag and Drop (or) Choose Files

Clear Copy of ID (back and front)

Drivers License

Drag and Drop (or) Choose Files

Clear Copy of Drivers License (back and front)

Last 3 Months Payslips

Drag and Drop (or) Choose Files

Last 3 Months Payslips

Proof of Employment Letter

Drag and Drop (or) Choose Files

Proof of Employment Letter

Last 3 Months Bank Statements

Drag and Drop (or) Choose Files

Last 3 Months Bank Statements reflecting salary

Proof of Address

Drag and Drop (or) Choose Files

Proof of Address

Consent *I hereby give consent to the Credit Provider to make enquiries about my Credit Record with any of the Credit agencies and to obtain whatever info on me they might require processing the credit application. I hereby declare that all the above information is true and correct.

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