Finance Application | DHS Vehicle Wholesaler

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

Please select a valid date

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 License No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers License 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

Please select a valid date

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 License No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers License Expiry Date

Previous Finance Details

Finance Reference 1 (eg Hire Purchase etc)

Finance Reference 2

Finance Reference 3

Finance Reference 4

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

Another Contact's Details (eg. Friend, Workmate etc)

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

Pay Frequency required Please enter your pay frequency

Other Income

Other Income Source

Applicant 2 / Partner Income

Primary Income Type

Amount (in the hand)

Pay Frequency

Other Income

Other Income Source

Assets

Property 1

Address

Value (RV or GV)

Names on Title

Mortgage Balance

Mortgage Repay. (mthly)

Is Rental?

Property 2

Address

Value (RV or GV)

Names on Title

Mortgage Balance

Mortgage Repay. (mthly)

Is Rental?

Vehicle 1

Year

Make

Model

Registration No.

Current Value

Financed By

Amount Still Owing

Monthly Repayments

Vehicle 2

Year

Make

Model

Registration No.

Current Value

Financed By

Amount Still Owing

Monthly Repayments

Other Assets

Description

Market Value

Description

Market Value

Description

Market Value

Description

Market Value

Outgoings (IE. Your expenses and repayments)

Expenses

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Type

Amount

Paid To

Frequency

Loan Repayments

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

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5. Loan Details

Finance Amount required Please enter the amount you wish to finance

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 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?

No

Are you an NZ citizen/NZ born?

Yes

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The Privacy Act 2020

I/we authorise DHS Vehicle Wholesale* 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 DHS Vehicle Wholesale’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by DHS Vehicle Wholesale

I/we authorise DHS Vehicle Wholesale 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 DHS Vehicle Wholesale to provide this information:

To any person for the foregoing purposes;
to any employees and agents of DHS Vehicle Wholesale 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 DHS Vehicle Wholesale about me/us and to request that this information be corrected. The information will be held at the office of DHS Vehicle Wholesale, Christchurch or the registered offices of any party nominated by DHS Vehicle Wholesale.

*DHS Vehicle Wholesale 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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1. Applicant Information

Partner Information

Previous Finance Details

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)

Another Contact's Details (eg. Friend, Workmate etc)

4. Financials

Income

Applicant 1

Applicant 2 / Partner Income

Assets

Property 1

Property 2

Vehicle 1

Vehicle 2

Other Assets

Outgoings (IE. Your expenses and repayments)

Expenses

Loan Repayments

5. Loan Details

Other Information

The Privacy Act 2020