Application For Vehicle Finance

We want to make this finance product is right for you.

Application For Vehicle Finance

About Yourself

Step 1 - 7

Title

First Name *

Middle initial

Surname *

Gender

Birth Date *

Marital Status *

Barbados ID *

Dependents *

Address *

How long have you lived there? *

Residence Type

Telephone No. *

Mobile No.

Email Address *

Next of Kin

Relationship

Address

Telephone

Employment Details

Step 2 - 7

Employment Status *

Employed

Self Employed

Retired

Unemployed

In full time education

Employer/Business Name

Business Registration Number

Occupation

Nature of Business

Business Status

Years There

Address

Telephone No.

Credit Information

Step 3 - 7

Accounts Held

Account Name

Financial Inst.

Branch

Account Number

Type

Balance

Previous / Current Loans

Borrower

Financial Inst.

Purpose

Principle

Repay/mth

Balance

Total

Previous / Current Hire Purchase

Borrower

Lender

Product

Principle

Repay/mth

Balance

Total

Credit Cards

Account Name

Financial Inst.

Type

Limit

Repay/mth

Balance

Total

Driving History

Step 4 - 7

How many years have you been actively driving? *

Driver’s license number *

Driver’s license expiration date *

Are you entitled to a no claim discount from any insurance company?

Previous insurance company (if any)

Have you had any claims within the last 5 years? If so, please give details below.

Please give details

Real Estate

Step 5 - 7

Description of real estate owned

Mortgage

If Yes, Financier for Mortgage

Date Taken

Term

Principle

Repay/mth

Balance

Monthly Commitments

Step 6 - 7

Expenses

Applicant

Notes

Rent/Land Tax/Mortagage

Insurance (Life/Home/Medic)

Food

Water

Electricity

Tel/Mobile/Internet

Personal Expenses

Loans & Credit Purchases

Transportation

Other Commitments

Total

Income

Applicant

Salary After Tax

Other Income

Co-Applicant

Salary After Tax

Other Income

Total Income

Less Expenses

Disposable Income

Your Documents

Step 7 - 7

Identification Card / Passport

Valid Driver’s Licence (s)

Recent Job Letter / Contract

Recent Pay slip (s)

Secondary Income Documents (where applicable)

3 Months Recent Bank / Credit Union Statements

Proof of Residence – e.g. utility bill