DFSK SA
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Finance

Finance

Apply for Finance

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    PERSONAL DETAILS

    Sex(Required)
    MM slash DD slash YYYY

    BOND DETAILS

    MM slash DD slash YYYY

    EMPLOYER DETAILS

    BANK DETAILS

    TRADE REFERENCE

    ETHNIC GROUP & LANGUAGE

    PERSONAL APPLICATION FORM - SALARY DETAILS

    HOUSEHOLD'S EXPENSES PER MONTH

    CONFIRMATION BY CLIENT

    I confirm that: (A). I am not a minor. (B). I have never been declared mentally unfit by a court. (C). I am not subject to an administration order. (D). I do not have any current application pending for debt restructuring or alleviation. (E). I do not have any current debt re-arrangement in existence. (F). I have not previously applied for a debt re-arrangement. (G). I am not under sequestration. (H). I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.
    I confirm that: (A). I am not a minor. (B). I have never been declared mentally unfit by a court. (C). I am not subject to an administration order. (D). I do not have any current application pending for debt restructuring or alleviation. (E). I do not have any current debt re-arrangement in existence. (F). I have not previously applied for a debt re-arrangement. (G). I am not under sequestration. (H). I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.

    DECLARATION BY CLIENT

    * I hereby give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to process the application. I also give consent to the Credit Provider to share my payment behaviour with any credit agency.
    * I hereby grant the Credit Provider the right to increase my Credit Limit once every year to accommodate any Value Added Products needed and requested by me.
    * I hereby grant the Credit Provider the right to communicate with me through any electronic/written media or verbally in order to make available to me, their product offering.
    * I hereby declare that all of the above information is true and correct.
    Consent(Required)
    This field is for validation purposes and should be left unchanged.