Car Loan Application Form

Car Loan Application Form

Please fill out the following information to complete your application.

Personal Details

Name

    Date of Birth

      Status

        • Single

        • Married

        • Separated

        • Divorced

        • Widowed

        Email

          Phone number

            Address

              Are you currently working?

              Financial Details

              Current Bank Name

              Branch

              Account Type

                • Current

                • Deposit

                • Savings

                • Others

                Account Number

                Do you own or rent your home?

                  • Rent

                  • Own

                  Do you have any current loan?

                  Monthly Net Income

                  in USD

                  Vehicle Details

                  Make & Model

                  Variant

                  Registered Month and Year

                  Recorded Mileage

                  Registration Number

                  Is the vehicle new or secondhand? (should not be more than 4 years old)

                  HPI / Car Data Check enclosed? (required for all secondhand vehicles)

                  Independent Engineer's report enclosed?*

                  Full Price of Vehicle

                  in USD

                  Requested Loan Details

                  Loan Type

                    • Used Car

                    • New Car

                    Loan Amount

                    Terms

                      • 1 year

                      • 2 years

                      • 3 years

                      Preferred Payment

                        • Monthly

                        • Yearly

                        Do you have a co-signer?

                        Co-signer Name

                        Co-signer's Phone Number

                        Permission to Obtain Consumer Credit Report

                        By signing this application form, I hereby give the right to obtain a consumer credit report regarding me for this application and the car loan should my application be approved.

                        Applicant Co-signer


                        Name:                         Name:

                        Date: Date:

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