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Pre-Loan Assessment Form
Service Request Form
Customer Information Sheet
Customer Service Survey
Insurance Quote Form
Full Name
*
Email Address
*
Phone Number
*
Employer
*
What is your job status?
*
Select
Permanent
On Probation
On Contract
Probation
Select
3 Months
6 Months
1 Year
On Contract
Select
3 Months
6 Months
1 Year
2 Years
Job Title
*
Which car (and year) are you interested in buying?
*
How long have you been at your current job?
*
(If applicable)
TRN Number
*
Have you spoken to a loan officer regarding financing?
Yes
No
Are you eligible for and will be using duty concessions?
Yes and will be using it
Yes but will not be using it
No
Will you be making a deposit?
Yes
No
How much can you pay per month for the Motor Vehicle of choice?
*
What is your monthly take-home salary?
*
Which financial institution is your salary sent to?
Do you have a NCB account?
Yes
No
Are you presently servicing any other loans?
*
Yes
No
What is your current monthly payment?*
Loan amount and time left on the loan
*
Are you currently serving any of the following?
Select
Mortgage
Motor Vehicle Loan
Any Other Loan
N/A
Do you have a driver’s license?
Yes I have a license
Being processed
Just learners license
No drivers license
Do you have any delinquent loans?
*
Yes
No
How soon are you looking to purchase?
How soon are you looking to purchase?
MM slash DD slash YYYY
Where did you hear about us?
Select
Instagram
Facebook
Jacars.net
Autoadsja
Others
Email Address
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(Optional)
Sales agreement and privacy policy.
Sales agreement and privacy policy.
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