Finance – WOW E-Bikes

Select eBike:

Your Requirements

Deposit:

Finance Amount:

Personal Details

Title:

ID Number:

Full name/s as per ID:

Full surname as per ID:

Cell Number:

Physical Address:

Period Residing at Home Address:

Email Address:

Maritial Status:

Next of Kin

Name and Surname:
a relative/friend NOT residing at the same address

Home Address:

Contact Number:

Relationship:

Employer Details

Employer:

Occupation:

Employer Address:

Telephone Number:

Period Employed:

Salary Date:

Banking Details

Bank:

Branch:

Account Number:

Type of Account:

Income Details

Gross Salary:

Nett Salary:

Other Income:

Expenses
Please complete all fields, if it is not applicable to your expenses, add a zero value

Bond Payment:

Rent:

Rates, Water and Electricity:

Personal Loan:

Overdraft Repayments:

Credit Card Repayments:

Clothing Accounts:

Furniture Accounts:

Policy / Insurance:

Transport Costs:

Telephone/Cell Phone Account:

Food and Entertainment:

Household Expenses:

I am not a minor,

I have never been declared mentally unfit by a court,

I am not subject to an administration order,

I do not have any current application pending for debt restructuring or alleviation,

I do not have any current debt re-arrangement in existence,

I have not previously applied for a debt re-arrangement,

I am not under sequestration,

I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.

If any of the above is incorrect give details:

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 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 behavior with any credit agency.I hereby declare that all of the above information is true and correct.

I confirm that all of the above mentioned to be truthful and correct and has been completed by myself.

A copy of the following supporting documents will be required once you have been pre-approved:

ID & Drivers
Proof of residential Address
Payslip
3 Months Bank statements

The originals are required when signing the contract.

Please note that your application will be managed with utmost confidentiality and top priority.

Please note that the completion of the application form does not guarantee finance and that the financial institutions answer is final.

I agree to the above terms and conditions.

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