By clicking submit, you consent that the agent (Hatfield Holdings (Pty) Ltd may share your information with the following registered Credit Providers:

• Volkswagen Financial Services Reg No 2013/133698/07, NCRCP6635, FSP No 44827
• Absa Bank Limited Reg No 1986/004794/06, NCRCP7, FSP No 292
• Standard Bank of South Africa Limited Reg No 1962/000738/06, NCRCP15, FSP No 11287
• MFC, a division of Nedbank Limited Reg No 1951/000009/06, NCRCP16, FSP No 9363

Before submission to the above Providers a Dealer representative will be in contact with you:

• To confirm all the information supplied; and
• To request additional information if required; and
• To obtain supporting documentation.
• Please have the following ready: your ID, Drivers’ License, Proof of Physical Address, 3 months’ Salary Slips.

By submitting the below application you agree to the following:

• 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.

	Hatfield Holdings (Pty) Ltd
1188 Pretorius Street, Hatfield, Pretoria, 0028

Application for Instalment Finance

• Step 1
• Step 2
• Step 3
• Step 4
• Step 5

Personal Details

Select Gender Male Female

Select Marital Status Married ANC COP Single Widowed Life Partner

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Bond Details

Select Date Purchased

Select Account Holder Own Name Spouse No Bond

Employer Details

Select Salary Date

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Salary Details

Bank Details

Abn Amro Bank Absa Bank African Bank Bank Windhoek Bidvest Bank Boe Bank (Nedbank) Capitec Bank Citibank N.S Fbc Fidelity Bank (Nedbank) First National Bank Grindrod Bank Habib Overseas Bank Hbz Bank Investec Bank Limited Ithala (Standard Bank) Mercantile Bank Nbs (Nedbank) Nedbank Nedbank Lesotho Nedbank Namibia Nedbank Swaziland Other Pep Bank (Nedbank) Reserve Bank" S.A. Bank Of Athens Sa Post Office Standard Bank Standard Bank Swaziland Standard Chartered Standard Leshotho Bank Teba Bank Toyota Financial Service Unibank Limited WesBank

Settle Existing Account? Yes No

Account Type Credit Card Savings Transmission Current

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Household Expenses

Select Surety Surety Guarantor Co-Debtor None

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Vehicle Details

Select Dealer * Audi Centre BraamfonteinAudi Centre BraamfonteinAudi Centre HatfieldAudi Centre HatfieldAudi Centre RivoniaAudi Centre RivoniaHatfield Holdings (Pty) LtdHatfield VW Hatfield VW BraamfonteinHatfield VW BryanstonHatfield VW CommercialHatfield VW Melrose ArchHatfield VW Melrose CommercialHatfield VW NorthcliffHatfield VW PretoriaHatfield VW RivoniaMAN Hatfield Truck & Bus

Select New or Used * New VehicleUsed Vehicle

Select Make *

Select Model *

Select Variant *

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 and obtain an insurance quote.

I hereby declare that all of the above information is true and correct.

Please read the text above and fill it in belowto submit your application.

add supporting documents for your finance application, copy of ID, copy of bond agreement, copy of marriage certificate etc

Only files with the following extensions will be accepted
.bmp, .gif, .jpg, .jpeg, .png, .tif, .pdf, .doc, .docx, .xls, .xlsx, .csv, .txt, .pptx, .ppt, .mp3, .wav

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