Suzuki Northcliff Finance Application Form

Here you can apply for Finance. Please complete this form and email a copy of each of the following to leeann@suzukinorthcliff.co.za:

ID

Drivers Licence

Most recent Payslip

3 Months Bank Statements

Proof of Residence

This form can be complete in 5 minutes if you have all the relevant information at hand. Please note that all fields marked with a ‘*’ is important and that your form will not be submitted if any of them are left empty.

Applicant's Details

Current Home Address Details

Postal Address

Previous Home Address

Previous Employer

Relative's Details

(Nearest relative in SA NOT living with you)

Landlord's Details

(Name & Address of Landlord where goods will be kept)

Existing &/or a previous Account with this Credit Provider:

Existing accounts with other Credit Provider?

Please Confirm The Following Information With Your Sales Executive Before Completing



Selling Price (VAT inclusive)





Applicant's Income


Applicant's Expenses per month










I confirm that:-

  • 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 reconstructuring or alleviation.
  • I do not have any current debt re-arrangement in existence.
  • I have not previously applied for 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.

I understand that I will be liable for a monthly service fee.

I hereby consent to this Credit Provider making enquiries regarding my history with any credit bureau.

I consent to this Credit Provider reporting the conclusion of any credit agreement with me to the National Loans Register in compliance with this Credit Provider's obligation under the National Credit Act.

I hereby declare that the information provided by me is true and correct.