• 1 Personal Details
  • 2 Address & Employment

Drivers License Details

NZ driver’s License number*
License type*
FullLearnersRestrictedOverseas
Licence version (5b)*
Expiry*

Weekly Payment

Approximately what would you like to pay per week?*

*This helps us tailor a finance package to your needs.

D.O.B & Residency

D.O.B*
NZ Resident (Permanent)*

Address

No. & Street*
Suburb*
Living Situation*
Rent/Boarding/Mortgage amount*
WeeklyFortnightlyMonthly
How long have you been at this address?*

Employment

Company Name
How long have you been at your job
Work type

No of dependents*
Marital status*
Gender*
FemaleMale
Income*
Take home pay after tax*
How did you find us
Comments (stock number, trademe listing number, or any other comments)