0800 376 546 0800 376 546

317 Great South Road, Takanini

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Please complete the following application form to apply for finance through Dreamline Motor Company.

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2015 Audi A4 2.0T Quattro

43,000km, Automatic, Petrol, 2000cc $21,995

Note: Clean Car fee/rebate may apply

Applicant

Address & Employment

Financials

Apply

1. Applicant Information

Is this a joint application? No

First Name(s) required Please enter your first name(s)

Middle Name(s)

Last Name required Please enter your last name

Date of Birth required

Marital Status required Please enter your marital status

Number of Dependants required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers Licence No. required Please enter your drivers licence number

Version No.

Home Phone

Mobile Phone required Please enter a phone number

Work Phone

Email Address required Please enter a valid email address

Are you a New Zealand Citizen or Resident? required Please select a residency type

Partner Information

First Name(s) required Please enter your first name(s)

Middle Name(s)

Last Name required Please enter your last name

Date of Birth required

Home Phone

Mobile Phone Please enter a phone number

Marital Status required Please enter your marital status

Number of Dependants. required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers Licence No. Please enter drivers licence no

Version No.

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2. Address & Employment

Address Details

Own House

Renting

Boarding

Other

Please enter a Tenancy Type

Home Address required Please enter a your address

Suburb required Please enter suburb

City required Please enter city

Years at required Please enter the years lived at the above address

Months Please enter the months lived at the above address

Employment Details

Employment Type required Please enter a your employment type

Employer required Please enter your employer

Years at required

Months Please enter the months lived at the above address

Occupation required Please enter your occupation

Previous Employment Type

Hours per Week Required Please enter hours worked per week

Employer Please enter your employer

Years at required

Months Please enter the months lived at the above address

Occupation Please enter your occupation

Hours per Week Please enter hours worked per week

Employment Details - Partner

Employment Type required Please enter a your employment type

Employer required Please enter your employer

Years at required

Months Please enter the months lived at the above address

Occupation required Please enter your occupation

Previous Employment Type

Hours per Week Required Please enter hours worked per week

Employer Please enter your employer

Years at required

Months Please enter the months lived at the above address

Occupation Please enter your occupation

Hours per Week Please enter hours worked per week

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3. Financials

Income

Applicant 1

Primary Income Type required Please enter your income type

Amount (in the hand) required

Please enter the amount in the hand

.00

Pay Frequency required Please enter your pay frequency

Other Income

.00

Other Income Source

Other Income

.00

Other Income Source

Applicant 2 / Partner Income

Primary Income Type required Please enter income type

Amount (in the hand) required

Please enter the amount in the hand

.00

Pay Frequency required Please enter your pay frequency

Other Income

Other Income Source

Other Income

Other Income Source

Outgoings (IE. Your expenses and repayments)

Expenses

Rent

Amount required

.00

Please enter your rent amount

Frequency required Please select a frequency

Loan Repayments

Type

Repayments

.00

Frequency

Owed To

Type

Repayments

.00

Frequency

Owed To

Type

Repayments

.00

Frequency

Owed To

Assets

Description

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Next of Kin Details

Name Please enter the name

Relationship Please enter the relationship (eg mother/father etc)

Phone Please enter the contact number

Rate your credit required Select a credit score

Supporting Documents

Please upload any supporting documents here. E.G. Drivers Licence, Pay Slips and Bank Statements

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The Privacy Act 2020

I/we authorise Dreamline Motor Company* to collect, retain and use the personal information about me/us, for the purposes of:

Assessing my/our credit worthiness;
Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Dreamline Motor Company’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by Dreamline Motor Company

I/we authorise Dreamline Motor Company to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Dreamline Motor Company to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Dreamline Motor Company and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Dreamline Motor Company about me/us and to request that this information be corrected. The information will be held at the office of Dreamline Motor Company, 317 Great South Road, Takanini, Auckland 2112 or the registered offices of any party nominated by Dreamline Motor Company.

*Dreamline Motor Company and other associated third parties

To verify your acceptance of the above Privacy act statement check the box below and click the submit button.

If you accept the privacy act statement please check this box

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2015 Audi A4 2.0T Quattro

1. Applicant Information

Partner Information

2. Address & Employment

Address Details

Employment Details

Employment Details - Partner

3. Financials

Income

Applicant 1

Applicant 2 / Partner Income

Outgoings (IE. Your expenses and repayments)

Expenses

Rent

Loan Repayments

Assets

4. Apply

Next of Kin Details

Supporting Documents

The Privacy Act 2020

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