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06 650 6568 06 650 6568
12 Bridge Street, Napier

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Please complete the following application form to apply for finance through Portside Cars.
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2015 Volkswagen Polo TSI 66KW HL 1.2P/7AT
108,024km, Automatic, Petrol, 1200cc $12,950
Note: Clean Car fee/rebate may also apply

1. Applicant Information

Please enter your first name(s)
Please enter your last name
Please enter your date of birth (dd/mm/yyyy)
Please enter your marital status
Please enter a valid email address
Please enter drivers licence no
Please enter drivers licence version no
Please enter a your address
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Please enter the years lived at the above address
Please enter your employment start month
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Please enter your occupation
Please enter your employer
Please enter hours worked per week

2. Finance Details

Please enter the amount you wish to finance
.00
Please describe the vehicle you wish to finance

Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.

3. The Privacy Act 2020

I/we authorise Portside Cars* 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 Portside Cars’s rights thereunder;
  • Marketing and/or informing me/us about the goods and services provided by Portside Cars

I/we authorise Portside Cars 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 Portside Cars to provide this information:

  • To any person for the foregoing purposes;
  • to any employees and agents of Portside Cars 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 Portside Cars about me/us and to request that this information be corrected. The information will be held at the office of Portside Cars, 12 Bridge Street, Ahuriri, Napier 4110 or the registered offices of any party nominated by Portside Cars.

*Portside Cars and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

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