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About us
Contact Us
+27313034525
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Warranty Cover
Personal Finance Application
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Step
1
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WARRANTY COVER (Single Applicant)
Please use Full Name and Surname as on your Identification Card/Book
Name
*
First
Last
Identity Number
*
(Please Make Sure You have entered your ID NO. correctly, Else The Form Will Not Be Submitted Automatically)
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
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Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
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Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
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Cook Islands
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Croatia
Cuba
Curaçao
Cyprus
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Denmark
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Faroe Islands
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
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Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Number of years residing at the above address
*
PERSONAL INFORMATION (Single Applicant)
Email
*
Mobile / Cell Phone
*
Telephone Home
Telephone Work
*
Graduate?
Yes
No
(Completed an academic degree or course of training)
Relationship Status
*
Single
Divorced
Married
Single (Adult)
Single (Young)
Widow/er
Married In or Out Community of Property (Optional)
Antenuptual Contract
In Community of property
Traditional Marriage
Married in COP (Chapter 2 & 3)
Married in COP ( not Chapter 2 & 3)
Foreign/Custom
Date of Marriage
Spouse Details, If Married In Community of Property (Else You Can Skip)
Name
*
First
Last
Identity Number (Please Make Sure You have entered your spouse's ID NO. correctly.)
*
Spouses (Mobile / Cell Phone)
Next
NEXT OF KIN (Not residing with you)
Name
*
First
Last
Next Of Kin Relationship
*
Aunt
Brother
Brother In Law
Cousin
Daughter
Father
Father In Law
Friend
Grandfather
Grandmother
Husband
Mother
Mother In Law
Sister
Sister In Law
Son
Uncle
Wife
Next of Kin Contact Number
*
Next of Kin Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
CURRENT EMPLOYER DETAILS (Single Applicant)
Name
*
First
Last
Occupation
*
Employer Contact Number
*
Nr of Years at Company
*
Nr of Months at Company
*
Salary Day
*
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
PREVIOUS EMPLOYER DETAILS (Single Applicant)
Previous Employer
*
First
Last
Nr of Years at Previous Company
In the last 6 months, have you received an S189 Retrenchment Notification from your employer?
Yes
No
Do you now or have you previously occupied a Prominent Influential Position in South Africa? (e.g. President, Deputy President, Mayor of a Municipality, Leader of a Political Party, Judge, Senior Traditional leader, etc.)
Yes
No
Do you have a family member or are a close associate of anyone in a Prominent Influential Position in South Africa? (e.g. President, Deputy President, Mayor of a Municipality, Leader of a Political Party, Judge, Senior Traditional leader, etc.)
Yes
No
Do you now, or have you previously occupied a prominent public official position in any other country other than South Africa? (e.g. Head of State/Country/Government, Senior Judge, Senior member of a political party, high rank in the military)
Yes
No
SALARY DETAILS (Single Applicant)
Monthly Gross Salary Before Deductions
*
Car Allowance (If any)
Commission (If any)
Monthly Nett Take Home Pay
OTHER INCOME (Single Applicant)
Source of Other Income
Other Income Amount
Previous
Next
BOND DETAILS (Single Applicant)
Name
*
First
Last
Amount Outstanding
Property Value
Monthly Instalment
Purchase Price
Purchase Price
MONTHLY EXPENSES (Single Applicant)
Bond Payment / Rent
*
Vehicle installments (Excluding Those To Be Settled)
Credit Card Repayments Amount
Clothing Accounts
Policy / Insurance Repayments
Transportation Costs
Education Costs
Household Expenses
*
Rates, Water and Electricity
Personal Loan Repayments
Furniture Accounts
Overdraft Repayments
Telephone Payment
Food and Entertainment
Maintenance
Other
Previous
Next
BANKING DETAILS (Single Applicant)
Name of Account Holder
*
First
Last
Bank Name
*
Branch Name
Branch Code
*
Account Number
*
Account Type
*
Cheque
Current
Transmission
Savings
Verification Documents
Can Skip If Documents Aren't Available
Layout
SA ID
Click or drag files to this area to upload.
You can upload up to 2 files.
Drivers Licence
Click or drag files to this area to upload.
You can upload up to 2 files.
Layout
3 Months Bank Statements
Click or drag files to this area to upload.
You can upload up to 2 files.
3 Months Payslips
Click or drag files to this area to upload.
You can upload up to 2 files.
Proof of Residence
Click or drag files to this area to upload.
You can upload up to 2 files.
Previous
Next
What Vehicle Are You Interested In To Apply For Finance
Enter Vehicle Make (e.g. Ford )
*
Enter Vehicle Model (e.g. Everest )
*
Enter The Vehicle Year (i.e. 2016)
*
Sales Executive's Name
Multiple Choice
Have not been assisted by a Sales Executive Yet.
Can't Remember Sales Executives Name.
Do You Have A Trade-In (Can skip if you don't have)
Enter Vehicle Make Ex(Ford)
Enter Vehicle Model Ex(Everest 2.2 XLT)
Enter Vehicle Manufacturer Year Ex(2018)
Enter Current Mileage of Vehicle Ex(23 000km)
Upload Your Vehicle's Photos
Click or drag files to this area to upload.
You can upload up to 10 files.
Terms Agreement
*
I Agree
By checking the box I confirm that I have read and understand the declaration by applicants and agree to send all my Personal information to RJ Cars, to determine my credit score and for the purpose of performing an affordability and pre-qualification finance assessment to obtain my consumer credit information, finance application and financial information, from all credit bureaus and relevant third parties to make the aforementioned information available to me as well as share my personal info with third parties only related to the finance and purchase of a vehicle, I also agree that I understand the T's and C's of this website.
Submit
*Please note that by entering your contact details one of our consultants may contact you.
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+27 31 303 4525
info@rjcars.co.za
655 Umgeni Rd, Windermere, Durban, 4001
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