Diamond Vehicle Finance

Vehicle Finance Application Form

Loan amount required?

First Name

Surname

Date Of Birth

Gender Male Female

Phone Number

Marital Status

No.of Dependents

Address

Living Situation

How long have you been living here?

How much do you pay per week?

Employment Status

Employer Name

Occupation

Length of employment

Income amount after tax?

NZ Licence Type

NZ Licence number

NZ Licence Version (3 digits)

Credit History

Expenses - Please include Provider, Weekly payment amount & balance remaining.