Gilrose Finance

 

Welcome to Online Fiance Application Form for Gilrose Finances. It will takes you less than 5 minutes to complete the form, and we will have an answer to you within 1 business hour on phone or by email.

If you have any questions, or want to find out what the current finance terms and conditions are, please feel free to call us toll free on: 0800 101 474 (Mon-Fri: 9am-5:30, Sat, Sun: 10am – 4:30pm.)

Finance is only available for purchase over $500.

Prices are estimates based on a 36 month period, subject to approval, normal leading criteria apply.





Online Finance Application

Please fill all Fields with *

Product Information

Product: *
Model: *
Total Value of Goods: * 
Deposit: * 
Term (Months): *
Payment Frequency: *

Purchase Information

Given Name: *
Middle Names:  
Surname:
*
Proof of Identity:
*
ID No: *
Date of Birth: *
Vehicle Registration No:  

Customer Information

PHYSICAL ADDRESS

 
Street Address: *
Suburb: *
Town / City: *
Post Code: *
Since how long at above address: *
 

PREVIOUS ADDRESS: (if less than 3 years at above address)

Full Address:
For how long at above address:
 

POSTAL ADDRESS: (if different than physical address)

  
Street Address:  
Suburb:  
Town / City:
 
Post code:
 
 

CONTACT DATAILS

  
Home Telephone No.: *
Is the number above listed in your name?:        
Mobile Phone No.:
 
Email:
*
 

EMPLOYMENT

  
Employment Status: *
Occupation:  
Work Phone No.:
 
Employers Name:
 
Since how long?:  
Position:
 
Previous Employers Name:
 
Previous Employers Phone No.:
 
How long at Job?:  
 

NEXT OF KIN ADDRESS: (not living with you)

  
Next of Kin Name: *
Next of Kin Address: *
Next of Kin Phone No.:
*
 

GENERAL

  
Marital Status: *
Name of the Partner:  
Number of Dependants:
 
Personal Weekly Income (Before Tax - Applicant Only):
 
If Other (Specify):
 
Do you have content insurance?:
 
Insurance Company Name:
 
Home Owner:
 
Value of Home (Approx):
 
Balance of Mortgage(Approx):
 

 

CREDIT REFERENCE- LOANS OUTSTANDING: ($ Approximations Only)
Name of Company:
Original Balance:
Balance Owing:
Monthly Payments:
   
Name of Company:
Original Balance:
Balance Owing:
Monthly Payments:
   
Name of Company:
Original Balance:
Balance Owing:
Monthly Payments:
   
Name of Company:
Original Balance:
Balance Owing:
Monthly Payments:
   

Private Act

Credit Reporting Privacy Code 2004

I hereby authorise any person or company to provide you or Gilrose Finance Co Limited with such information as you may require in response to your enquiries associated with this application. I also further authorise you to furnish to any third party or parties details of this application and any subsequent dealings that I may have with you as a result of this application being actioned by you. I hereby declare that the information provided is true and correct and that I am not an undischarged bankrupt. I agree that the financier may nominate the insurer at its discretion. I understand that Gilrose Finance Company Ltd have asked me for personal information about me so as to use Veda Advantage's credit reporting service to credit check me. I understand that:

Veda Advantage will give you information about me for that purpose. You will give my personal information to Veda Advantage, and that Veda Advantage will hold that information on their systems and use it to provide their credit reporting service. When other Veda Advantage customers use the Veda Advantage credit reporting service, Veda Advantage may give the information to those customers. If I default in my payment obligations to you, information about that default may be given to Veda Advantage, and Veda Advantage may give information about my default to other Veda Advantage customers.

ACCEPTANCE

  
Applicant First Name: *
Applicant Surname: *