Please complete the following application form to apply for finance through Auto Loan Company.
Note: All fields marked with an asterisk (*) are required to enable us to start
processing your application.
Before completing this application it is a requirement that you read and accept
the below Privacy Act Statement.
The Privacy Act 1993
I/we authorise Auto Loan 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 Auto Loan Company’s rights therunder;
- Marketing and/or informing me/us about the goods and services provided by Auto Loan Company
I/we authorise Auto Loan 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 Auto Loan Company to provide this information:
- To any person for the foregoing purposes;
- to any employees and agents of
Auto Loan 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 pursant to the Privacy Act 1993, I/we have a right
of access to information collected by Auto Loan Company about me/us and to request that
this information be corrected. The information will be held at the office of Auto Loan Company,
324 Cashel Street, Christchurch or the registered offices of any party
nominated by Auto Loan Company.
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.