We realise that the completion of Loan Application Forms and the relevant supporting documentation can be time consuming. That's why at this stage all we need from you are the following basic particulars to kick start the loan application momentum. At the next stage we will formulate a process to take the loan application to finalisation in an easy to comprehend, smooth and transitional manner.


  • Personal Details

    * Indicates a mandatory field
  • * First Name:
    The first name field requires at least three characters and can contain only upper and lower case letters.
  • * Surname:
    The second name field requires at least three characters and can contain only upper and lower case letters.
  • Company or Business Name:
  • * Your E-mail Address:
    A valid email address is required for this field.
  • * Preferred Contact Telephone No:
    A valid telephone number of at least eight digits is required for this field.
  • Mobile Telephone No:
  • Fax No:
  • Postal Address

  • Line 1:
  • Line 2:
  • Line 3:
  • State:
  • Post Code:
  • Would you like us to contact you to make a suitable appointment time?
       Yes   No  
  • Preferred Contact Time:
  • Vehicle, Truck, Machinery or Equipment Details

  • Make:
  • Model:
  • Year of Manufacture:
  • Where are you purchasing the vehicle, truck, machinery or equipment from?
       Vehicle or Truck Dealer 
       Auction House 
       Auction On- Line 
       Private Sale 
       Re-Finance 
       Other 
  •  
  • Finance Details

  • Your Annual Gross Income:
  • Total Amount of Finance Required:
  • Have you entered into an Equipment Finance Agreement before?
       Yes    No  
  • Please provide brief details:
  • Do you own Real Estate Property?
       Yes    No  
  • Please provide brief details:
  • Additional Comments: