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» Car Hire Purchase Order Form
Car Hire Purchase Order Form
Fill the form below to get started to your dream of owning your car
1
Start
2
Preview
3
Complete
Personal Details
Full Name
*
Email
*
Phone Number
*
Date of Birth
*
Month
Month
Jan
Feb
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Dec
Day
Day
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Year
Year
1979
1980
1981
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2020
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2023
2024
Sex
*
- Select -
Male
Female
Home Address
*
Professional Details
Name of Guarantor
*
Office Address of Guarantor
*
Monthly Salary of Guarantor
*
- Select -
200k-300k
300k-400k
400k-500k
500k and above
Car choice (put estimated price in bracket)
*
Who is the intended user of the car?
*
- Select -
I will drive it myself
Someone else will be the driver
Do you possess a valid driver's license?
*
- Select -
Yes
No
Years of driving experience
*
- Select -
5-10yrs
10yrs and above
Upload a valid driver's license
*
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png
.
Upload statement of account (last 3 months)
*
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png
.
Leave this field blank