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Your Details

    • Name (Personal)(*)

    • Email(*)

    • Phone No.(*)

    • Address (Home)(*)

    • Years at Address(*)

    • Are You A Homeowner?(*)

    • Monthly Rent(*)

    • Previous Address(*)

    • Years at Previous Address(*)

    • Date of Birth

    • Country of Birth(*)

    • Marriage Status(*)

    • Number of Dependant Children(*)

    • Employment Status(*)

    • Occupation(*)

    • Employer Name(*)

    • Employer Address(*)

    • Years With Employer(*)

    • Monthly Income(*)

      • Car Details

    • Year of Car(*)

    • Make of Car(*)

    • Make of Car(*)

    • Cost of Car(*)

    • Dealer Name(*)

    • Trade In Amount(*)

    • Finance Outstanding on Trade-in(*)

    • Finance Amount (€)

    •  

      • Bank Details

    • Bank(*)

    • Branch(*)

    • Have you got a positive credit rating with the ICB?YesNo

    •  

    • My Bank Statements will confirm my ability to make the finance repayments:(*) I agree

    • I Consent to Data being Processed Under Data Protection:(*) I agree

    • I consent to have my information credit checked:(*) I agree

    • I consent to allow WeFinance communicate
      directly with the dealer if required      (*) I agree

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