Please enter your employment start month
                            
                         
                        
                            
                                
                                Please enter your employment start year
                            
                         
                     
                 
                
             
            
                
                    
                    
                    Please enter a your gender
                
                
                    
                    
                    Please enter your number of dependents
                
                
                    
                    
                    Please enter your living situation
                
                
                    
                    
                 
             
            
            
                
                    
                        2. Weekly Expenses (approx.)
                        
                     
                 
             
            
                
                
                    
                    
                 
                
                
             
            
                
                
                
                
                    
                    
                 
             
            
            
            
            
            
                
                
                
                    
                    
                
             
            
                
                    
                    
                 
             
            
                
                    
                        Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.
                    
                    
                    
                        
                            I/we authorise
                Stroud Motors* 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
                    Stroud Motors’s rights thereunder;
- Marketing and/or informing me/us about the goods and services provided by
                    Stroud Motors
                            I/we authorise
                Stroud Motors
                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
                Stroud Motors
                to provide this information:
                        
                        
                            - To any person for the foregoing purposes;
- to any employees and agents of
                    Stroud Motors
                    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 pursuant to the Privacy Act 2020, I/we have a right
                of access to information collected by
                Stroud Motors
                about me/us and to request that this information be corrected. The information will
                be held at the office of
                Stroud Motors,
                556 Kaikorai Valley Road, Dunedin
                or the registered offices of any party nominated by
                Stroud Motors.
                        
                        
                     
                    
                        To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the apply for finance button.