Date of Birth (dd-mm-yyyy) (* )

    Drivers License Type (* )

    License No.(5a) (* )

    Version No.(5b) (* )

    Daytime Phone (* )
    [text*Daytime Phone]
    Mobile Phone (* )

    Home Phone (* )

    Work Phone (* )

    Home Address(* )

    Suburb (* )

    City (* )


    Do you own your own home?

    Are you a NZ Resident?
    Place of Birth

    If not a NZ resident, do you have a current work permit?
    Work Permit Expiry Date

    The Privacy Act 1993

    I/we authorise Global Trade Service Limited* 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 Global Trade Service Limited
    I/we authorise Global Trade Service Limited 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 Global Trade Service Limited to provide this information:

    To any person for the foregoing purposes;
    to any employees and agents of Global Trade Service Limited 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 Global Trade Service Limited about me/us and to request that this information be corrected. The information will be held at the office of Global Trade Service Limited, 148 Hazeldean Rd, Christchurch or the registered offices of any party nominated by Global Trade Service Limited.

    *Global Trade Service Limited and other associated third parties

    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.