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Step 1 of 6 - Contact Information
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Getting a loan has never been easier!
Start by filling out the application below.
This form may take up to 10 minutes to complete.
First Name
*
Middle Name
Last Name
*
Email Address
*
Your Home Address
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Mobile Number
*
Phone Number
Were you referred by anyone?
*
Financial Advisor/Insurance Agent
Friend
Relative
Co-worker
No
Other (please specify)
Who referred you
Current Employment
*
Employed Full-Time
Employed Part-Time
Self-employed
Not employed but looking for work
Not employed and not looking for work
Homemaker
Retired
Student
Prefer Not to Answer
If retired, please submit previous employer's details below.
Name of Business
*
Type of Business/Occupation
Business Address
Phone Number
Fax Number
Name of School
*
Current Source of Income
*
If retired / not employed
Length of Employment (years)
If retired / not employed
Length of Employment (years)
*
Purpose of Loan
*
New Vehicle
Used Vehicle
House/Town House/Apartment/Land
Education
Home Repairs
Travel
Medical
Debt Consolidation
Bridging Finance (Home Construction)
Other
If "Other" please specify
*
Security to be Offered
*
Yes
No
Security will cover the loan amount if you are unable to pay back. Eg. UTC Shares, Fixed Deposits, Cash/Bank Account
Is this a joint application for a mortgage?
*
Yes
No
Area/Location
*
Joint Applicant Name
*
Joint Applicant Employer
*
Joint Applicant Address
*
Joint Applicant Phone Number
*
Please describe what you are buying
Make and Model of Vehicle
*
Year of Manufacture
*
Loans not offered for vehicles over 5.5 years
Loan/Mortgage Amount Required
*
Please enter a number greater than or equal to
20000
.
Who is your Primary Bank/Financial Institution
*
Gross Monthly Salary
*
Salary before deductions”
Fixed Allowance
*
Commissions
*
Self Employed Monthly Income
*
Other Income
*
Please disclose any additional monthly income. This must be verifiable.
Total Monthly Income
Before Expenses
Are you renting or do you have a mortgage?
Renting
Mortgage
None
Rent
*
Mortgage
*
Monthly Loan Payments
*
Monthly Credit Card Payments
*
Average Monthly Living Expenses
*
Groceries, entertainment, gas etc.
Total Monthly Income
Before Expenses
Total Expenses
Monthly Surplus/Savings
Please submit your application by agreeing to our Terms and Conditions and a Fidelity Finance Representative will contact you within 48 hours. All applications are subject to credit checks and verification of the information provided.
Please enter the security code above to complere the form.
*
I Agree to the Terms and Conditions of Fidelity Finance and Leasing Company Limited.
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Online Terms & Conditions
Comments
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