Check out SPECIAL offers!Shop Now!

Credit Application Form Old

Page 1 of 4

CUSTOMER DETAILS









PERSONAL DETAILS










Please consider a ‘Safer, Peace of Mind’ Bank Standing Order or Online Internet Banking or Vodaphone M-PAiSA or Digicel - MyCash digital repayment mode after registration




EMPLOYMENT DETAILS




Pay Amount



Previous Employment


RESIDENTIAL STATUS


Previous Residential Status



FINANCIAL STATUS





Statement of Financial Position: Please complete attached Statement of Financial Position Form to reduce processing time


EMPLOYER DETAILS





REFEREE 1





REFEREE 2





REFEREE 3





DOCUMENT CONFIRMATION

(Please refer to our Credit Requirements attached)

Employment Confirmation, Recent Pay Slip & Bank Statements (Minimum 4 Months)


DL, Voter ID, Utility Bills, etc.

DOB – DL, Voter ID/Joint FNPF/FRCA Card



Declaration and Signature:
  1. I/We state that the written details are true and correct and are given in support of my/our application to Vision Investments Limited t/a Courts in application for the nominated Credit facility, subject to the terms and conditions specified in our Declaration & Agreement and the Company Credit policies and procedures.
  2. I/We irrevocably authorize Courts as an approved credit report recipient, to conduct the necessary enquiries and/or verifications to help qualify my credit application including a credit opinion if required from any approved credit reporting agency that may have financial information about me/us.
  3. I/We also authorize Courts to obtain my employer, remuneration details including deductions relevant to the appraisal of my credit application.