Main Menu
Motorcycle Menu
Accessories
Parts
 Specials
Second-hand

Service

>Finance


420 Main North Road, Blair Athol, Adelaide SA 5084
Ph: (08) 8260 9200      

Yamaha Pitmans

     Finance Department   

Required Fields *
Model you are seeking finance for: *
Your Details
First Name: *
Middle Name:
Surname: *
Address Details
Street Number: *
Street Name: *
PMB, RSD, Property Name:
Suburb: *
State (Australian Residents Only): *
Postcode: *
Time at Current Address: *
If less than 3 years:
Street Number: *
Street Name: *
PMB, RSD, Property Name:
Suburb: *
State: *
Postcode: *
Contact Details
Phone Number: *
Mobile:
Fax Number:
Email Address:
CRAA Requirements
Driver's Licence No: *
Expiry Date: * dd/mm/yyyy
Date of Birth: * dd/mm/yyyy
Financial Requirements
Marital Status: *
Number of Dependants: *
Dwelling: *
If Renting Landlord Name:
Landlord Contact Phone Number:
Employment Details
Employer Name: *
Employer Address: *
Year & Months Employed: *
Occupation: *
Business Phone Number: *
Business Fax Number:
Monthly Net Income: *
If less than 3 years:
Previous Employer Name: *
Year & Months Employed: *
Previous Employer Address: *
Credit Card Details
No of Credit Cards: *
Credit Card Type:* VISA:  MasterCard:  Bank Card: 
Diners:  American Express: 
Credit Card Limit:
Current Monthly Commitments
Mortgage or Rent: *
Credit Card Debt: *
Car Payments: *
Total of all other Monthly Loans: *
TOTAL MONTHLY COMMITMENTS: *
Next of Kin - not living at same address
Relationship: *
Full Name: *
Street Address: *
Suburb: *
State (Australian Residents Only): *
Postcode: *
Home Phone: *
Business Phone: *
Mobile: *
Yamaha Motors Finance Australia Pty Ltd - PRIVACY ACT DISCLOSURE

Disclosure Statement

Yamaha Motors Finance Australia Pty Ltd ACN 101 928 670 will use information disclosed by you for the purposes of assessing your application for credit and managing your credit facility.

We may disclose your personal information to credit reporting agencies, our related corporations, collection agencies, your nominated referees, our service providers.  The provision of your personal information is required to allow us to assess your application and manage any approved facility.

The YMF Privacy Policy sets out our policies on management of personal information.  You can access personal information held by us about you and advise is you think it is inaccurate, incomplete or out-of-date.

If you would like access to the personal information about you that we hold, write to: the Privacy Officer, Yamaha Motors Finance Australia Pty limited, 489-493 Victoria Street, Wetherill Park NSW 2164.

Authorisation and Consent Form

You agree that, for the purpose of assessing your credit worthiness in connection with your application for credit, we may:

1. Consumer Information - Collect and use consumer credit information about you to assess your application for credit.

2. Collection of overdue payments - Collect and use credit reports from credit reporting agencies to collect overdue payments from you.

3. Provide information to a mortgage insurer - Disclose information to mortgage insurers to assess the risk of providing mortgage insurance or to assess the risk of default.

4. Exchange of information between credit providers - Collect from and use or disclose to other credit providers any information about your creditworthiness, credit standing, credit history or credit capacity.

5. Provide information to Guarantors - Disclose information to any person who proposes to guarantee or has guaranteed repayment of any credit provided to you.

6. Verification - Verify your application details with any employer, estate agent or other referee.

 
Date: *
Name of Applicant: *
I am: Please Tick One*

an applicant for credit: 

a director of an applicant for credit: 

a prospective guarantor:  

a director of a prospective guarantor:  

I agree that I have Read and understood this above:   *
Extra Comments:

 (like trade-in or deposit)

Finance Department Contact Ph: (08) 8260 9200