Please complete the following application form to apply for finance through Select Autos.
Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.
Select Autos* to collect, retain and use the personal information
about me/us, for the purposes of:
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.
to provide this information:
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 1993, I/we have a right
of access to information collected by
about me/us and to request that this information be corrected. The information will
be held at the office of
72 Williams Street, Kaiapoi
or the registered offices of any party nominated by
*Select Autos 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.