First Name(s) *
Last Name *
Mobile Phone *
Email Address *
Current Address *
Work Place *
Income Per Week *
Please upload necessary documents and its helps us to complete the application faster. Only PNG, JPG, PFD, DOC and DOCX files are allowed. Maximum 5MB per file.
Driver License Front
Driver License Back
I/we authorise Greenland Autos 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 Greenland Autos Limited’s rights therunder; Marketing and/or informing me/us about the goods and services provided by Greenland Autos Limited I/we authorise Greenland Autos 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 Greenland Autos Limited to provide this information:
To any person for the foregoing purposes;
to any employees and agents of Greenland Autos 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 Greenland Autos Limited about me/us and to request that this information be corrected. The information will be held at the office of Greenland Autos Limited, 657 Main Street, Palmerston North or the registered offices of any party nominated by Greenland Autos Limited.
* Greenland Autos Limited and other associated third parties
To verify your acceptance of the above Privacy act statement please check the box below and click the apply button.
Check the box to accept and continue