Email Us - Cars for Blacklisted

Do you live in...?*

Gauteng
Limpopo
North West
Mpumalanga
Other

Question 1 of 10

Do you have a valid driver’s license?*

Yes
No

Question 2 of 10

Do you have a criminal record?*

No
Yes

Question 3 of 10

Do you have a once off Admin Fee of…*

R10 000
R12 500
R14 500
More than R14 500

Question 4 of 10

What can you afford monthly for a vehicle (your budget)? This is including insurance.*

Between R 2 500 – R 3 500
Between R 3 500 – R 4 000
Between R 4 000 – R 6 000
More than R 6 000

Question 5 of 10

Are you…*

Male under 25 years of age
Male over 25 years of age
Female over 20

Question 6 of 10

Do you have a valid ID or proof thereof?*

Yes
No

Question 7 of 10

Do you have 3 months original bank statements?*

Yes
No

Question 8 of 10

Do you have your latest payslip or proof of income?*

Yes
No

Question 9 of 10

Have you been driving for longer than 5 years?*

Yes
No

We are able to provide you with a vehicle but an extra fee of about R170 will apply

Question 10 of 10

Do you have proof of your physical address?*

Yes
No

Sorry but we are not able to approve you based on the information supplied

Congratulations. You’ve been approved.

Please complete your personal details below and submit the form.
We will contact you to book an appointment or call us on 080 327 6222 after submitting the form.

Your Information

Name*

Email*

Telephone Number*

Confirm Telephone Number*

Please confirm your contact number

When is the best time to contact you telephonically?*