PERSONAL DETAILS
I am over 18
The car I am buying is more than €5,000

Title
—Please choose an option—MrMissMrs
Your Name

Sirname

Date of birth

Marital Status

Phone Number

Email

PPS Number

Residential Status
—Please choose an option—Home OwnerLiving with ParentsTenant
Address

Amount Per Month

EMPLOYMENT DETAILS
Employment type
—Please choose an option—PermanentTemporaryContract
Time with employer (Years/Months)

No. of Dependent Children

Net Salary (per month)

Other Income (per month)

LOAN DETAILS
Car Price

Deposit If Any

Finance Term
—Please choose an option—12 Months24 Months36 Months48 Months60 Months
Finance amount

I consent to receive marketing communication from Caledon Motors
—Please choose an option—YesNo
Data Protection and Consents
The information that you provide on this proposal form will be forwarded to one or more financial institutions, being members of the Irish Finance Houses Association, and will be used by them for the purposes of assessing the suitability for you of their finance products, potentially offering you a product or a quote. As part of this process, credit searches will be made with one or more credit reference agencies, including the Irish Credit Bureau (ICB), which will make a record of the search. Details of any agreement you enter into, and your conduct of that agreement, may be shared with the credit reference agencies, ICB and their members. Searches may also be carried out to verify your identity, and you may be contacted directly (including by telephone) for the purposes of verifying the information on this form. Credit scoring and other automated decision-making process may be used.
By ticking the consent box below, I certify that I consent to the use and disclosure of this information for the purposes set out above. I acknowledge that the recipients of this information are authorised to contact me and to disclose any material misstatements of fact on this proposal to their members and other relevant bodies.
I have read and consent to the above

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