READY FINANCE – SALES FINANCING APPLICATION FORM

PERSONAL DETAILS *Required Fields

*Vendor
D BESS TECH
*Item(s) of Interest
iPhone 11 Purple/ Mint Green 256 gbs
*Value

*First Name Channon

Middle Name (s)

*Last Name James

*Telephone Number Home Work Mobile388-5939

*Email Address channonjames17@gmail.com

*Gender Male Female

*Date of Birth 31 / 01 / 2003

*Nationality

*Marital Status Single Married/ C/Law Divorced

If married/common law Name

state spouse details DOB

Telephone Number Home Home Work Mobile

*No of Dependents

*ID Type and Number 20030131023 Exp date Text

RESIDENCE *Required Field

*Home Address Lp 14 Allick Terrace, Bagatelle Road

Diego Martin
*Directions
Enter Bagatelle Road via the Diego Martin
Main road, Allick Terrace would be the fifth
street on your left, turn into it. My home will be
the sixth house on your left it’s a purple and
pink house.
*Time at Residence Years 2 Months 6
*Residential Status Owner Living with parents Renting Other

If less than 3yrs state previous address

Lp 55 Allick Terrace, Bagatelle Road, Diego
If paying rent/mortgage state amount
Martin Rent Mortgage

EMPLOYMENT *Required Field

*Occupation Kitchen Assistant

*How long in Job 1 year, 1 month
*Employer Maria’s Bakery
*Work Address #5 Pole Carew Street, Woodbrook
*Work Phone Number 868-223-6050

*Net Income 1680.00 Mthly F/nightly Wkly

*Expenses Living Exp 800 Utilities 300 Loan/Cr.Card 380

per mth per mth
If less than six (6) months, previous employer needed

*Occupation

*Employer

*How long at Job

OTHER *Required Field

* Bankers Republic Bank
Time at Bank

REFERENCES - over 18yrs and not living in same household or working with you

Reference #1: Relative *Required Field

*Name Chantai James

*Address 2nd Caledonia Road, Morvant

*Telephone Number Home Work Mobile

347-8661

*Relationship Sister
Reference #2: Friend

*Name Shaunelle Letren

*Address Mount Olive Drive, Bagatelle Road, Diego Martin

Telephone Number Home Work Mobile 704-9332

Reference 3: Landlord if renting

*Name

*Address

*Telephone Number Home Work Mobile

AUTHORIZATION:

I/We hereby certify that the info given is true and correct to the best of my/our knowledge (including full copies of records)

CHECK LIST Copies of the following Documents to be sent to vendor:

1. Valid ID (not expired – DP / PP/ National ID)

2. Job letter (no older than 1 month)
3. Pay slip (no older than 1 month)
4. Proof of Address (utility bill, Bank Statement etc. no older than 1 month)
5. Quotation for customer