We authorise Corlet Motor Company and its
related companies, agents, assigns, associates, transferees, to collect, check and
exchange such personal, information about me/ us to determine whether to open a
credit account in our name. I/We apply for the above loan and certify that the
particulars above are true and correct. I/We authorise Corlet Motor Company and
its related entities to contact any credit reporting agencies,
credit providers, my/our employers, accountants, or any other source, to obtain,
check and exchange such personal financial and commercial information and references
as it necessary for the purpose of considering this application, the protection
and administration of any loan arising out of this application and to assist the
enforcement of any agreement between me/us and any finance company. I/We agree
that you may reproduce this authority to such parties for the purpose of collecting
information. Under the provisions of the Privacy Act 1993, you are entitled to have
access and request correction to personal information about yourself.
To verify your acceptance of the above Privacy Act statement, and to confirm that
all information provided, is accurate, up to date, complete, relevant and not misleading
and that you are not an undischarged bankrupt, understand and agree to the terms
and conditions, and that you are happy to be contacted by phone or email by one
of our business managers, please enter the word ACCEPT
into the text box below and click the submit button.