Finance

YAMAHA MOTOR FINANCE ONLINE LOAN APPLICATION

Welcome to Diptech’s Yamaha Motor Finance (YMF) online loan application form.  On completion of your application you will be contacted by our friendly direct sales team (Terms and conditions apply).

Tips for completing this form:

  • Please give us as much information as possible to support your application.
  • The fields marked with an asterisk (*) are mandatory.
  • Once you have submitted the application an e-mail will be sent to you confirming receipt.

Thank you for your application. We look forward to doing business with you.

APPLICANT INFORMATION

First Name
Last Name
Email Address
Mobile Phone
DOB
Number of Dependants
Drivers License No
State or Territory Where Issued

CURRENT ADDRESS

Street Address 1 (PO Boxes not accepted)
Street Address 2 (PO Boxes not accepted)
City
State
Postcode
Years in Residence
Months in Residence

PREVIOUS ADDRESS (IF LESS THAN 3 YEARS AT CURRENT ADDRESS)

Street Address 1 (PO Boxes not accepted)
Street Address 2 (PO Boxes not accepted)
City
State
Postcode
Years in Residence
Months in Residence

Employment Information

Current Employer Name
Occupation
Employer Phone Number
Employer Contact Name
Years Employed
Months Employed
Monthly Income After Tax

PREVIOUS EMPLOYMENT (IF LESS THAN 3 YEARS AT CURRENT EMPLOYER)

Current Employer Name
Occupation
Employer Phone Number
Employer Contact Name
Years Employed
Months Employed

Expenses

Mortgage Financier
Mortgage Monthly Repayment
Monthly Living Expenses (Not Including Mortgage/Rent)
Monthly Rent/Board

Other Loan 1

Financier
Monthly Amount

Other Loan 2

Financier
Monthly Amount

Other Loan 3

Financier
Monthly Amount

Credit Card 1

Card Issuer
Credit Card Limit

Credit Card 2

Card Issuer
Credit Card Limit

Credit Card 3

Card Issuer
Credit Card Limit

Asset to be Financed (Only Applicable For Consumer Loan)

Manafacturer
Model
Year
Purchase Price
Deposit / Trade in Value
Balance to be Financed

Next of Kin

First Name
Last Name
Contact Number
Relation to Primary Applicant
Address

PRIVACY ACT AUTHORISATION AND DISCLOSURE

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