TELL US ABOUT YOURSELF

Applicant


CO-Applicant


NEAREST RELATIVES (not living with applicant)



TELL US WHERE YOU LIVE

PRESENT Address


Previous Address (if less than 3 years at present)

COApplicant Address (if different from Applicant Address)



TELL US ABOUT YOUR EMPLOYMENT

APPLICANT

COApplicant

OTHER INCOME



FINANCIAL INFORMATION

List all open accounts including home equity, auto, credit card loans etc.






DIGITAL SIGNATURE


You hereby authorize and take notice that Karrera International Finance Ltd. will obtain credit and/or a personal information report.
You hereby certify that the information represented on the above statement is true and complete to the best of your knowledge and belief, and that you have read and agree to the terms and conditions of the revolving charge agreement and you promise to pay for all purchases on your Account, plus any credit charges that may be assessed. Karrera International Finance Ltd. will retain a purchase money security interest in goods sold under this agreement.