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090-8333-1817
Yasashi
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+81 90-5603-8985
138, Hiradecho, Nishi Ward, Nagoya-Shi, Aichi, Japan
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CREDIT ANALYSIS
FORM
After completing the form, call one of our officers to
verify receipt of your personal data.
Full Name:
Date of Birth:
Phone Number:
Email:
Postal Code:
Address:
Type of Residence:
Own House
Rented House
Apartment Rented
Own Apartment
Length of residence:
Do you pay housing or rent fees?:
Yes
No
What is the number of the car you want to finance?:
Marital status:
Married
Single
Spouse's name / Emergency contact:
Spouse's phone number / Emergency contact:
Who is the head of the family? :
How many adults and how many children live at the same address?:
Health insurance:
Shakai Hoken
Kokumin Hoken
Don't have
Type of visa:
Resident
Permanent
Employment contract:
Haken Shain (Construction Company)
Keyaku Shain
Sei Shain
Type of work:
Working time:
Gross annual income:
Name of contractor:
Contractor's address:
Contractor's phone number:
Name of the company you work for:
Address of the company you work for:
Telephone number of the company you work for:
How many people, more or less, work in this company?:
Less than 5 personas
More than 5 people
More than 100 personas
More than 500 personas
More than 1000 personas
Do you have a guarantor?:
Yes
No
How long do you intend to finance for?:
24 veces (2 años)
36 veces (3 años)
48 veces (4 años)
60 veces (5 años)
72 veces (6 años)
84 veces (7 años)
120 veces (10 años)
Photograph of the Zairyu card (front and reverse):
Driver's license photo (front and back):
Photo of health insurance card (front and back):
Photo of a document showing the KATAKANA of the FULL name. (bank card, bank card, health insurance, clinic card):
HAVE A QUESTIONS?
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+81 90-5603-8985
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