| Sales Representative | Sales Representative |
| Title * | Title * |
| First Name * | First Name * |
| Surname * | Surname * |
| Email Address * | Email Address * |
| Mobile * | Mobile * |
| Tel.Home * | Tel.Home * |
| Tel.Work * | Tel.Work * |
WhatsApp
Scan the code on your phone, or click here
to enquire on WhatsApp
| Name | Name |
| Tel | Tel |
| Fax | Fax |
| Website | Website |
| Address | Address |
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
Parts And Accessories
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
If you have photographs of your vehicle, you can upload them below.
Upload images by clicking the button below
By ticking the confirmation tick box below you consent to all related parties for the collection and use of this information. *
By checking the check box below I hereby give consent to the Credit Provider to make enquiries about my credit record with any of credit agencies and to obtain whatever information on me that they might require to process the credit application and / or application for insurance. I hereby declare that all of the above information is true and correct . I also consent to all related parties for the collection and use of this information. *
| 1. | HI5 Auto Center SA aims to comply with the Protection of Personal Information Act, 4 of 2013 (POPI), by ensuring that its customers' personal information is dealt with in a reasonable manner that does not infringe the customer's privacy and in accordance with the provisions of POPI. |
| 2. | To this extent, HI5 Auto Center SA requires your consent to process your personal information which includes but is not limited to the collecting, recording, organizing, storing, updating, altering and use of your information with regards to your Finance application and/or Insurance application and/or Agreement. |
| 3. | HI5 Auto Center SA requires your consent for the processing of your personal information in respect of the following: | |
| i. | Personal Information will be sent to the Credit Bureau for required Credit Bureau checks to be performed; and | |
| ii. | Personal Information will be sent to the relevant fraud verification agencies for fraud checks to be performed. | |
| 4. | Please be advised that in terms of HI5 Auto Center SA contract management functions, personal information may be sent outside South African borders and within the company where it will be processed, recorded, stored. |
| 5. | HI5 Auto Center SA draws your attention to the provisions of POPI where your express consent is not required for the processing of your personal information where the purpose of the processing includes inter alia prevention, detection, including assistance in the identification of the proceeds of unlawful activities and the combating of money laundering activities, investigation or proof of offences. |
| 6. | Your attention is further drawn to the provisions of POPI in terms of which you may withdraw the consent so given to HI5 Auto Center SA. |