Hire Purchase Form - Pearl City Mall

APPLICATION FORM

A. CLIENT BIODATA

Title *
First Name *
Middle Name
Surname *
D.O.B *
Mobile Number *
ID Type *
Residential Address *
Proof of Address *
Ghana Post Coordinates
Length of Stay in Current Location *
Postal Address *
Marital Status *
Email *
Number of Dependants *

B. PARTNER DETAILS

Full Name of Spouse *
Mobile Number of Spouse *

A. REFERENCES

Name of Referee *
Mobile Number *
Name of second referee *
Mobile Number *

Business Reference

Residential Reference

EMPLOYMENT DETAILS

A. FORMAL

Name of Employer *
Role *
Number of Years in Organisation *
Address of Employer
Postal Address *
Postal Address *
Phone Number

B. IF INFORMAL

Nature of Business Activity

Business Location Provide Landmarks

Years in Business

INCOME DETAILS

Name of Account, Bank, Branch and Account Number *

ITEM

C. APPLIANCE REQUESTING FOR

Name of Item Requesting For *
Proposed Duration (in months) to Pay For Item *
Source of Monthly Repayment *
Payment Type *

FINANCING AGREEMENT

Initial Deposit Agreement *
Upload Your Bank Statement/ Payslip *
Upload Your ID *

CLIENT'S DECLARATION

CLIENTS INITIALS

SIGN YOUR INITIALS BELOW TO AGREE TO THE ABOVE DECLARATION *I declare that the above information to the best of my knowledge. In support of my application, i understand that if any of the information I have provided proves to be false, it will lead to the automatic decline of my request. If it is found out that any of the information I have provided proves to be false after delivery of item, City Hire Purchase has the right to retrieve the item. I consent to CHP in connection with this application, making such enquiries about my affair as it deems fit I will also be available for further discussions upon request.
Date *

TERMS AND CONDITIONS

SIGN YOUR INITIALS BELOW TO ACCEPT THE TEMS AND CONDITIONS *
1. City Hire Purchase hereby lets and the Hirer hereby takes on hire the goods described in the invoice hereto (hereinafter called the Goods) 2. The hire purchase price shall be paid by the Hirer as in the order invoice 3. Upon the payment in full of the hire purchase price, ownership transfers to the hirer 4. The owner shall, upon the signing of this agreement and payment of the initial deposit by the hirer, give possession of the goods to the hirer 5. The goods shall during the continuance of the hiring be kept in the custody and control of the hirer 6. The hirer shall keep the goods in good and substantial state of repair and shall be responsible for all risk thereto 7. The hirer shall not under any circumstances, without the written consent of the owner, remove the Goods from his address specified in this agreement or other permitted address 8. The hirer shall not, without the prior consent of the owner (City Hire Purchase), make any changes whatsoever to the goods 9. In the case where the hirer defaults payments for a specified number of months ( 10. The owner or his duly authorized agents shall be permitted by the hirer, at all reasonable times to inspect the condition of the goods and for such purpose enter upon any premises where the goods is kept 11. The hirer shall not hold himself or herself out as the owner of the goods or sell, assign, transfer, lease or otherwise deal with the goods in any manner inconsistent with the purpose for which the goods were out on hire 12. The hirer shall not use the goods or permit the use in a manner contrary to the laws, statutes or regulations for the time being in force 13. If the hirer commits a breach of any of the provisions of this agreement or become insolvent or being a limited liability company goes into liquidation, whether compulsory or voluntarily or if distress is levied or threatened against the goods or if the goods are taken execution, then in each and every such event, the owner shall be entitled to immediate possession of the goods. 14. When the owner becomes entitled to immediate possession of the goods. Under clause 13 above, he may without notice to the hirer terminate this agreement and retake possession of the goods 15. The hirer, having duly paid the hire purchase price and observed all the terms and conditions of the agreement, become the absolute owner of the goods 16. If at any time during the continuance of the hiring, the hirer pays to the owner an amount equal to the difference between the hire purchase price and the total of all the sums already paid, the hirer shall become absolute owner thereof 17. Any notice required to be served under this agreement shall be sufficiently on the hirer if sent by registered mail or by facsimile to his (its) last known address in Ghana or delivered personally to him (it) and on the owner if sent by registered mail or by facsimile to its office at

Verification

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