Service History (if available): (Yes/No)
Have you had your vehicle assessed for CNG conversion? (Yes/No)
Do you have a referral code from a Verified Conversion Center? (Yes/No)
If you have not had your vehicle assessed but would like to, please select your preferred Certified CNG Conversion Center for assessment: (Select from list)
Preferred Appointment Date: (DD/MM/YYYY)
Are you willing to provide a minimum equity contribution of 10%? (Yes/No)
Do you have a clean credit report from at least two credit bureaus? (Yes/No)
Have you ever defaulted on a loan repayment? (Yes/No)
Consent and Authorization
Do you authorize CREDICORP to share your details with Participating Financial Institutions (PFIs) for loan processing? (Yes/No)