June 2017

Applicant Form

Financial Details

Primary purpose of loan *

Payee

Primary financed amount

Subtotal

Are you looking for a secured loan? Car boats and caravans with a value of at least $5,000 will qualify.

Yes

Origination fee

Application fee

Total amount financed

Loan terms

Repayment frequency

Name and Contact Details

First name

Middle name

Last name

Date of birth

Day

Month

Year

Gender

Marital status

No. of dependants

Home number

Mobile number

Email address

Confirm Email address

Residential and Personal Details

Residential status

Length of residence (months)

Unit number

Street number

Street name

Street type

Suburb

State

Postcode

Identify

Primary ID type

Secondary ID type

Employment Details and Income / Expenses

Income after tax

Income frequency

Employment length (months)

Job description

Employment status

Name of employer

Employer contact number

Other income after tax

Combined creadit card limits

Total monthly loan repayments

excl.credit card & mortgage

Total balance on all existing loans

incl. mortgage and credit card balance

All other living expenses

monthly amount (e.g food, regular bills, transport, insurance, child support)

Applicant's Banking Information for Direct Debit and Transfers (not mandatory until ready for settlement)

BSB

Account number

Name(s) on Account

Financial Institution

Branch address

Applicant has acknowledged and given this Electronic Communication Consent

To asses your application(s) for credit, agree WF 2

To asses your application(s)

Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae

Car Loans for Business Use

Car Loans for Personal Use

Bad credit car loan approvals

Applicant Form