|
Are you an Australian citizen or a permanent resident? |
|
Are you over 18 years of age? |
|
Do you have a regular income? |
Is the loan amount between $3,000 and $50,000?
|
|
You are NOT an undischarged bankrupt or subject to bankruptcy proceedings? |
|
Do you agree to answer the below questions accurately and truthfully? |
|
Do you have any current loans or credit cards in arrears or over their limit within the last 6 mths? |
|
Have you applied 3 or > times for other loans/credit within the last month? |
| Please list all the reasons why you require this personal loan: |
| Reason |
Who is to be paid (if known) |
Amount |
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| How many applicants will be applying for this loan?
|
| Total loan amount being applied for: $
|
| |
|
| Title:
First Name:
Middle Name:
|
| Surname:
Date of birth:
|
| Gender:
Marital Status:
No. of dependents:
|
| Email address:
|
| ID Type:
Number:
Expiry Date:
|
| Home telephone number:
Mobile number:
|
| Citizenship Status:
|
| Address: Street number and name:
|
| Suburb:
State:
Postcode:
|
| Approximate date you moved to this address:
(month) /
(year) |
| Residential status:, ie. renting, owner with a mortgage, etc:
|
| If paying rent/board: $
per month |
| If paying rent, is your name on the lease?
|
| *As you have lived in your current address for less than 3 years, please enter your previous address details below: |
| Address: Street number and name:
|
| Suburb:
State:
Postcode:
|
| Approximate date you moved to this address:
(month) /
(year) |
| |
|
| Title:
First Name:
Middle Name:
|
| Surname:
Date of birth:
|
| Gender:
Marital Status:
No. of dependents:
|
| Email address:
|
| ID Type:
Number:
Expiry Date:
|
| Home telephone number:
Mobile number:
|
| Citizenship Status:
|
| Address: Street number and name:
|
| Suburb:
State:
Postcode:
|
| Approximate date you moved to this address:
(month) /
(year) |
| Residential status:, ie. renting, owner with a mortgage, etc:
|
| If paying rent/board: $
per month |
| If paying rent, is your name on the lease?
|
| *As you have lived in your current address for less than 3 years, please enter your previous address details below: |
| Address: Street number and name:
|
| Suburb:
State:
Postcode:
|
| Approximate date you moved to this address:
(month) /
(year) |
| |
| Type of income (if not employed):
(eg., aged pension, etc) |
| Occupation and industry (if employed):
|
| Status, ie. Part time, Casual, Pensioner, etc.
Start Date:
(month) /
(year) |
| Employer name:
(please list name as found in White Pages, state 'Centrelink' if not employed) |
| Employer address:
|
| Employer Contact no:
|
| Your daytime contact no:
|
| * As you have been in your current employment for less than 3 years, please provide previous employer details: |
| Occupation and industry (if employed):
|
| Status, ie. Part time, Casual, Pensioner, etc.
Start Date:
(month) /
(year) |
| Employer name:
(please list name as found in White Pages, state 'Centrelink' if not employed) |
| Employer Contact no:
|
| |
| Type of income (if not employed):
(eg., aged pension, etc) |
| Occupation and industry (if employed):
|
| Status, ie. Part time, Casual, Pensioner, etc.
Start Date:
(month) /
(year) |
| Employer name:
(please list name as found in White Pages, state 'Centrelink' if not employed) |
| Employer address:
|
| Employer Contact no:
|
| Your daytime contact no:
|
| * As you have been in your current employment for less than 3 years, please provide previous employer details: |
| Occupation and industry (if employed):
|
| Status, ie. Part time, Casual, Pensioner, etc.
Start Date:
(month) /
(year) |
| Employer name:
(please list name as found in White Pages, state 'Centrelink' if not employed) |
| Employer Contact no:
|
| |
| What Bank accounts do you currently have? |
| Bank |
Branch |
Latest Balance |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
| Bank |
Branch |
Latest Balance |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
| |
|
| Type of Income |
Description |
Monthly After Tax |
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
|
| |
|
| Type of Income |
Description |
Monthly After Tax |
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
|
| Type of Asset |
Description |
Value |
| Home Contents (estimate value) |
Home Contents |
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
| Type of Asset |
Description |
Value |
| Home Contents (estimate value) |
Home Contents |
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
$
|
| |
|
|
| Please list any 'Interest Free' loans you have below: |
| Supplier |
Amount Owing |
Credit Limit |
Monthly Repayments |
| |
$
|
|
|
| |
$
|
|
|
| |
