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Loan Application Form
Loan Details
Type of Loan
*
Personal/Consumer
Business/Commercial
Loan Purpose
*
Purchase a Vehicle
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Household & Personal Goods
Other Personal Use (please specify)
Investments (please specify)
Business Loan Purpose
*
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Other Motor Vehicle Finance
Heavy Vehicle Finance
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Loan Amount
*
Personal Details
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Last
Contact No.
*
Email
*
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*
Day
Month
Year
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*
Male
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Are you an Australia Permanent Resident?
*
Yes
No
Current housing situation
*
Renting
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Own Home
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Marital Status
*
Married
De Facto
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Number of dependents
*
Age of Dependents
*
Address Details
Current Residential Address
*
Street Address
Address Line 2
Suburb
State
Postcode
Time at current address (months)
*
Previous Residential Address
*
Street Address
Address Line 2
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State
Postcode
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Employment Details
Income Frequency
*
Weekly
Fortnightly
Monthly
Net Income
*
Employment Type
Full Time
Part Time
Casual
Self Employed
Not Employed
Credit History
Perfect
Good
Poor
Bad
Other
Occupation
*
Name of Employer/Business
*
Time in Current Employment (months)
*
Previous Employer
*
Financial Position
ASSETS: Property
*
LIABILITIES: Mortgage
*
Yes
No
ASSETS: Motor Vehicle
*
LIABILITIES: Motor Vehicle
*
Yes
No
ASSETS: Contents
*
LIABILITIES: Personal Loan
*
Yes
No
ASSETS: Others
*
LIABILITIES: Credit Card(s)
*
Yes
No
TOTAL ASSETS
*
LIABILITIES: Other loans
*
Yes
No
Please Specify (other loans)
*
EXPENDITURE: Monthly Living Expenses
*
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*
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