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Personal Loan Enquiry Form
The information you supply will let us know how best to help you, with your own unique situation; so please enter all the boxes accurately. Note: If you are on a 'Pension' as the only source of income We are Unable to assist you, visit: My Credit File Report. Note: If you are 'Unemployed' and after a Personal Loan We are Unable to assist you, visit: My Credit File Report.
Loan Details*
The finance will be in				Only fill in Applicant 2 if the loan's to be in 2 names
		Applicant 1		Applicant 2
Are you an Australian Citizen or have been residing in Australia for at least 2 years or have credit in Australia?
How many enquiries for credit have you made in last 3 months?
How many enquiries for credit have you made in last 6 months?
The loan you are seeking is:


Personal Details
The amount I am seeking is
Driver's License Number *
Please double check the email address you have is working, and use lower case letters.
Email Address *
Other email address
Home phone number
Mobile phone number *
Day/Work phone number *
First Name *
Middle Name
Last Name *
Date of Birth *		/ /		/ /
Marital Status *

Address History
Current Address
Address *
Suburb/City *
State *
Postcode *
Status *
Time lived there *		/		/

Previous Address; Please complete if current Address is less than 5 years.
Address
Suburb/City
State
Postcode
Time lived there		/		/

Employment History
Current Employment Status *
Probationary Period *
Time employed there *		/		/

Previous Employment Status
Time employed there		/		/
Current income * Please indicate gross/net and pay period. *

Current Assets *
Asset 1
Asset 1 Equity Value is
Asset 2
Asset 2 Equity Value is
Asset 3
Asset 3 Equity Value is

Savings/Bank Accounts *
Bank Account 1
Bank Account 2

Current Liabilities * Please make sure you have entered in all of your Liabilities accurately.
Liabiity 1 - type
Is this a joint liability?
limit/opening balance
current balance
options - I want to

Liabiity 2 - type
Is this a joint liability?
limit/opening balance
current balance
options - I want to

Liabiity 3 - type
Is this a joint liability?
limit/opening balance
current balance
options - I want to

Liabiity 4 - type
Is this a joint liability?
limit/opening balance
current balance
options - I want to


Credit History *
I have*


ENTER ANY ADDITIONAL COMMENTS OR EXPLANATION
Additional Comments & Description of ANY Defaults
Disclosure Statement
The information I have supplied is true and correct; and I am seeking finance for the purpose stated above. I have no applications for finance pending; and will not seek finance through another source until I have an outcome on this enquiry.
I have read, understood, and agrre to the terms of your Privacy & Consent form, and by clicking on "Submit" below, I understand that I am electronically signing the Privacy & Consent form as if it was signed by hand. (View and print our "Privacy & Consent" form Here)

Please double check the email address you have typed in, as you will be sent information by email.