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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 '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 Details		Applicant 2 Details
The loan you are seeking is:
Personal Details
The amount I / we am seeking is
Driver's License Number *
Please double check the email address you have is working, and use lower case letters.
Email Address *
Best Contact Phone Number *
First Name *
Middle Name
Last Name *
Date of Birth *		/ /		/ /
Current Address Details
Address *
Suburb/City *
State *
Postcode *
Status *
Current Employment Details
Current Employment Status *
Probationary Period *
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
Credit History Details
I have*
ENTER ANY ADDITIONAL COMMENTS OR EXPLANATION
Additional Comments & Description of ANY Defaults
Disclosure Statement

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