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Loan Amount:
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$300
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$1800
$1900
$2000
$2250
$2500
$2750
$3000
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$3500
$3750
$4000
$4250
$4500
$4750
$5000
Loan Term:
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3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
12 Months
Email address:
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Borrowing
over
Repaying
per month. Total repayable
.
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Date of Birth:
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Mobile Number:
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If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies to prevent fraud and money laundering.
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1
General Questions
Title:
Mr.
Mrs.
Miss.
Ms.
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Mr.
Mrs.
Miss.
Ms.
First Name:
Surname:
Date of Birth:
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01
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31
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Jan
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Dec
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2006
2005
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2002
2001
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1998
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1963
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1953
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1948
Mobile Number:
Home Telephone:
2
Address Information
House No/ Name:
Street Name:
City:
State:
*
Queensland
New South Wales
Australian Capital Territory
Tasmania
South Australia
Western Australia
Northern Territory
Victoria
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Queensland
New South Wales
Australian Capital Territory
Tasmania
South Australia
Western Australia
Northern Territory
Victoria
ZIP Code:
Home Status:
*
Own
Rent
Living with friends / family
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Own
Rent
Living with friends / family
Time at this address:
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Less Than 1 Year
1 - 2 Years
2 - 3 Years
3 - 4 Years
4 - 5 Years
More Than 5 Years
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Less Than 1 Year
1 - 2 Years
2 - 3 Years
3 - 4 Years
4 - 5 Years
More Than 5 Years
3
Employment Status
Employment Status:
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Full Time Employment
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Self Employed
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Centrelink Benefits
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Full Time Employment
Part Time Employment
Self Employed
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Centrelink Benefits
Industry You Work In:
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Construction/Manufacturing
Military
Health
Banking/Insurance
Education
Civil Service
Supermarket/Retail
Utilities/Telecom
Hotel, Restaurant and Leisure
Other, office based
Other, non office based
Employer Name:
Job position:
Pay Frequency:
*
Weekly
Bi-Weekly
Four Weekly
Last Working Day of month
Specific Date
Last Monday of month
Last Tuesday of month
Last Wednesday of month
Last Thursday of month
Last Friday of month
Other
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Weekly
Bi-Weekly
Four Weekly
Last Working Day of month
Specific Date
Last Monday of month
Last Tuesday of month
Last Wednesday of month
Last Thursday of month
Last Friday of month
Other
Work Telephone Number:
Next Pay Date:
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01
02
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22
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24
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29
30
31
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Jan
Feb
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Jun
Jul
Aug
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Oct
Nov
Dec
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2024
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2031
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2040
2041
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2043
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Second Pay Date:
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01
02
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22
23
24
25
26
27
28
29
30
31
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Please select
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
Time At Employer:
*
Less than 3 months
3 months to 1 year
More than 1 year
Please select
Less than 3 months
3 months to 1 year
More than 1 year
Monthly Income:
4
Financial Details
Account Holder:
Account Number:
Bank BSB Number:
Account Type:
*
Cheque
Savings
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Cheque
Savings
Bank name:
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AMP Bank Limited
Australia and New Zealand Banking Group Limited
Auswide Bank
Bank of Melbourne
Bank of Queensland Limited
Bank Sa
Bank of Western Australia
Defence Bank
Delphi Bank
Heritage Bank
Hume Bank
Bank of Sydney
Bank Australia
Commonwealth Bank of Australia
Rural Bank Limited
Macquarie Bank Limited
Members Equity Bank Pty Limited
MyState Bank
National Australia Bank Limited
P&N Bank
QTMB
St. George Bank Limited
Suncorp-Metway Limited
UBank
Westpac Banking Corporation
Teachers Mutual Bank Limited
Arab Bank Australia Limited
Bank of China (Australia) Limited
Citigroup Pty Limited
Deutsche Bank Limited
ING Bank (Australia) Limited
Investec Bank (Australia) Limited
HSBC
Rabobank Australia Limited
OTHER
5
Expenditure Information
Loan Purpose:
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Business expenses
Car Maintenance / Rego
Repaying Existing Debt
Child / Dependent Related Expenses
Education & Training
Entertainment / Leisure / Gifts
Everyday living
Home Improvements / Goods / Furniture
Luxury Purchase
Medical / Dental
Mortgage / Rent / Bond
Personal Care
Travel / Holiday
Utilities
Other
Existing Loan Repayments (Monthly):
Rent (Monthly):
Other Expenditure (Monthly):
I have read and accept the
terms & conditions
and
privacy policy
Please tick to indicate your consent to receiving occasional marketing communications from us by Email and SMS.
I understand I may be offered a financial product from a lender, and based on their credit assessment of my application, it may not be the exact same type or amount I applied for.
If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies to prevent fraud and money laundering.
It can take a few minutes to get a decision, please be patient.
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