Please complete the following to the best of your ability and we will be in contact

    Contact/Personal Information

    Name

    Birth Date

    Month:

    Date:

    Year:

    Contact Details

    Family Details

    Marital status:

    Number of dependents:

    Age/s of dependents:

    Residency Status:

    Sole Applicant:

    Living Arrangements

    Living Position:

    Time at current residence:

    Weekly rent or loan amount:

    Employment Information

    Years of experience - at current employment:

    Employment Type:

    Total Annual Income:

    Other Income

    Do you receive any of the following:

    Family Tax Benefit:

    Single Parent Payment:

    Other Pension:

    Loans and Liabilities

    What loans or liabilities do you currently have?

    Car or bike loan:

    Home Loan - Owner Occupied:

    Home Loan - Investment:

    Personal Loan:

    Business Loan:

    HECS:

    Credit Card:

    Credit Card Limit:

    Store Card:

    Store Card Limit:

    What is your monthly repayment on your liabilities?

    Car or bike per month:

    Home Loan - Owner Occupied per month:

    Home Loan - Investment per month:

    Personal Loan per month:

    Business Loan per month:

    Store Card per month:

    Loan/Finance Details

    Desired Finance Amount:

    Finance required for:

    Deposit amount:

    Do you have a Guarantor?

    Any Credit defaults or recent arrears history?

    Other Information

    I authorize prospective Credit Grantors/Lending/Leasing Companies to obtain personal and credit information about me from my employer and credit bureau, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application, will be referred to in connection with this lease and any other relationships we may establish from time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies.

    I hereby agree that the information given is true, accurate and complete as of the date of this application submission.