PROCEDURE
 

LOAN APPLICATIONS PROCESSED WITHIN 24 HOURS IF YOU PROVIDE ALL DETAILS BELOW
. You will need the following information to complete your Car Loan Application:
1. Your driver's licence number (if any)
2. Weekly income (before tax) details
3. The value of any assets, savings or investments
4. The account details, repayment amounts and balances (including credit cards, store accounts, etc.)
5. Name, address and phone number of nearest relative/friend not living with you and two personal references.
Estimated time to fill out this form: 15-20 minutes
- If you do not have time to fill out full loan application please click on short loan enquiry (2 minutes form) and one of our consultants will contact you



About You




Part 1
 Personal Details
Address Details
Title: 
First Name: 
Last Name: 
Maiden Name: 
Date of Birth: 
    
Number of Dependents: 
Drivers License #: 
Expiry Date: 
    
Mobile: 
  
Home Phone: 
Preferred Contact No: 
Preferred contact time: 
Email Address: 
  Are you, or have you been, known by any other name?
If yes, please indicate: 
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Residential Status: 
Address: 
Suburb: 
Postcode: 
State: 
Time there: 
   
If renting or boarding
provide the contact details of your Landlord/Mortgagee:
Landlord Name: 
Landlord Phone: 
Previous Address
(if less than 3 years at current address)
Address: 
Suburb: 
Postcode: 
State: 
Time there: 
  
Your employment and income details
Occupation: 
Employment Status: 
Employer Name: 
Employer Address: 
Employer Suburb: 
Employer Postcode: 
Employer State: 
Employer Phone: 
Time there: 

 (if less than 5 years with above employer)
Previous occupation: 
Previous employer name: 
Previous employer address: 
Previous employer suburb: 
Previous employer postcode: 
Previous employer phone: 
Previous employer state: 
Time there: 
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Income
Amount
(after Tax)
 Weekly/monthly
Normal Job $: 
Commision $: 
Overtime $: 
Second Job $: 
Family Allowance $: 
Pension $: 
Other $: 


Assets and Liabilities




Part 2
Assets

Value
Property - Residence $: 
Location: 
Property - Other $: 
Location: 
Property - Other $: 
Location: 
Cash in Bank $: 
Term Deposi $: 
Motor Vehicle $: 
Make/Year: 
Motor Vehicle $: 
Make/Year: 
Boat, m/cycle etc $: 
Furniture $: 
Other (Value) $: 
Other Details: 
 
Total Assets $: 
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Liabilities

Lender e.g ANZ
Monthly $
Total Owe $
Mortgage-Home: 
Mortgage-Other: 
Mortgage-Other: 
Rent/Board: 
    
Personal Loans: 
Other Loans: 
Lease/Hire Purchase: 
Car Loan: 
Other Finance: 
Other (Details): 
Credit Cards (all): 
     
Total Liabilities: 
    


The Loan

Part 3
Loan Details

Purpose of Loan: 
Loan amount Required:  $
Loan Term (Months): 
 .
Can we assist with insurance?: 


If loan is for a motor vehicle, please complete the following details:

Vehicle Details

Supplier Details
Year: 
Make: 
Model: 
Series (e.g. GL): 
Transmission: 
Engine Size: 
Body Type: 
Speedo (klms): 
:
:
:
:
:
:
:
:
:
:
:
:
:
Purchased from : 
Name of Supplier: 
Contact Name: 
Contact Phone: 
May we contact the supplier: 
Yes No
Cost Details :  :  
Price of Vehicle: 
Cash Deposit: 
Deposit Trade: 
Amount owing on Trade: 
Amount to be Borrowed: 
:
:
:
:
:
:
:
  
  :


References



Part 4
Reference One

Reference Two
Title: 
First Name: 
Last Name: 
Address: 
Suburb: 
Postcode: 
State: 
Home Phone: 
Work Phone: 
Mobile Number: 
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Title: 
First Name: 
Last Name: 
Address: 
Suburb: 
Postcode: 
State: 
Home Phone: 
Work Phone: 
Mobile Number: 


Details of Closest Relative: 
Title: 
First Name: 
Last Name: 
Address: 
Suburb: 
Postcode: 
 State: 
 
Home Phone: 
Work Phone: 
Mobile Number: 
   

Any other information you would like to tell us in relation to this application?
Please click here to view
Personal and credit information act
(It opens in a new window)
 

.