Home and Property
Refinancing
Personal Loans
Please complete this form to enquire about a personal loan. N
ote: $3000 is the minimum loan size.
Personal Details
First Name:
*Required
Last Name:
*Required
Email:
*Required
Telephone:
Work Telephone:
Suburb:
State:
Select --->
WA
NSW
VIC
NT
QLD
ACT
TAS
Are you an Australian citizen or permanent resident?
Yes
No
Number of Applicants:
1
2
3
Loan
Loan Amount:
Loan Purpose :
Housing
Years at current address:
1
2
3
Over 4
Moves over last 3 years:
1
2
3
Status:
Select --->
Renting
Owned
Employment
Jobs over the last 3 years:
1
2
3
Current Years Employed:
1
2
3
Over 4
Employment Status:
Select --->
Permanent
Part-time
Casual
Self Employed
Gross Weekly Income #1:
Gross Weekly Income #2:
Assets
Current savings:
(e.g. $3,000)
Asset #1:
(e.g. Nissan Pulsar)
Asset #1 Value:
(e.g. $15,000)
Asset #2:
Asset #2 Value:
Liabilities
Weekly Rent/Board/Mortgage:
(e.g. $200.00)
Credit History :
Select --->
Excellent
Good
Fair
Poor
Late loan or credit card payments in last 12 months:
Select --->
Yes
No
Details:
General Comments:
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