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How much would you like to borrow?

Loan Term

Purpose of this loan

How did you hear about us?

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Your Details

First name (as per ID)

Middle name

Last name

Contact number

Date of birth

Gender

Martial Status

How many dependants do you have?

Your Address

Current Address

Street Address

City

Suburb

Postal Code

Time at current address

Previous Address

Street Address

City

Suburb

Postal Code

Time at previous adress

Your current living arrangement

Rent/mortgage payment amount?

How often is this rent/mortgage payment made?

Current mortgage balance

Your ID

What type of ID do you hold?

ID number

Expiry date of ID

Version number

Residency status

Expiry date of visa

To apply with us, your visa needs to be valid for a minimum of 12 months.

Upload a copy of your photo ID 1

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Upload a copy of your photo ID 2

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You can upload upto 2 files, not more than 10mb in size each.

Upload a copy of your Visa 1

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Upload a copy of your Visa 2

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You can upload upto 2 files, not more than 10mb in size each.

Your Income

Are you currently employed?

Yes

Your current type of employment

Your current employer

Your current occupation

Time at

What was your previous occupation?

Who was your previous employer?

Time at

How often do you get paid?

How much do you receive after tax?

What is your source of income?

How often do you get paid?

How much do you receive after tax?

Do you receive any other income?

Yes

What is your other source of income?

Please specify other source of income

How often do you get paid?

How much do you receive after tax?

Partner income

Does your partner receive an income?

Yes

Do you share household / living expenses with your partner?

Yes

How often does your partner get paid?

How much does your partner receive after tax?

Provide proof of income:

Upload a copy of your most recent payslip

Choose File

You can upload 1 file, not more than 10mb in size each.

Upload a copy of your WINZ Breakdown

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You can upload 1 file, not more than 10mb in size each.

We require either a payslip if employed or a WINZ breakdown if receiving a benefit.

Assets & liabilities

Do you own any properties?

Yes

Is this your current address?

Yes

Property Value

Property Address

Property Value

Property Address

Property Value

Property Address

Property Value

Property Address

Property Value

Do you own any vehicles?

Yes

Vehicle value

Registration number

Vehicle Make / Model

Vehicle value

Registration number

Vehicle Make / Model

Vehicle value

Registration number

Vehicle Make / Model

Vehicle value

Registration number

Vehicle Make / Model

Do you have any credit cards?

Yes

Bank/finance company of your credit card

What is your credit limit?