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Terms & Conditions
Is this a joint application?
No
Yes
Borrower
Co-Borrower
Title
First Name
Middle Name
Last Name
Date of Birth
Email Address
Marital Status
Age of Dependants
(Comma separated)
Licence Type
Licence Expiry
(4B on your driver's licence)
Licence Number
(5A on your driver's licence)
Licence Version Number
(5B on your driver's licence)
Upload Licence Photo
(optional)
NZ Resident
Country Of Birth
Country Of Citizenship 1
Country Of Citizenship 2
Loan Details »
Goods Type
How much do you want to borrow ($)
Estimated Year of Vehicle
(eg. 2015)
Preferred Loan Term
Repayment Frequency
« Contact Details
About You »
Borrower
Co-Borrower
Business Phone Number
Home Phone Number
Mobile Phone Number
Address
Suburb
City
Postcode
Attach proof of address
(optional)
Residence Type
Time at Address
Previous Address
Previous Suburb
Previous City
Previous Postcode
Time at Previous Address
Reuse for Postal Address
Same as above
Specify
Same as above
Specify
Postal Address
Postal Address Suburb
Postal Address City
Postal Address Postcode
« Loan Details
Employment »
Borrower
Co-Borrower
Employer Name
Occupation
Other Occupation
Employment Type
Employer Phone Number
Employer Address
Employer Suburb
Employer City
Employer Postcode
Time With Employer
Previous Employer Name
Previous Occupation
Previous Other Occupation
Previous Employment Type
Previous Employer Phone Number
Previous Employer Address
Previous Employer Suburb
Previous Employer City
Previous Employer Postcode
Time with previous Employer
Name of Nearest Relative
(not living with you)
Relative Relationship
Relative Phone Number
Relative Address
Relative Suburb
Relative City
Relative Postcode
« About You
Financials »
Assets
Home Ownership
Home Value ($)
Vehicle Value ($)
Furniture and Effects Value ($)
Other Assets
Description
Value ($)
Liabilities
Mortgage/Rent Repayments ($)
Frequency
Mortgage Balance ($)
Credit Card Balance
Balance ($)
Monthly Repayments ($)
Other Liabilities
Description
Balance ($)
Repayments ($)
Frequency
Income
Take Home Pay Amount ($)
Frequency
Other Income
Description
Frequency
Amount ($)
Additional Notes
« Employment
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