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Terms & Conditions

Is this a joint application?

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 Number
(5A on your driver's licence)

Licence Version Number
(5B on your driver's licence)

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

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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