Loan Application Form

Are you eligible to apply

Loan Details

Personal Details

Employment Details

Financial Details

What is the primary purpose of loan?
What amount would you like to borrow?
Over how many years?		Years
Have you had a personal loan before?		Yes No
Security Value

Title

First Name

Middle Name

Surname

Are you known by any other names?

Date of Birth

Gender

Marital Status

Dependents

Are you currently employed? Yes No

What type of employment?

How long in the employment?
Australian Drivers License

Contact Number

Home Address

Street Number

Street Name

Suburb/ City

State

Post Code

Residential Status

Time at Address

Employer

Occupation

Years Employed

Previous Employment

Years Employed

Do you have last two payslips? Yes No

Complete the following if you are self employed

Occupation

Sole Trader/ Company Name

ABN

Years of Registration

Do you have up to date tax returns? Yes No

Years Self Employed

Is Company/ Sole Trader registered for GST ? Yes No

Does the business have regular income? Yes No

Annual Income

Other Annual Income

Personal Loan

Lender
Balance			Monthly Commitment

Home Loan

Lender
Balance			Monthly Commitment

Car Loan

Lender
Balance			Monthly Commitment

Other Loan

Lender
Balance			Monthly Commitment

Other

Lender
Balance			Monthly Commitment

Rent Yes No per month