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My Application

Please note that fields marked with an asterisk (*) are mandatory.

my applicant's details

Applicant 1:

*

Contact Number:

*

Applicant 2:

Contact Number:

Address:

Email:

*

Home:

Mobile:

Number of Dependants:

Ages:

my work history (applicant 1)

Current Position Held:

Current Employer:

Current Length of Employment:

Employee Number:

Ph. of Confirming Officer:

Salary P.A:

Status:

 

 

my work history (applicant 2)

Current Position Held:

Current Employer:

Current Length of Employment:

Employee Number:

Ph. of Confirming Officer:

Salary P.A:

Status:

 

 

purpose

Please tick all relevant boxes.

Purchase

Refinance

Pre-Approval

Construction

Owner Occupied

Investment

Commercial

Business

my financial position

Current Liabilities:

Facility

Lender

Balance/Limit

Monthly Repayment

App 1

App 2

Joint

Mortgage:

 

 

Personal Loan:

 

Credit Cards:

 

 

Store Account:

 

HECS:

 

Continuing Rent:

Other:

 

Total Liabilities:

 

     

Assets:

Real Estate - Address

Lender

Value ($)

App 1

App 2

Joint

Deposit Funds

Institution

Value ($)

 

 

 

Shares

Number of

Value ($)

 

 

 

Superannuation

Company

Surrender Value ($)

 

 

 

Insurance - Life Cover etc.

Other

Totals Assets:

 

 

 

Have any of the applicants ever had a default, judgement or bankruptcy lodged with a credit authority? If yes please give details.

Paid

Claimant

Amount

Date

Reason

Yes No

/ /

Yes No

/ /

Yes No

/ /

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