Personal Loan Application Form
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5PERSONAL LOAN APPLICATION FORM
AMOUNT AND TERM OF LOAN
I wish to apply for a loan of:
$
over:
years
–
PURPOSE
This loan is for:
■
■
Purchase of Motor Vehicle
Increase to Existing Loan
■
■
Home Renovations
Debt Consolidation
■
■
■
Holiday
Other
Education & Training
(Please specify)
LOAN PRODUCT
■
Car Loan
Make of Vehicle:
Year:
Valued at:
$
■
Debt Consolidation Loan
■
Computer Loan
■
Overdraft
■
Unsecured Personal Loan
PERSONAL DETAILS
APPLICANT ONE
APPLICANT TWO
Member Number:
Title:
Mr
Mrs
Miss
Ms
Other
Mr
Mrs
Miss
Ms
Other
Surname:
Given Names:
Marital Status:
(Single, Married, Defacto. Etc.)
Number of Dependant Children:
Children:
Number of Dependant Children:
Ages of Children:
Current Address:
Postcode:
Postcode:
Mailing Address:
(“As Above” if same)
Postcode:
Postcode:
(
)
(
)
Home Telephone:
Mobile Telephone:
Owned
Renting
Buying
Boarding
Owned
Renting
Buying
Boarding
Residential Status:
for _____ Years _____ Months
for _____ Years _____ Months
Previous Address:
(If less than 3 years at current
address)
Postcode:
Postcode:
Owned
Renting
Buying
Boarding
Owned
Renting
Buying
Boarding
Previous Residential
for _____ Years _____ Months
for _____ Years _____ Months
Status:
Expiry Date:
/
/
Expiry Date:
/
/
Drivers Licence No:
/
/
Male
Female
/
/
Male
Female
Date of Birth:
Email:
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Parent category: Financial