Personal Loan Application
2.
Contact details - Applicant 1 Contact details - Applicant 2
What is your residential status?
(please tick one)
Own my home Have a mortgage Renting
Boarding Living with parent(s)
Residential address (P.O. Box addresses are not acceptable)
State Postcode
How long have you lived at this address?
*
years months
* If you have lived at your current address for less than 2 years please provide
details of your previous residential address below.
Previous residential address
(if at current address for less than two years)
State Postcode
How long did you live at this address? years months
Preferred daytime contact
Mobile
Mobile
Home phone
(
)
Home
Work phone
(
)
Work
Email
What is your residential status?
(please tick one)
Own my home Have a mortgage Renting
Boarding Living with parent(s)
Residential address (P.O. Box addresses are not acceptable)
State Postcode
How long have you lived at this address?
*
years months
* If you have lived at your current address for less than 2 years please provide
details of your previous residential address below.
Previous residential address
(if at current address for less than two years)
State Postcode
How long did you live at this address? years months
Preferred daytime contact
Mobile
Mobile
Home phone
(
)
Home
Work phone
(
)
Work
Email
Employment details - Applicant 1 Employment details - Applicant 2
Your current employment details (please tick one) Your current employment details (please tick one)
Full time
Part time
Casual
Home duties
Retired
Self-employed
Student
Unemployed
Occupation
(e.g. builder, mechanic, nurse)
Employer’s name
(company name)
Employer’s address
State Postcode
Please advise your employer that we will contact them to verify your income.
Employer’s contact number
(mobile number not accepted)
How long have you worked there?
(
)
*
years months
* If you have been in your current employment for less than 2 years, please provide details of your
previous employment below.
Full time
Part time
Casual
Home duties
Retired
Self-employed
Student
Unemployed
Occupation
(e.g. builder, mechanic, nurse)
Employer’s name
(company name)
Employer’s address
State Postcode
Please advise your employer that we will contact them to verify your income.
Employer’s contact number
(mobile number not accepted)
How long have you worked there?
(
)
*
years months
* If you have been in your current employment for less than 2 years, please provide details of your
previous employment below.
If self-employed If self-employed
Business name
ABN Duration
*
years months
* If you have been in your current employment for less than 2 years, please provide details of your
previous employment below.
Accountant’s name and address
State Postcode
Accountant’s contact number
(mobile number not accepted)
(
)
Business name
ABN Duration
*
years months
* If you have been in your current employment for less than 2 years, please provide details of your
previous employment below.
Accountant’s name and address
State Postcode
Accountant’s contact number
(mobile number not accepted)
(
)
Previous employment details (if in current employment less than two years) Previous employment details (if in current employment less than two years)
Full time
Part time
Casual
Home duties
Retired
Self-employed
Student
Unemployed
Occupation (e.g. builder, mechanic, nurse)
Employer’s name (company name)
Please advise your previous employer that we will contact them to verify this information.
Employer’s contact number
(mobile number not accepted)
How long did you work there?
(
)
years months
Full time
Part time
Casual
Home duties
Retired
Self-employed
Student
Unemployed
Occupation (e.g. builder, mechanic, nurse)
Employer’s name (company name)
Please advise your previous employer that we will contact them to verify this information.
Employer’s contact number
(mobile number not accepted)
How long did you work there?
(
)
years months
Page 2/8
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