• Personal Details
  • References Details
  • Bank Statement

Loan Application Form

WARNING ! Any wrong information will DECLINE your loan application

How much do you need?

Loan Amount (AUD) *
Loan Period *

Purpose of Loan

Personal Details

First name *
Last name *
Date of birth * (Age between 18-80)
Gender *
Email *
Marital status *
Number of Children
Verification *

Contact Details

Home Phone (inc. area code)
Mobile Phone *
Address *

Have you applied for loans with us before?

Are you Employed?

Employer Details

Employer Name
Employer Phone(inc. area code)
Company Address
Time with Employer YEARS

What's Your Income?

Your Income * (after tax)
Frequency *
Next Pay Date *
Government Benefits (after tax)
Next Pay Date

Expense per week?

Everyday Living Expenses*
(e.g. food, phone bill, electricity etc)
Rent/Mortgage Repayments*
(e.g.rent, bank mortgage costs)
Other Debt Repayments*
(e.g. credit card, personal loan, car loan etc )

Few more questions to approve your loan application:

Are you currently bankrupt or an undischarged bankrupt?
Do government benefits make up 50% or more of your income?
Are you intending to use this loan to repay another outstanding short term loan?
In last 90 days, have you had 2 or more short-term loans
Can you foresee any reason you won't be able to repay this loan?


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