PRE-ASSESSMENT APPLICATION

Pre-Assessment Application

To help us provide you with an accurate finance solution to suit your requirements and budget, please fill in the following form and click "Submit Form". A credit assessment manager will then contact you.

NOTE: Fields Marked With * Indicates Required Information.

Amount to Finance *

Name *

First

Last *

Last

Email *

Gender *

Male

Female

Driver's License Number

Expiry Date

Residential Address *

City *

State *

Postal Code *

Housing Status *

Years lived *

Months lived *

Phone Number *

Home Number

Employer Business Name *

Your Occupation *

Occupation Status *

Employer's Address *

Town/Suburb *

State *

Postal Code *

Net Weekly Income *

Years Employed *

Months Employed *

Current Loans/Credit Cards

Credit History/Problems

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If you are human, leave this field blank.

Our Policy On Privacy

We understand the importance of your privacy. We realize you are providing us with personal details that should be used for one, and one purpose only. That is, to help you get finance fast, efficiently and affordably.

Our Privacy Policy is to:

NOT use your information for any other purpose than for the purpose of helping you apply for finance.
NOT provide or sell your details to any other marketer.

You can read about the obligations that we have and that you have under the Privacy Act 1988.