ADDRESS

Auckland City
New Zealand

PHONE

0800 562 622

Apply online

Loan application form

Loan information

Loan amount required:

Purpose of loan: Car financePersonal loanDebt consolidationOther

If 'other' chosen as Purpose of loan:

Security:
(1) Must be owned by the applicant/s or co borrower.

Vehicle number OR Property address:

Total value of all mortgages (ifapplicable):


Main borrower

Title:

First and middle names:

Surname:

DOB:

Home number:

Work number:

Mobile number:

Email (required):


Co-borrower

Title:

First and middle names:

Surname:

DOB:

Home number:

Work number:

Mobile number:

Email address:


Other details

Best time to call:

NZ resident?: YesNo

Current address:

Address status: RentBoardOwn

Length of time at this address:

Previous address:

Current occupation:

Current employer:

Previous employer:

Average net income (aftertax):

Pay period: WeeklyFortnightlyMonthly

Additional

Comments or questions:

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