Loan Application


Loan Purpose

The retailer you have entered does not match any of our existing retailers. Your application will be processed as a personal loan.

Purchase Information
WeeklyFortnightlyMonthly
61218243648
Customer Information
APPLICANT 1
Mr.Mrs.Ms.

Adding a second applicant, also known as a co-signer/borrower, will help strengthen your application with added security. They must consent to being added as a co-signer and will be required to co-sign the loan contract.

APPLICANT 2
Mr.Mrs.Ms.
Customer ID
APPLICANT 1
Upload ID File
0%
APPLICANT 2
Upload ID File
0%
Physical Address
APPLICANT 1
APPLICANT 2
Previous Address (if less than two years above)
APPLICANT 1
APPLICANT 2
Postal Address (if different from physical address)
APPLICANT 1
APPLICANT 2
Contact Details
APPLICANT 1
APPLICANT 2
Personal Contact Address (not living with you)
APPLICANT 1
APPLICANT 2
Employment
APPLICANT 1
WeeklyFortnightlyMonthly
Years
Months
APPLICANT 2
WeeklyFortnightlyMonthly
Years
Months
Assets
APPLICANT 1
Yes No
Yes No
Yes No
APPLICANT 2
Yes No
Yes No
Yes No
Credit Reference - Loans Outstanding : ($ Approximations Only)
APPLICANT 1

Add Credit Reference

APPLICANT 2

Add Credit Reference

YOU CONSENT TO OUR COLLECTING, HOLDING, USING AND DISCLOSING
  • A INFORMATION ABOUT YOU THAT YOU GIVE US AND
  • B OTHER INFORMATION WE GATHER ABOUT YOU (“PERSONAL INFORMATION”) AS FOLLOWS:
So we may:

1. a) Verify what you tell us about yourself with third parties such as Government Agencies (including The NZ Transport Agency and the Insolvency Service). b) Carry out credit checks on you and fines check with The Ministry of Justice. c) Decide whether to lend you money, administer any loan and enforce payment (including referring a debt to Debt Collection agencies and Credit Reporters). Comply with our obligations under the Anti-Money Laundering and countering the Financing of Terrorism Act 2009 and any other legislation.

2. In these processes we may provide your personal information to third parties and credit reporting agencies and debt collectors. Credit Reporters may hold that information and may disclose it to other parties who wish to carry out credit checks on you or for other lawful purposes.

Please contact us for details of the credit reporting agencies we use. If we are unable to collect this information we may not be able to provide finance to you. You have rights to access the personal information we hold on you and request correction of your personal information in accordance with the Privacy Act 1993. Please contact us to make these requests.

You declare that the information you give us is true and correct and you consent as shown above.

Terms and Conditions *
Join our mailing list