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Application Form
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Select your loan type
Home Lonn
Business Loan
Car Finance
Business Asset Finance
Personal Loan
Marine Finance
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Life Insurance
General Insurance
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Let Get Start...
Do you earn over $500 weekly?
*
Yes
No
Do you have a co-borrower?
Yes
No
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Main Applicant
Tell us a bit about yourself...
First Name
Last Name
Phone number
*
Mobile Number
*
Work Number
Email
Email
Confirm Email
Date of Birth
DD
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1920
NZ Residency Held?
Yes
Yes
No
Marital Status
Single
Single
Married
Defacto
Sex
Male
Male
Female
Second Applicant
Tell us a bit about Co-borrower / Second Applicant...
First Name (Second Applicant)
Last Name (Second Applicant)
Phone Number (Second Applicant)
*
Mobile Number (Second Applicant)
Work Number (Second Applicant)
Email (Second Applicant)
Email
Confirm Email
Date of Birth (Second Applicant)
DD
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MM
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YYYY
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2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
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1973
1972
1971
1970
1969
1968
1967
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1964
1963
1962
1961
1960
1959
1958
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1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
NZ Residency Held?
Yes
Yes
No
Marital Status
Single
Single
Married
Defacto
Sex
Male
Male
Female
I have read and agree to the privacy statement and disclaimer.
Privacy Policy
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Disclaimer
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Main Applicant
A few more details...
Residential Address
Postal Address
How long have you lived here?
Months
Previous address
(If you have not lived at the above address for more than 3 years)
How long have you lived here? (Previous Home)
Months (Previous Home)
Are you property owner?
Own house
Own house
Renting
Boarding
Second Applicant
Residential Address (Second Applicant )
Postal Address (Second Applicant )
How long have you lived here? (Second Applicant )
Months (Second Applicant )
Previous Address (Second Applicant )
(If you have not lived at the above address for more than 3 years)
How long have you lived here? (Previous Home - Second Applicant )
Months (Previous Home - Second Applicant )
Are you property owner? (Second Applicant )
Own house
Own house
Renting
Boarding
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A few more details...
Do you have a New Zealand driver licence?
*
Yes
No
Number
Version
Class
Full
Restricted
Learners
Can you provide us your overseas driver licence details? *
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How much would you like to borrow?
*
Loan term...
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Just a few more steps...
What is your employment status?
Salary
Salary
Self Employed
Other
What is your other employment status?
Where do you work?
Job Title
How much do you earn?
Pay Frequency
Pay Frequency
Weekly
Forthnightly
Monthly
Annual
Do you have other income?
Rent
Benefit Allowance
Commission
Investment Income
Working for Families / IRD
Other Net Income
Pay Frequency - Other Income
Pay Frequency
Weekly
Forthnightly
Monthly
Annual
Section Divider
Just a few more steps...
What is e your employment status? (Second Applicant)
Salary
Salary
Self Employed
Other
None
What is your other employment status? (Second Applicant)
Where do you work? (Second Applicant)
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Nearly there...
What is your rental information?
Do you currently have another loan?
Monthly Repayment - Another loan
Do you have a credit card?
*
Yes
No
What is your card limit?
Any additional information you would like to provide?
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Last step!
How did you hear about us?
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