Individual Online Credit Application
These fields
*
must be completed before this form will be accepted
Full Name:
*
First, Middle, Surname
Date of Birth:
*
Partners Full Name:
First, Middle, Surname
Date of Birth:
Current Address:
House No, Street, Suburb
City:
Phone:
Years There:
E-mail:
*
Tenancy:
*
Choose here
Own House
Renting
Boarding
Family Home
Other
Marital Status:
Choose here
Single
Married
De-facto
Other
Previous Address:
House No, Street, City
N
o. of Dependents
:
Choose here
0
1
2
3
4
5
6
7
8
9
10
More
Drivers Licence No:
Insurance Company:
Version No (5b):
Occupation:
*
Mobile Phone No:
Employer:
Years There:
Address:
Phone No:
Partners Employer:
Work Phone No:
Work Address:
Occupation:
Years There:
Parents Name:
Address:
Phone No:
City:
Another Contact:
Address:
Phone No:
City:
General Loan Information
Compulsory! (please complete this section)
*
Reason for Loan:
*
Name of Dealership?:
*
Amount:
$
Vehicle being purchased or used for security.
Make:
Model:
Year:
Rego:
Vehicle Valuation:
$
Speedo/Km:
Deposit (if purchasing)
$
Repayment Term:
Petrol
Diesel
cc Rating:
INCOME
EXPENSES
Weekly take home pay:
$
Mortgage/Rent:
$
Partner take home pay:
$
HP & Credit Cards:
$
Other income:
$
Loans:
$
ASSETS
LIABILITIES
Home
$
Mortgage Balance:
$
Bank
$
Credit Accounts
$
Vehicles
$
Other Loans:
$
Investments
$
Business Loans:
$
CREDIT REFERENCE
(Name of Finance Company/s)
1.
2.
Bank Name:
Branch:
Account No:
*
Compulsory!
(please tick,)
I hereby agree and confirm that I have read the K-Finance
*
Privacy Policy
and will comply with all the conditions set out within.
