Personal Details 1 Step 1 2 Step 2 3 Step 3 4 Step 4 PERSONAL DETAILS - APPLICANT 1 First Name Middle Name Surname Mother’s Maiden Name Date of Birth Gender [radio* app1_gender use_label_element "Male" "Female"] Marital Status Number of Dependents Age of Dependents Residency Status Country of Citizenship IDENTIFICATION (Primary) ID Type ID Number Date of Issue Date of Expiry Place of Issue IDENTIFICATION (Secondary) ID Type 2 ID Number 2 Date of Issue 2 Date of Expiry 2 Place of Issue 2 CONTACT INFORMATION Mobile Email ADDRESS Current Address Post Code Address Status If renting - Rent Amount (per month) Start Date (at current address) Previous Address Post Code Previous Address Status Start Date End Date PERSONAL DETAILS - APPLICANT 2 First Name Middle Name Surname Mother’s Maiden Name Date of Birth Gender MaleFemale Marital Status Residency Status Country of Citizenship IDENTIFICATION (Applicant 2) ID Type ID Number Date of Issue Date of Expiry Place of Issue CONTACT & ADDRESS (Applicant 2) Mobile Email Current Address Post Code Address Status Start Date Previous Next EMPLOYMENT - APPLICANT 1 Employment Type PAYGSelf EmployedRetiredHome DutiesStudent Employment Basis / ABN (if self employed) Employer / Business Name Start Date Job Title Employer Address Post Code Phone INCOME (Applicant 1) Salary / Gross (annual) Overtime (annual) Commissions / Bonus (annual) Net Income (calculated or enter) OTHER INCOME Other Income Type 1 Amount (annual) Other Income Type 2 Amount (annual) EMPLOYMENT - APPLICANT 2 Employment Type PAYGSelf EmployedRetiredHome DutiesStudent Employment Basis / ABN (if self employed) Employer / Business Name Start Date Job Title Employer Address Post Code Phone INCOME (Applicant 2) Salary / Gross (annual) Overtime (annual) Commissions / Bonus (annual) Net Income (calculated or enter) Previous Next ASSETS — REAL ESTATE Property 1 Use (Owner Occ / Investment) Address Market Value Rent PCM Ownership Applicant 1 (%) Ownership Applicant 2 (%) Property 2 Use Address Market Value Rent PCM Ownership Applicant 1 (%) Ownership Applicant 2 (%) OTHER ASSETS Bank / Account Value Ownership Applicant 1 (%) Ownership Applicant 2 (%) Other Asset Description Value Ownership Applicant 1 (%) Ownership Applicant 2 (%) MOTOR VEHICLES Make / Model Type Year Value Ownership Applicant 1 (%) Ownership Applicant 2 (%) LIABILITIES Liability 1 Type MortgagePersonal LoanCredit CardOther Bank Related Asset / Account Limit Current Balance Repayment Per Month Ownership Applicant 1 (%) Ownership Applicant 2 (%) Liability 2 Type MortgagePersonal LoanCredit CardOther Bank Limit Current Balance Repayment Per Month Ownership Applicant 1 (%) Ownership Applicant 2 (%) Previous Next LIVING EXPENSES (Monthly) Basic Property (rent/mortgage) Council Rates Water Gas Electricity Home Services (gardener/cleaner/repairs) Food & Groceries Supermarket / Toiletries Restaurants / Cafes Takeaway Meal Delivery Alcohol / Cigarettes Subscription (Netflix etc) Medical & Health (Doctor, Pharmacy) Petcare (food, vet) Recreation & Entertainment Gifts / Donations Transport - Fuel Transport - Public Transport Taxi / Uber / Rentals Childcare / Babysitting School Fees / Uniform / Books General Insurance (Home, Vehicle, Travel) Life / TPD / Trauma / Income Protection Total Monthly Living Expense (enter) DECLARATION — AUTHORITY TO ACCESS INDIVIDUAL CREDIT INFORMATION REPORT Authority for an agent to obtain access to an individual’s credit information file held by a credit reporting agency (Privacy Act 1988). We authorise (hereinafter “The Broker”) to act as Access Seeker and to seek to obtain credit reporting information on my behalf... [acceptance* consent_credit] I/We authorise the broker to obtain credit reporting information as outlined above. Signature (type name or use signature plugin) Date Previous Next