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Applicant 1

First Name

Middle Name

Last Name

Date of Birth

Best Contact Phone

Street Address

Suburb

Postcode

State

Time at this address (Yrs)

(Months)

3 years residence details required.

Residential Status

Mortgage/ Rental/ Boarding Amount

Marital Status

Number of Dependants

Driving License Number

Driving License Expiry Date

Driving License State Held

Employment Status

Employer Name

Employer Phone Number

Employer Address

Time at this employer/ business (Yrs)

(Months)

3 years employment details required.

Income

Credit Card Limit

Total current loan repayments

Total amount owing on these loans

Total Motor Vehicle Assets

Total Property Value if owned or mortgaged

Total amount owed on this property if mortgaged

Contents / Furniture Value

Cash in Bank

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