Applicant 1 First Name
Mrs
Mr
Ms
Miss
Dr
Prof
Rev
Applicant 1 Middle Name
Applicant 1 Last Name
Gender
Female
Male
Address
Unit No
/ Street No
Street Name
Suburb
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Date moved in?
Date of Birth
Driver's Licence Number
Exp
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Marital Status
Single
Married
Defacto
Seperated
Divorced
Widowed
Other
Number of Children
0
1
2
3
4
5
6
7
8
9
10
11
12
Telephone Home
Telephone Mobile
Email Address
Occupation
Status
Full Time
Part Time
Contract
Temporary
Commission
Seasonal
Casual
Self Employed
Unemployed
Employer's Name
Employer's Address
Unit No
/ Street No
Street Name
Suburb
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Work Phone Number
Date started?
Gross Annual Income
$
per year
Family Allowance etc.
$
per year
Investment Property Rental Income
$
per year
Do you have any other income?
Yes
No
Applicant 2 First Name
Mrs
Mr
Ms.
Miss
Dr
Prof
Other
Applicant 2 Middle Name
Applicant 2 Last Name
Gender
Female
Male
Relationship to Applicant 1
Spouse
Defacto
Family
Friend
Business Partner
Other
Address (as above
)
Unit No
/ Street No
Street Name
Suburb
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Date moved in?
Date of Birth
Driver's Licence Number
Exp
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Marital Status (as above
)
Single
Married
Defacto
Seperated
Divorced
Widowed
Other
Number of Children (as above
)
0
1
2
3
4
5
6
7
8
9
10
11
12
Telephone Home (as above
)
Applicant 2 Mobile Number
Applicant 2 Email Address
Applicant 2 Occupation
Status
Full Time
Part Time
Contract
Temporary
Commission
Seasonal
Casual
Self Employed
Unemployed
Employer's Name
Employer's Address
Unit No
/ Street No
Street Name
Suburb
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Work Phone Number
Date started?
Gross Annual Income
$
per year
Family Allowance etc.
$
per year
Investment Property Rental Income
$
per year
Do you have any other income?
Yes
No
Please tell us what you wish to do with the loan?
Amount you wish to borrow
$
for
How long do you intend to keep this loan?
Years, to
You may choose more than one of the following.
New Home Purchase
Yes
No
New Investment Property
Yes
No
Refinance Current Loan
Yes
No
Refi and Payout Other Debts
Yes
No
Build New Home
Yes
No
Free Up Equity
Yes
No
Refinance Business Debt
Yes
No
Buy Vacant Land
Yes
No
Reverse Mortgage
Yes
No
Self Managed Super Fund Loan
Yes
No
Other
Do you quailify for the First Home Owners Grant?
Yes
No
Not sure
Have you signed a Contract of Sale?
Yes
No
If Self Employed do you have your most recent tax returns?
Yes
No
Do you have credit defaults?
Yes
No
How would you like to acces your account?
Internet\BPay\Phone
Yes
No
Don't Care
Branchs
Yes
No
Don't Care
ATM\Eftpos\Debit Card
Yes
No
Don't Care
Cheque Book
Yes
No
Don't Care
Other