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Main Applicant Info
Main Applicant Privacy and Credit Reporting*
I have read and agree to LoanCentric’s Important Privacy Notice
- Yes
- No
Main Applicant Electronic Communication*
I consent to LoanCentric sending me a copy of my loan contract, credit guide, direct debit agreement and settlement document electronically.
- Yes
- No
Maximum Limit
I would like to know the total loan amount I may be eligible to borrow, based on the information I have provided and the lending criteria.
- Yes
- No
First Name*
Middle Name
Last Name*
Email Address*
D.O.B*
Gender*
Marital status*
No. of Dependents*
Mobile Phone*
Home Phone
Work Phone*
Amount of Loan*
Purpose of Loan*
Employer Name
Job Status
Income After Tax
Income Frequency
Accommodation (Monthly)
Other Living Expenses (Monthly)
Total Loan Repayments (Monthly)
Total Balance on all Existing Loans
Combined Credit Card Limits
Address
Street Address Address Line 2 Suburb State / Province / Region ZIP / Postal Code
Residential Status
Months at Address
Have you ever been bankrupt or have any paid or unpaid defaults or court judgements?*
- Yes
- No
If you answered 'Yes', please provide details:*
Are you applying for a joint application?
- Yes
- No
Join Applicant Info
Privacy and Credit Reporting*
I have read and agree to LoanCentric’s Important Privacy Notice
- Yes
- No
Electronic Communication*
I consent to LoanCentric sending me a copy of my loan contract, credit guide, direct debit agreement and settlement document electronically.
- Yes
- No
Maximum Limit
I would like to know the total loan amount I may be eligible to borrow, based on the information I have provided and the lending criteria.
- Yes
- No