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Applicant Applicaton
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

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
If you are completing a joint application today, please DO NOT use the same contact details (phone number and email address) for both applications. We require both applicant’s information, but we will use the information in the first application submitted as your primary contact details.

Please click on the SUBMIT button below to complete a join application