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Loan Details
Are you applying by yourself or with a partner?
With a Partner
By Myself
Do you and your partner live at the same address?
Yes
No
I/We have read and accept the following
Privacy Notice
Yes
How much would you like to borrow?
What will this loan be used for?
Select
Buying a Car
Debt Consolidation
Unsecured Personal Loan
What is the purpose of the loan?
Next
Your Details
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Gender
Male
Female
Date of Birth
Marital Status
Select
Civil Union
De Facto
Divorced
Married
Other
Separated
Single
Widowed
Residency Status
Select
Holiday Visa
NZ Citizen
Permanent Resident
Student Visa
Work Visa
Working Holiday Visa
Visa Expiry
How many dependants do you have?
This is anyone who is financially dependant on you
Select
0
1
2
3
4
5
6
7
8
9
10+
Preferred Contact Method
Select
Email
Mobile
Email
Confirm Email
Mobile
Do you have a copy of your ID with you?
Yes
No
No problem. It's very easy to upload a copy of your ID after finishing this application, however supplying these details now will result in a quicker decision.
Identifcation Details
Type
Select
18+ Card
Foreign Passport
NZ Drivers Licence
NZ Firearms Licence
NZ Passport
ID Number
(5a)
Version (5b)
Expiry Date
Partner's Details
Title
Mr
Mrs
Miss
Ms
First Name
Surname
Gender
Male
Female
Date of Birth
Residency Status
Select
Holiday Visa
NZ Citizen
Permanent Resident
Student Visa
Work Visa
Working Holiday Visa
Visa Expiry
Email
Confirm Email
Mobile
Do you have a copy of your ID with you?
Yes
No
No problem. It's very easy to upload a copy of your ID after finishing this application, however supplying these details now will result in a quicker decision.
Type
Select
18+ Card
Foreign Passport
NZ Drivers Licence
NZ Firearms Licence
NZ Passport
ID Number
(5a)
Version (5b)
Expiry Date
Back
Next
Address Details
Current Address
Time at Address
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
Living Arrangement
Select
Boarding
Home Owner - Fully Paid
Home Owner - Mortgage
Housing NZ
Living With Parents
Renting
How frequent is your rent/mortgage payment?
Weekly
Fortnightly
Monthly
How much is you rent/mortgage payment?
Mortgage Balance
Previous Address
Time at Address
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
Back
Next
Your Income
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Company Name
Occupation
Time Employed
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
How many years have you been on this benefit?
0
1
2
3
4
5+
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
Do you have previous employment?
Yes
No
Previous Employment
Company Name
Occupation
Time Employed
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
Do you have any other income?
Yes
No
Additional Income
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
+
-
Additional Income 2
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
+
-
Additional Income 3
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
Does your partner earn any income?
Yes
No
Partner Income
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
Partner's Income
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Company Name
Occupation
Time Employed
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
How many years has your partner been on this benefit?
0
1
2
3
4
5+
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
Does your partner have previous employment?
Yes
No
Previous Employment
Company Name
Occupation
Time Employed
Years
0
1
2
3
4
5
6
7
8
9
10
11
12+
Months
0
1
2
3
4
5
6
7
8
9
10
11
Does your partner have any other income?
Yes
No
Additional Income
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
+
-
Additional Income 2
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
+
-
Additional Income 3
Income Type
Select
Alternative Income
Salary/Wages
Superannuation
WINZ
Employment Type
Select
Casual
Contract
Full Time
Part Time
Seasonal
Self Employed
Temporary
Superannuation Type
Select
NZ Superannuation
Overseas Pension
Private Pension
Veterans Pension
WINZ Type
Select
ACC Benefit
Jobseeker Support
Other Benefit
Sole Parent Support
Supporting Living Payment
Alternative Type
Select
Border
Child Support
Commission
Interest
IRD
Rental
Student Allowance
Income Frequency
Weekly
Fortnightly
Monthly
Amount (After Tax)
Back
Next
Do you have any credit cards?
Yes
No
Credit Card
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Credit Card 2
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Credit Card 3
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Credit Card 4
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Credit Card 5
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Credit Card 6
Card Type
Select
American Express
Diners
Farmers Card
GEM VISA
MasterCard
Other
Q Card
VISA
Card Limit
Amount Owing
Do you want to consolidate this debt?
Yes
No
Do you have any existing loans?
Yes
No
Loan
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Loan 2
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Loan 3
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Loan 4
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Loan 5
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
+
-
Loan 6
Loan Provider
Amount Owing
Do you want to consolidate this debt?
Yes
No
Do you own any motor vehicles?
Yes
No
Motor Vehicle
Registration Number
+
-
Motor Vehicle 2
Registration Number
+
-
Motor Vehicle 3
Registration Number
Back
Apply Now
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