"*" indicates required fields 1Details of Loan2Residential Details3Employment Details4Assets & Liabilities5ID & Payslips6Sign & Finish! 🙂 Loan DetailsDetails as submitted by Applicant 1.Name of 1st applicant:* First Last Loan Amount*Loan Purpose Description of Goods:* Let's get to know youWhat's your name? (as it appears on your drivers licence)* First Middle Last What's your date of birth?*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What State is your driver's licence?*QLDACTNSWNTSATASVICWAWhat's your driver's licence number?* What's the drivers licence card number?* Licence expiry date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2029202820272026202520242023202220212020What's your marital status?*SingleMarriedDefactoDivorcedHow many dependants do you have?*012345678910More than 10What's your mobile phone number?*What's your email address? Enter Email Confirm Email Residential DetailsYou need to provide at least 3 years' worth of residential address details.In the last 3 years, how many places have you lived?01234More than 4What's your current address?* Street Address City State Postcode How long have you been at this address? (years)*012345678910111213141516171819202122232425More and 25(months)*01234567891011What's your residential status?*RentingMortgagedOwned (no mortgage)BoardingLiving With ParentsWhich bank is your home loan with?* How much rent or board do you pay each week?What are the contact details of your landlord?* Previous Address 1What was your previous address?* Street Address City State Postcode What's your residential status?*RentingMortgagedOwned (no mortgage)BoardingLiving With ParentsHow long have you been at this address? (years)*012345678910111213141516171819202122232425More and 25(months)*1234567891011Previous Address 2What was your previous address?* Street Address City State Postcode What's your residential status?*RentingMortgagedOwned (no mortgage)BoardingLiving With ParentsHow long have you been at this address? (years)*012345678910111213141516171819202122232425More and 25(months)*1234567891011Previous Address 3What was your previous address?* Street Address City State Postcode What's your residential status?*RentingMortgagedOwned (no mortgage)BoardingLiving With ParentsHow long have you been at this address? (years)*012345678910111213141516171819202122232425More and 25(months)*1234567891011HiddenResidential Count Tell us about your employmentWhat type of employment do you have currently?Full-TimePart-TimeSelf EmployedCasualContractCenterlink BenefitSelect your Benefit Type.*ABSTUDYAge PensionAssistance for Isolated Children SchemeAustudyBereavement AllowanceCarer AllowanceCarer PaymentCarer SupplementChild Care BenefitChild Care RebateCrisis PaymentDisability Support PensionFamily Tax BenefitMobility AllowanceNewstart AllowanceParental Leave PayParenting PaymentPartner AllowancePension Bonus SchemePensioner Education SupplementRemote Area AllowanceSickness AllowanceWidow AllowanceWidow B PensionWife PensionYouth AllowanceWhat is your benefit income?How often do you receive this income?*WeeklyFortnightlyMontlyYearlyIn the last 3 years how many places have you worked?*0123More than 3What's your ABN?* Do you work over 20 hours a week or under 20 hours a week?Over 20 HoursUnder 20 HoursWhat's your business's address?* Street Address City State Postcode What's your employer's name?* What's your employer's phone number?*What's your employer's address?* Street Address City State Postcode How long have you been employed for at this job? (years)*012345678910111213141516171819202122232425More than 25(months)*01234567891011What position do you hold?* What's your net (after tax) income per week?*Do you have any other forms of income? Tick all that apply. Centerlink Benifit Family Tax Benefit Trust Account Superannuation Benifit Non-Australian Pension Armed Forces Benefit Other Income Total Amount Received.*Total of all benefits you receive.How often do you receive this income?*WeeklyFortnightlyMontlyYearlyPlease upload your Centrelink INCOME STATEMENT.Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB.Your income statement is available from your MyGov account. HINT: Save your application while you log in to your MyGov.Previous Employer 1Who was your previous employer?* What position did you hold?* How long have you been employed for at this job? (years)*012345678910111213141516171819202122232425More than 25(months)*01234567891011Previous Employer 2Who was your previous employer?* What position did you hold?* How long have you been employed for at this job? (years)*012345678910111213141516171819202122232425More than 25(months)*01234567891011Previous Employer 3Who was your previous employer?* What position did you hold?* How long have you been employed for at this job? (years)*012345678910111213141516171819202122232425More than 25(months)*01234567891011Employment Count Tell us about your Assets & LiabilitiesWhat assets and liabilities do you have? Tick all that apply Property / Mortgage Investment Property Motor Vehicle Personal Loan Credit Card Shares Property / Mortgage*What's the value of the property?Which bank is your home loan with? How much is owing?What are the monthly repayments?Your Investment Properties:*What's the TOTAL value of your property/properties?TOTAL amount owing?*TOTAL monthly repayments?*How many motor vehicles do you have?12More and 2Motor Vehicle 1:*What's the current value?How much is owing?What are the monthly repayments?*Which bank is the loan with?* Motor Vehicle 2:*What's the current value?How much is owing?What are the monthly repayments?*Which bank is the loan with?* How many personal loans do you have?123More than 4Personal Loan 1. Who's the financier?How much is owing?What are the monthly repayments?*Personal Loan 2. Who's the financier?How much is owing?What are the monthly repayments?*Personal Loan 3. Who's the financier?How much is owing?What are the monthly repayments?*Personal Loan 4. Who's the financier?How much is owing?What are the monthly repayments?*How many credit cards do you have?123More than 4Credit Card 1. Who's the financier?What's the credit card limit?How much is owing on the credit card?Credit Card 2. Who's the financier?What's the credit card #2 limit?How much is owing on the credit card #2?Credit Card 3. Who's the financier?What's the credit card #3 limit?How much is owing on the credit card #3?Credit Card 4. Who's the financier?What's the credit card #4 limit?How much is owing on the credit card #4?Shares:What's the total value of your shares?Personal & Houshold Effects:What's the total value?Cash In Bank:What's the total value?Superannuation:What's the total value?What are your weekly living expenses?Food & Beverage:*Utilities - Electricity, Rates etc.:*Communication - Phone, Internet, Cable TV etc.:*Childcare & Education:*Travel & Transport - Including new asset, rego, petrol, bus/train fares etc.:*Insurance - including proposed asset, CTP, building, contents, health, income protection etc.:*Other:Please describe the other expenses: Total per week:Tell us about your previous credit historyHave you had any previous credit defaults?*YesNoWho was the default with?* Has it been paid?*YesNoWhy did the default occur?* Have you been declared bankrupt before?YesNoWhat were the bankruptcy details?* Please provide details of the bankruptcy, e.g. when it happened, and any supporting information related to being declared bankrupt.Have you applied for a credit through a payday lender in the last 12 months?YesNoWho through?* How Much?*What is the Balance owing?* IdentificationIf you upload your identification now it'll make your application go a lot faster!Upload a picture of the front of your drivers license*Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB.Upload a picture of the back of your drivers license*Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB.Picture or scan of your Medicare Card:*Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB.Picture or scan of your last pay slip:Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB.Picture or scan of your second last pay slip:Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 30 MB. Do you expect expect significant financial changes to happen over the term of the loan?*YesNo I would like a Comprehensive Insurance Quote based on the information I have provided. Please read and accept the Referral & Privacy Act Consent* I agree I have Read the Referral & Privacy Act Consent I have read and accept the FSG Credit Quote & Credit Guide* Confirm Privacy Act Consent Electronic Communications Consent FSG Credit Quote & Credit Guide Finance and insurance products quoted are general advice only Please consider if general advice is right for you. Declaration The applicant warrants that: 1. To the best of their knowledge, the information above is true and correct; and 2. they are not an undischarged bankrupt 3. 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