Your Details

Reason for the loan

Full name

Email address

Telephone number

I confirm I am over 18 and a NZ resident.

Please complete all marked fields

Loan Details

Borrowing: £1000

Term: 1 month

Repayment
Interest
Total to Pay

Please describe why you need this loan

Do you already have a car in mind?

Vehicle registration number

List debts

Is this a second mortgage

Who holds your first mortgage?

Where are your expected funds coming from?

Is there a possibility of delay?

Purpose of business loan

What are you looking to purchase

How long has the business been operating?

Required documents

Valid ID

Proof of address

Proof of income

NZ Driving License (front)

NZ Driving License (back)

Bank statement

Business bank statement

Rates notice

Mortgage statement

Please complete all marked fields

Employment

Monthly Net Income

Employment

Name of Employer

Business name

Job title

Please complete all marked fields

Expenditure

You curently have left each month

No Expensese? Lucky you!

Monthly accomodation cost

Monthly utilities bills

Monthly cost of food and groceries

Estimated monthly cost of entertainment

Existing monthly loan repayments

Other Bills

Enter the total monthly amount of other bills

Please complete all marked fields

Accomodation

House/Flat number and road

Town

Postcode

Type of Residence

Time at Residence

Previous House/Flat number and road

Previous Town

Previous Postcode

Type of Residence

Time at Residence *

Please complete all marked fields

Co-borrower

Do you have a co-borrower

Co-borrower name

Co-borrower Email address

Co-borrower Telephone number

Please complete all marked fields

Declaration

I agree to the Terms and conditions.

This is just some gemeric words you can put on the page to explaon something. Useful if you want to add a caveat or some other condition that applies to a field.

Information given is accurate to the best of my knowledge.

Please complete all marked fields

Success

You successfully submitted the form

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Terms and Conditions

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