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Main Applicant -
Personal Details
Title
*
Mr
Mrs
Ms
Miss
First Name
*
Middle Name
Last Name
*
Gender
*
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Residency Status
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Work Permit
Email
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Mobile Phone
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Date Of Birth
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Marital Status
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Dependants
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Driver License Type
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Driver License Number
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Driver License Version Number
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Driver License Expiry Date
*
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Main Applicant -
Residential
Residential Situation
*
Mortgage
Renting
Boarding
Living With Parents
HNZ
Address
*
Move In Date
*
Home Phone
Previous Address
*
Previous Address Move In Date
*
Reference One
Full Name
Mobile
Relationship
Email
Address
Reference Two
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Email
Address
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Main Applicant -
Employment
Employment
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Beneficiary
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ACC
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Casual
Seasonal Worker
Working for Families
Employment Start Date
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Employer Phone
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Employer Address
*
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Main Applicant -
Income
Income Type
Frequency
Amount
Provider
WINZ Benefit
Working for families
Salary/Wages after tax
Other Income
Sickness Benefit
Boarders Income
Weekly
Fortnightly
Monthly
Yearly
$
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Main Applicant -
Expenditure
Expense Type
Frequency
Amount
Paid To
Credit Card
Insurance
Living
Mortgage Repayment
Rates
Other
Bill Payment
Payslip deduction
Bank Fees
WINZ deduction
Board
Rent
Weekly
Fortnightly
Monthly
Yearly
$
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Loan Repayment Type
Frequency
Amount
Paid To
Remaining Balance
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Loan Details
Loan Amount
Deposit
Trade In Amount
Loan Term
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24 months
36 months
48 months
60 months
Loan Repayments
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