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Personal Loan Application Form
( Applicant Details )
(PRIMARY APPLICANT)
(SECONDARY APPLICANT - PARTNER)
Are you Australian Citizen?
Yes /
No
Permanent Resident
Yes /
No
Country of citizenship
Are you Australian Citizen?
Yes /
No
Permanent Resident
Yes /
No
Country of citizenship
PS. Personal loans are only available to Australian Residents
PS. Personal loans are only available to Australian Residents
1. Personal Details
1. Personal Details
Title
Gender
Mr
Mrs
Miss
Other
Male
Female
Given Name
Date of Birth
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
Middle Name
Lic/Paspt. No.
Last Name
Expiry Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
Marital Status
Dependents
Tel (H)
Tel (W)
Tel (M)
E-mail
2.Loan Purpose
LoanAmount
Payment Options
Monthly
Fourth Nightly
Weekly
Loan Purpose
Loan Terms
01 year
02 years
03 years
04 years
05 years
06 years
07 years
3. Referee Details
Details of your nearest relative or friend living in Australia but not living with you.
Please let this person know that their information may be used if we need to contact you.
Full Name
Relationship
Residential Address
State
Postcode
Contact No.
4.Contact Details
Title
Gender
Mr
Mrs
Miss
Other
Male
Female
Given Name
Date of Birth
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
Middle Name
Lic/Paspt. No.
Last Name
Expiry Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
Marital Status
Dependents
Tel (H)
Tel (W)
Tel (M)
E-mail
2.Loan Purpose
LoanAmount
Payment Options
Monthly
Fourth Nightly
Weekly
Loan Purpose
Loan Terms
01 year
02 years
03 years
04 years
05 years
06 years
07 years
3. Referee Details
Details of your nearest relative or friend living in Australia but not living with you.
Please let this person know that their information may be used if we need to contact you.
Full Name
Relationship
Residential Address
State
Postcode
Contact No.
4.Contact Details
Current Residential Address
Suburb
State
Postcode
Status
Renting
Boarding
With parents
Other pl.specify
Landlord Address
Suburb
Postcode
Telephone no
Move In Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
If less than 3 years, previous address
Suburb
State
Postcode
Status
Renting
Boarding
With parents
Other pl.specify
Move In Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
Current Residential Address
Suburb
State
Postcode
Status
Renting
Boarding
With parents
Other pl.specify
Landlord Address
Suburb
Postcode
Telephone no
Move In Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
If less than 3 years, previous address
Suburb
State
Postcode
Status
Renting
Boarding
With parents
Other pl.specify
Move In Date
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
Febraury
March
April
May
June
July
August
September
October
November
December
If your loan is approved, pls. Specify some
details from where & how you want to withdraw money?
Bank Name & Branch
BSB No.
Account No.
Name
If Bank cheque, give name
If your loan is approved, pls. Specify some
details from where & how you want to withdraw money?
Bank Name & Branch
BSB No.
Account No.
Name
If Bank cheque, give name
C O N D I T I O N S A P P L Y
Contact: Head Office Sydney
Mob:61(0)417 417 498, Ph:61(2)9603 3126
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customerservice@gnhomeloan.com.au
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