Customer Details

Applicant 1 Details
Name
Date of birth (dd/mm/yy)
Drivers license
Expiry date(dd/mm/yy)
Marital status
Number of dependants	Ages
Best contact number
First home buyer?
Permanent resident?
Self employed?
Current address
How long at current address?	months
Previous address (if less than 3yr current)
How long at previous address?	months
Current employer
Occupation
Time at employer (if less than 3mths please specify commencement date)	months
Previous employer (if less than 3yr at current)
Occupation
Time at previous employer	months
Gross anual income
Other annual income (Fam.All)
Reason for finance

Applicant 2 Details
Name
Date of birth (dd/mm/yy)
Drivers license
Expiry date(dd/mm/yy)
Marital status
Number of dependants	Ages
Best contact number
First home buyer?
Permanent resident?
Self employed?
Current address
How long at current address?	months
Previous address (if less than 3yr current)
How long at previous address?	months
Current employer
Occupation
Time at employer (if less than 3mths please specify commencement date)	months
Previous employer (if less than 3yr at current)
Occupation
Time at previous employer	months
Gross anual income
Other annual income (Fam.All)

Statement of assets and liabilities

Property address(s) (if properties cross securitised please * )
	Lender	value	Monthly Payment	Monthly Rent	Balance Owing
Property 1
Property 2
Property 3
Property 4
Motor vehicle and other assets (include year, make and model)
	Car Make		Car Model

	Lender	Card type	Card Limit	Monthly Payment	Balance Owing
Credit/Store Cards (if cards are swept monthly * )

Savings accounts	Bank		Balance

Shares (if margin lend please)			value

Superannuation/Life Insurance			Face value
Other assets			value

How did you hear about us? (Optional)