Personal Loan Application Application For Credit – Consents/Acknowledgments Untitled 1 Application For Credit – Consents/Acknowledgments (To be completed by individuals applying for personal or commercial credit) Privacy Protection of Information Privacy Act 1988 (Cth) In compliance with the Privacy Act 1988 (Cth) applicant parties to finance application should complete and return this to the below-named introducer/broker for the purpose of the Privacy Act. Name of Introducer: R P FINANCE AUSTRALIA PTY LIMITED ABN 21 097 347 307 1. - Acknowledgement and authority that credit information may be given to a Credit Reporting Agency I/we understand that Section 18E(8)(c) of the Privacy Act 1988 allows a credit provider, which the approached introducer may approach in arranging my/our finance (hereinafter the Approached Credit Provider), to give a credit reporting agency certain Personal information about me/us which I/we authorise the Approached Credit Provider to do. The information which may be given to an agency is covered by Section 18E(1) of the Act and includes: Identity particulars (as permitted by the Act). The fact that I/we have applied for credit and the amount. The fact that the Approached Credit Provider is a credit provider to me/us. Payments which become overdue more than 60 days. Advice that payments are no longer overdue. Cheques drawn by me/us which the Approached Credit Provider has dishonoured more than once. In specified circumstances, that in the opinion of the Approached Credit Provider, I/we have committed a serious credit infringement. That finance provided to me/us by the Approached Credit Provider has been discharged. 2. - Obtain certain credit information To enable the Approached Credit Provider to assess my/our application for personal or commercial credit, I/we authorise the Approached Credit Provider: To obtain from a credit reporting agency a credit report containing personal information about me/us in relation to my/our application for personal credit. To obtain from a credit reporting agency a credit report containing personal credit information about me/us in relation to my/our application for commercial credit. This in accordance with Section 18K(1)(b) of the Act. To obtain a report containing information about my/our commercial activities or commercial credit worthiness from a business which provides information about the commercial credit worthiness of a person in relation to an application for personal credit. This is in accordance with Section 18L(4) of the Act. To obtain a report from a credit reporting agency and other information in relation to my/our commercial credit activities. 3. - Exchange of information with other credit providers In accordance with Section 18(N)(1)(b) of the Act, I/we authorise the Approached Credit Provider to give to and obtain from credit providers named in this credit application and credit providers that may be named in a credit report issued by a credit reporting agency information about my/our credit arrangements. : I/we understand this information can include any information about my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act 1988. I/we understand the information may be used for the following purposes: To assess an application by me/us for credit. To assist me in avoiding default on my credit obligations. To notify other credit providers of a default by me. To assess my credit worthiness. 4. - Banker’s opinion I/we authorise the Approached Credit Provider to give and receive a Banker’s Opinion for purposes connected with my/our business, trade or profession. 5. - Disclosure of information to guarantors/s In accordance with Section 18N(1)(bg) of the Act, I/we authorise the Approached Credit Provider give to the guarantor/s who have provided or intend to provide a guarantee, a copy of the letter of offer and credit information that is relevant to: Those persons deciding whether to act as guarantor for the loan. Enforcement or proposed enforcement of the guarantee/s. The amount or possible amount of the Guarantor/s liability under the Contract of Guarantee. 6. - Authorisation to Act on Behalf of Individuals In accordance with Sections 18H(3) and 18N(1)(ga) of the Act, I/we authorise the Introducer to: Obtain on my/our behalf a report or information about my/our consumer or commercial credit worthiness from a credit reporting agency or a commercial credit reporting business or from the Approached Credit Provider in connection with my/our application for the finance described below. Pass on such reports and information to the Approached Credit Provider for the purpose of assessing my/our application for finance described below, and to give to and receive from such persons as are relevant to the arranging of the finance any personal information about me/us as may be necessary to the arrangement. I understand and consent to the above disclosure *I agreeI do not agree PURPOSE OF LOANI/We require finance for *Car/Boat/CaravanPlant & EquipmentHome Purchase price/cost: * Deposit: * Loan amount: * Loan term required in months: * Comments: Maximum words allowed: 50. Total words: 0 Is this an individual or joint application? IndividualJoint PRIMARY APPLICANTFirst name * Middle name Last name * Home phone * Mobile * DOB * Drivers license no: * License expiry date: * Email: * Status *SingleMarriedDe-factoDivorced Number of dependents * Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Period at this address - years * Months * Lived at this address for less than three years? *NoYes Previous address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Period at previous address - years months Residential status Own homeMortgagedRentingBoarding Name of landlord Monthly rental/board Landlord's phone number Full name of nearest living relative * Phone of nearest living relative * Referee full name * Referee phone number * Employment historyEmployer name * Employer phone * Current position * Monthly net salary * Contact name to confirm employment * Period employed years * months Employed with current employer less than 3 years? *NoYes Previous employer Previous employer phone Previous position Previous period employe in years months OtherCurrent bank * Branch name * Accountant Accountant contact name Accountant phone PARTNER'S DETAILSFirst name Partners middle name Partners last name Partners DOB Partners license number Partners license expiry date Partners email Partner's Employment HistoryPartner's employer Partner's employers address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Partner's employers phone Partner's current position Partner's current salary Partner's employment in years months Partner employment period less than 3 years NoYes Partner's previous employer Partner's previous employers phone Partner's previous employment years months ASSETS AND LIABILITIESAssetsCash at bank Property (current value) Property one address Property one value Property two address Property two value Plant and equipment value Motor vehicles Make and model (one) Year made (one) 201720162015201420132012201120102009200820072006200520042003200220012000Pre 2000 Current value (one) Make and model (two) Year made (two) 201720162015201420132012201120102009200820072006200520042003200220012000Pre 2000 Current value (two) Housesold contents: (Insured value) Other assets: (Shares, Superannuation, etc) Asset (one) Asset value (one) Asset (two) Asset value (two) LiabilitiesMortgages on property Mortgage to (one) Mortgage approx amount owing (one) Mortgage monthly payment (one) Mortgage to (two) Mortgage approx amount owing (two) Mortgage monthly payment (two) Amount owing on cars Car loan (one) - Lender Car loan approx amount owing (one) Car loan monthly payment (one) Car loan (two) - Lender Car loan approx amount owing (two) Car loan monthly payment (two) Plant & equipment loan - Lender Amount owing on plant and equipment Monthly payment on plant and equipment Credit card limits VISA total limit Mastercard total limit Amex total limit VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank