Note: You will need to upload a copy of your identification - We only need this if we don't hold current identification on file.(Drivers Licence / 18+ or Kiwi Access Card or Passport) just before submitting this loan application.Once you submit your application you will be asked to upload your bank statements via our automated system. First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Drivers Licence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dependant children {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Ages of kids (e.g) 1,5,7 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Contact number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Living situation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Street Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Lived there for {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Landlord Name/ Person you board with {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Landlord Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Contacts - (Not living at the same address)
Contact Person {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Their address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Their relationship to you? (e.g. Mum, sister, friend) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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2nd Contact Person {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Their address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Their relationship to you? (e.g. Mum, sister, friend) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of Employer or main source of Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you are in employment we might be able to offer Credit Related Insurance. Are you interested in this? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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-
Any relevant Credit Related Insurance information will be supplied to you, the applicant at time of application assessment but prior to signing any Loan Agreement.
-
You have indicated you are interested in Credit Related Insurance/Loan Repayment Waiver.
-
I have been advised approximate cost of insurance /repayment waiver based on the amount I would like to borrow.
Purpose of Loan (can't be bills or personal) For example: Car repairs, Power bill, Dental Bill {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Amount you want to borrow {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Purpose of Loan (can't be bills or personal) For example: Car repairs, Power bill, Dental Bill {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Amount you want to borrow {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Preferred frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Year of car {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Plate number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Make + Model {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Income - the amount you receive in your bank account
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Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Benefit {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Benefit {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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CDA {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N CDA {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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C/Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Pension {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Pension {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ACC {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly ACC {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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TOTAL INCOME {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
F/N Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Weekly Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
F/N Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone + Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Phone+ Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Phone+ Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Phone +Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other: Paid to {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other: Paid to {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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MTF Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly MTF Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Superloans {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Superloans {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cash Converters {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Cash Converters {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Direct Cash Orders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Direct Cash Orders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Instant Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Instant Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Afterpay (Total) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Afterpay {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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DTR {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly DTR {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other paid to: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other paid to: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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INCOME TOTAL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Weekly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total F/N Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Monthly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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EXPENSES TOTAL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Weekly Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total F/N Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Monthly Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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SURPLUS {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Weekly Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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F/N Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please upload the information required to progress your application. Alternatively you need to submit your application and provide the balance of information by calling our Napier or Hastings Office on 0800-232-788 or emailing to: fasttrackfinance@xtra.co.nz
Upload Identification - Only required if we don't already have current version on file) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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THE PRIVACY ACT 1993 – By accepting these terms and conditions: I (being the person named above) understand that all my personal information ("personal information") Fast Track Finance Hawkes Bay Ltd ("you") holds about me, whether now or in the future, will be used for any or all of the following purposes:To process and assess any request for finance I have made with you now or in the future; For the management, assessment or enforcement by you of any agreement and/or security I have with you; To assess my credit worthiness and financial position from time to time;To verify my identity as may be required from time to time by the Anti-Money Laundering and Countering Financing of Terrorism Act 2009 and regulations ("AML laws"); To collect any outstanding debt from me; To offer me further finance. To market your products and services and the products and services of your associated companies to me. Make enquiries about me, disclose personal information to any third party and/or obtain information about me that you consider necessary from any third party (including but not limited to government departments, my employer, and my landlord). In this regard I authorise any such third party to provide to you information about me that you consider necessary for such purposes; In particular the inquiries from third parties that I have authorised above include:
Accessing name and address information about me from the Motor Vehicle Register, even if I have previously advised the Motor Vehicle Register that I did not want that information to be disclosed; Making fines status queries about me to the Ministry of Justice. Where I have provided you with driver licence information for that purpose. I have done so voluntarily and understand that I am not obliged to do so.
Disclose information about me (where required) to your insurers, potential assignees, credit rating and credit reporting agencies including disclosing default information to any credit reporting, such as Veda Advantage ("Veda"); Obtain from Veda any information which it holds and which may assist you in verifying my identity as may be required by the AML laws; Use any of the information about me for the purpose of informing me from time to time about your products and services, and the products and services of your associated companies. I authorise you (for any of the purposes listed above) to: I understand that I have the right to access and correct personal information held by you by contacting you. I understand that all information you provide to Veda (including my default information) will be held by Veda for its credit reporting service and Veda may give such information to its customers who use its service, including customers to who Veda is permitted by law to disclose that information to assist them in verifying my identity as required by the AML laws. I also understand that I may access and correct the information held by Veda by writing to Veda at Private Bag 92156, Victoria Street, Auckland.
I declare that the information I have provided to you in any application for credit is correct and complete and I agree to immediately advise you of any change to any information contained in any such application. I understand that you reserve the right to decline any application for credit. I agree that personal information may be transmitted between ourselves or by you to any third party (for purposes set out above) using facsimile and / or electronic mail. I acknowledge that there are security risks associated with the electronic transmission of information. Once you push the submit button you will be directed to another part of our website to send us your bank statements.
Please follow these instructions and we will be in touch.