Loan Application for Existing customers
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.
Personal Details
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Drivers Licence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Dependant children {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Ages of children (e.g) 1,5,7 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Contact number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Living situation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Street Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Lived there for {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Landlord Name/ Person you board with {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Landlord Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Contacts - (Not living at the same address)
Contact Person (not living with you) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their relationship to you? (e.g. Mum, sister, friend) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
2nd Contact Person (not living with you) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Their relationship to you? (e.g. Mum, sister, friend) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Name of Employer or main source of Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Employer Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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 }
{binding displayValue}
-
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 }
{binding displayValue}
Amount you want to borrow {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Preferred payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Preferred frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Purpose of Loan (can't be bills or personal) For example: Car repairs, Power bill, Dental Bill {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Amount you want to borrow {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Preferred payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Preferred frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Year of car {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Plate number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Make + Model {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Income - the amount you receive in your bank account
Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Wages {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Benefit {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Benefit {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N WFF {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
CDA {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N CDA {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
C/Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Child Support {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Pension {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Pension {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Boarders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
ACC {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly ACC {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
TOTAL INCOME {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Expenses
Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Rent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Mortgage + Rates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Power {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Food {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone + Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Phone+ Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Phone+ Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Phone +Petrol {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Clothing Trucks {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other: Paid to {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other: Paid to {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N amount paid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Credit Card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Bank Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
MTF Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly MTF Loan {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Superloans {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Superloans {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Cash Converters {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Cash Converters {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Direct Cash Orders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Direct Cash Orders {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Instant Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Instant Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Afterpay (Total) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Afterpay {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
DTR {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly DTR {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Approx owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other Loan 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other Loan 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Who do you pay? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other paid to: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Other paid to: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
INCOME TOTAL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total Weekly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total F/N Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total Monthly Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
EXPENSES TOTAL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total Weekly Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total F/N Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Total Monthly Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
SURPLUS {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Weekly Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
F/N Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Monthly Surplus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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 }
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.
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.