Apply For Car Finance Fields marked with an * are required Please enable JavaScript in your browser to complete this form.First Name *Last Name *Gender *MaleFemaleTransgenderEmail *Mobile Number *Date Of Birth *Residency Status *CitizenPermanentWork-visaStudentAddress *Date started living at the same address *Licence Type *FullLearnersRestrictedOverseas LicenceLicence number *Licence Version *Licence expiry date *Marital status *SingleMarriedDe-FactoDivorced/SaperatedNumber of Dependants *ZeroOneTwoThreeFourFiveSix PlusOccupation *Company name *Employment Status *Full TimePart TimeSelf EmployedBeneficiaryEmployment Start Date *Pay Frequency *WeeklyFortnightlyMonthlyIncome / Week / Month / Fortnightly *Rent *Any Loans *YesNoLicense Upload * Click or drag a file to this area to upload. Comments The Privacy Act 1993 * Privacy Declaration & Authorisation for the collection, Use & Disclosure of Information I/We understand and authorize that: The information received from me/us will be securely held by the introducing Dealer. I/We may access and correct this information under the Privacy Act 1993. The information may be used by the lender and/or the Dealer to consider my/our application for a credit account; administer, manage and monitor any credit account provided to me/us; conduct market research, data processing, and statistical analysis; and generally do business with me/us the lender and/or the Dealer may disclose information about me/us to its agents, contractors and/or to credit reference agencies for the purpose of obtaining a credit report on me/us. Those credit reference agencies may retain that information and provide it to their customers who use their credit reporting services. The lender and the Dealer may each obtain information and make such inquiries about me/us as each of them considers is warranted from any source including, but not limited to, employers, other credit providers, government departments, relatives, and credit reference agencies for the above purposes. I/We warrant that the information provided above is true and correct and I/W acknowledge it will be relied upon by the lender in evaluating whether or not to accept my/our application for finance. Checkboxes *ACCEPTSubmit Application Loan Calculator Weekly * $52.45 Loan amount: $10,000 Loan term: 5 years Interest rate: 12.95% Deposite: $0 Weekly Fortnightly Monthly