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Loan Purpose? Refinancing/Consolidation Moving or Renovating Investing in Property First Home Buyer Pre-approval Building
Access to a minimum of $20,000. Yes No
Was this saved over 3 months or longer? Yes No
Current employment status? Full Time Employee Self Employed (min 12 months) None of the above
Do you have good credit history? Yes No
First Name:	Surname:
Email:
Contact No.:	Any Time Morning Afternoon Evening
Postcode:	Suburb/State:
Loan Amount: Minimum loan amount is $50,000
5% genuine savings? Yes - Other property is owned Yes - A cash deposit has been saved Yes - I own shares and other assets No
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First Name:	Surname:
Email:
Contact Number:	Time Any Time Morning Afternoon Evening
Postcode:	Suburb: Suburb/State:
Gender: Male Female	Smoker: Yes No
Date of Birth
DD MM YYYY Height (cm) Weight (kg)
Occupation:
Partner's details First Name: Surname: Gender: Male Female Smoker: Yes No Date of Birth DD MM YYYY Height (cm) Weight (kg) Occupation:
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Income Protection    TPD Insurance    Trauma Insurance    Life Insurance
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