Consumer Loan Application Form

Must be 18+ years old with full time employment for min. 6 months to apply.

Motorcycle Make To Finance*

Loan Type*

Desired Loan Amount*

Please ensure that the proposed loan amount is in line with consumer needs.

Maximum Monthly Payment*

Please ensure that the proposed repayment amount is in line with consumer needs.

Preferred Loan Term*

If the maximum term selected is shorter than the proposed loan term, early termination fees will apply.

Would You Like To Place A Deposit?*

Yes

Yes, an amount to meet my maximum repayment requirements

If yes, what is your preferred deposit amount?

Please enter as $ amount or as % of loan amount

I'd Like To Finance Motorcycle Accessories or Add Ons & Gear*

Yes

Proof Of Identity*

Proof Of Identity Type If Not License:

Please indicate proof of identity provided if not license

Title*

First Name*

Middle Name

Last Name*

Date of birth

Email*

Phone*

Other Phone

Gender*

Marital status*

Please Indicate: Married, Single, De Facto, Divorced, Separated, or Widowed

# of Dependents*

Residency Status*

Residency Status If "Other"

Country/s of Citizenship*

Other Country/s of Residency

Where an individual resides other than Australia for greater than 3 months of the year

Driver's License #*

Driver's License State*

Driver's License Expiry*

Month/Day/Year

Primary Address*

If time at address is less than 2 years, please provide previous address

City

State/Region

Primary Address Start Date*

Month/Day/Year

Previous Address (If less than 2 years at current address)

Previous Address Start Date

Month/Day/Year

Residential Status*

Mortgage Owner

Rents

Living with Parent

Boards

Freehold-Owner

Other

Please Indicate If "Other"

Mortgage or Rental Monthly Cost*

Occupation*

Employer Name*

Time At Current Employer*

Employment Status*

Previous Employer (if less than 1yr with current employer)

Please Upload The Following To Expedite Your Quote (optional)

-Copy of driver's license (front & back)
-Copy of Medicare card
-2x Payslips (one within last 30 days)