Apply Now How much would you like to borrow?* Please enter a number greater than or equal to 2000. What is the purpose of your loan?* Debt Consolidation Vehicle Unexpected Expenses Other Have you found the vehicle already?* Yes No How much do you earn?* Frequency* WeeklyMonthlyAnnual Do you have any paid or unpaid defaults in the last 12 months?* Yes No Unsure Are you currently employed?* Full Time Part Time Self Employed Other How long have you been in your current role?* Less than 1 year 1 year 2 years 3 years+ What is your living situation?* Home Owner Renter Other How long have you been at your current address?* Less than 1 year 1 year 2 years 3 years+ Would you prefer to make loan repayments weekly or fortnightly?* Weekly Fortnightly Thanks, let’s put a name to this First name:* Last name:* Your email:* Your phone number: How do you identify?* Male Female Other Marital Status:* Single In a relationship Married My date of Birth:* Day12345678910111213141516171819202122232425262728293031 Month123456789101112 Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Resisdency status* NZ Citizen Permanent resident Work Visa Student Visa What is your address?* Street Address Address Line 2 City Post Code Consent* I declare that I / we have read, understood and accept the privacy declaration. And that all the information contained in this application is true and correct. I / we also declare that I / we are over the age of 18 and are not an undischarged bankrupt.