Apply | Auckland Finance

A. Loan Request

Amount Sought*

Loan Purpose*

Loan Purpose (Other)

B. Business Name And Address

Legal Name of Business*

Physical Address of Business*

Street Address Address Line 2 City Post Code

C. Personal Contact Details

First Name*

Last Name*

Residential Address

Your Residential Address*

Street Address Address Line 2 City Post Code

Date of Birth*

Housing*

Years & Months at Current Address

Drivers License Photo / Scan

Please upload a PDF or JPG version of your drivers license (both sides)

I'm not able to scan my drivers license

Drivers License Number

See section 5a of your license

Drivers License Version

See section 5b of your license

Email Address*

Mobile Phone*

How did you hear about us?

How you heard about us:

D. Privacy Act Declaration

I/we confirm that the information provided on this application for a loan/credit facility is true and correct. The information may be used by Auckland Finance Ltd (AFL) to assess the application for facilities, and administer and manage any facilities provided to the applicant and I/we acknowledge it will form part of any loan agreement that may be entered into. AFL may disclose information about me to its related companies, agents or contractors for the above purposes. I/We authorise AFL to disclose information about me to credit reference agencies for the purpose of obtaining a credit report on me. Those credit reference agencies may retain that information and provide it to their customers who use their credit reporting services. AFL may obtain information and make such enquiries about me as AFL considers warranted from any source and credit reference agencies for the above purposes.

Declaration*

Please tick to confirm you have read and accept the above Privacy Act declaration

Phone

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A. Loan Request

B. Business Name And Address

C. Personal Contact Details

Residential Address

D. Privacy Act Declaration