Loan Details

Online Loan Application

1. Loan Details

Full Name *

Member Number

Are you a member? *

YesNoPast Member

Purpose of this Loan

Amount Required for Loan

Purchase Price (If Applicable)

Please List Details

Please complete either of the following preferred items.

A. Preferred Term

Years

Months

B. Preferred Repayment

Amount

Repayment Cycle

Method of Repayment

The credit which I am applying for is

Are you a guarantor for another persons loan?

If the loan is for a housing loan, are you a first home borrower?

Primary Member

2. Primary Member

Personal Particulars

Please answer all questions as it is illegal for us to use information previously supplied.

Title

Given Names *

Surname *

Current Residential Address

City

State

Postcode

Length of Current Residency - Years

Months

Current Residential Status

Current Mailing Address

Previous Residential Address

City

State

Postcode

Length of Previous Residency - Years

Months

Home Phone

Work Phone

Mobile Phone

Home Fax

Email Address *

Date Of Birth

Number of Dependents

Ages of Dependents

Drivers Licence Number

Drivers Licence Expiry

Employment Details

Current Employer

Your Occupation

Current Term of Employment - Years

Months

Current Employment Status

Name of Contact

Telephone Number

Previous Employer

Previous Occupation

Previous Term of Employment - Years

Months

Previous Employment Status

Other Contacts (List The Names And Addresses Of Two Relations In Australia)

Contact 1

Name

Address

Telephone

Relationship

Contact 2

Name

Address

Telephone

Relationship

Co-Borrower

3. Co-Borrower

Personal Particulars

Title

Given Names

Surname

Current Residential Address

Postcode

Length of Current Residency - Years

Months

Current Residential Status

Current Mailing Address

Postcode

Previous Residential Address

Postcode

Length of Previous Residency - Years

Months

Home Phone

Work Phone

Mobile Phone

Home Fax

Email Address

Date Of Birth

Number of Dependents

Ages of Dependents

Drivers Licence Number

Drivers Licence Expiry

Employment Details

Current Employer

Occupation

Current Term of Employment - Years

Months

Current Employment Status

Name of Contact

Telephone Number

Previous Employer

Previous Occupation

Previous Term of Employment - Years

Months

Previous Employment Status

Other Contacts (List The Names And Addresses Of Two Relations In Australia)

Contact 1

Name

Address

Telephone

Relationship

Contact 2

Name

Address

Telephone

Relationship

Income

4. Income

You will need to provide 3 recent payslips for each applicant and confirmation of other income, or last two years’ tax returns for self-employed applicants.

Net Income (Current Employer)

Primary Member

Frequency

Co-Borrower

Frequency

Pension

Primary Member

Frequency

Co-Borrower

Frequency

Family Allowance

Primary Member

Frequency

Co-Borrower

Frequency

Parenting Allowance

Primary Member

Frequency

Co-Borrower

Frequency

Maintenance

Primary Member

Frequency

Co-Borrower

Frequency

Rental Income

Primary Member

Frequency

Co-Borrower

Frequency

Second Job

Primary Member

Frequency

Co-Borrower

Frequency

Assets

5. Assets

Home

Amount

Details/Address

Name of Financier

Investment Property

Amount

Details/Address

Name Of Financier

Vacant Land

Amount

Details/Address

Name of Financier

Motor Vehicle 1

Amount

Name of Financier

Year

Make and Model

Rego Number

Insurance Co.

Type of Cover

Motor Vehicle 2

Amount

Name of Financier

Year

Make and Model

Motor Vehicle 2 Rego Number

Insurance Co.

Motor Vehicle 2 Type of Cover

Motorbike

Amount

Details

Name of Financier

Furniture

Amount

Details

Amount

Details

Savings - Credit Union

Amount

Details

Savings - Other

Amount

Details

Superannuation

Amount

Details

Boat/Caravan

Amount

Details

Name of Financier

Other - Please List

Amount

Details

Name of Financier

Liabilities

6. Liabilities

You will need to provide statements etc to confirm all debts listed below including any Credit Cards held.

First Mortgage

Owed To

Repayment

Frequency

Balance

Limit

Investment Mortgage

Owed To

Repayment

Frequency

Balance

Limit

Mortgage

Owed To

Repayment

Frequency

Balance

Limit

Rent/Board

Owed To

Repayment

Frequency

Personal Loan

Owed To

Repayment

Frequency

Balance

Limit

Personal Loan

Owed To

Repayment

Frequency

Balance

Limit

Credit Card

Owed To

Repayment

Frequency

Balance

Limit

Credit Card

Owed To

Repayment

Frequency

Balance

Limit

Store Card

Owed To

Repayment

Frequency

Balance

Limit

Lease

Owed To

Repayment

Frequency

Balance

Limit

Overdraft

Owed To

Repayment

Frequency

Balance

Limit

Maintenance

Owed To

Repayment

Frequency

Balance

Limit

Other (After Pay, Zip Pay etc.)

Owed To

Repayment

Frequency

Balance

Limit

Living Expenses

7. Variable Living Expenses Declaration

Standard Expenses

Food and Groceries

Amount

Frequency

Rates

Amount

Frequency

Water Rates

Amount

Frequency

Electricity

Amount

Frequency

Gas

Amount

Frequency

Phone

Amount

Frequency

Fuel

Amount

Frequency

Mobile Phone

Amount

Frequency

Building and Contents Insurance

Amount

Frequency

Car Registration

Amount

Frequency

Car Insurance

Amount

Frequency

Other Registration (Caravan, Boat, Motorcycle etc.)

Amount

Frequency

Other Insurance (Caravan, Boat, Motorcycle etc.)

Amount

Frequency

School Fees

Amount

Frequency

Hospital and Medical Fund

Amount

Frequency

Chemist

Amount

Frequency

Other

Amount

Frequency

Discretionary Expenses

Pay TV Subscription

Amount

Frequency

Other Subscriptions and Memberships

Amount

Frequency

Entertainment

Amount

Frequency

Vet Fees

Amount

Frequency

Holidays

Amount

Frequency

Other

Amount

Frequency

Consent

8. Consent for Electronic Delivery of Statements & Notices

I consent to your giving me documents such as loan offers (in the form of a contract for us to accept), precontractual documents, statements, and notices electronically.

By consenting to receive these documents electronically, I understand that:

you may not give me these documents in paper form in the future
I need to regularly check for electronic communications from you e.g. via emails, SMS and/or internet banking alerts
I can withdraw this consent at any time and revert to receiving paper documents in the post

For loan documents, I understand that you must sign any loan offer you make to me.

I consent to that requirement being met by your attaching the offer document to an email addressed to me.

Applicant One Email Address

Applicant Two Email Address

Agreement

9. Agreement

I/We hereby authorise my/our employer/s and/or accountants and/or real estate agent to divulge personal information to Central West Credit Union on their request.

I/We agree to re-imburse the credit union for expenses incurred by the credit union in:

obtaining a valuation, even if the credit union decides not to approve the loan.
preparing security documents even if we do not complete the loan for any reason at all

Credit Reports for Commercial Loan Applicant Applications

By submitting this application you expressly consent to our obtaining a credit report containing your credit information in order to assess your commercial loan application.

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