Loan Application Form | Loan Apply Online

General details

Tell us what you require

Application Type

I'm applying for myself Joint Application I'm a Guarantor

Loan amount required $

What do you want this loan for?

How long do you want the loan for?

Repayment Frequency

Promo Code

About You

Title

First Name

Middle Name

Surname

Preferred name (or nickname)

Date of Birth

Living status

Driver License Type

Contact details

Your email

Email Confirmation

Mobile Phone

Home Phone

Work Phone

Best way to contact you

How did you hear about us?

Where do you live?

Street Address

Suburb

City

Area

Time at this address years

KiwiSaver

Do you have KiwiSaver? Yes No

Do you know what Kiwisaver fund your in? Yes No

Do you know how member tax credits work? Yes No

As part of our verification process we will also perform a credit check against your name. Please tell us about any matters we may find helpful including any bad credit issues.

I have read and accept the Term & Conditions and Privacy Statement