1. Your personal details:
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Surname:
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First Name:
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Email address:
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Date of birth:
of ,
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Do you have a New Zealand Residency?
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Home phone:
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Work phone:
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Cell phone:
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Home address:
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Current tenancy:
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How long have you lived there?
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Previous address:
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Previous tenancy:
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How many years did you live there?
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Marital status:
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Number of dependants:
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Drivers licence number:
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Type of licence:
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2.Employment Details:
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Present employer:
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How long with present employer?
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Present wages or salary:
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Present employers address:
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Present employers phone:
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Present employer contact person:
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Previous employer:
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How long with previous employer?
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Previous wages or salary:
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Previous employers address:
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Previous employers phone:
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Previous employer contact person:
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3. References:
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Nearest relative (not living with you):
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Nearest relative phone:
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Nearest relative address:
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Nearest relative relationship:
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Personal contact:
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Personal contact phone:
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Personal contact address:
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4. Account References:
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(Please list all previous or existing loans, credit cards etc):
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Previous finance co:
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Are these accounts still current?
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If yes; please specify:
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5. How did you hear of Oxford Finance:
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How did you hear of Oxford Finance:
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6. Loan amount and term:
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This loan amount:
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Term of loan:
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7. Finance Details:
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Average Monthly Expenditure
For fields that don't apply put a 'zero':
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Rent/mortgages:
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Car loan expenditure:
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H.P:
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Other loan expenditure:
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This loan expenditure:
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Total expenditure:
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Assets
For fields that don't apply put a 'zero':
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House:
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Furnishings:
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Investments/bank:
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Car:
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Other assets:
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Total assets:
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Average Monthly Net Income:
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Applicant:
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Other/source:
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Total income:
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Liabilities
For fields that don't apply put a 'zero':
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Mortgage outstanding:
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Store cards:
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Credit cards:
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Car loan liabilities:
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Bank loan/overdraft:
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Other liabilities:
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Total liabilities:
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Bank account details (for this loan):
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Bank:
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Branch:
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A/C number:
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8. Co-Borrower:
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Are you applying for this loan with a co-borrower?
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Your co-borrower's name:
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9. Privacy Act:
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Have you ever had or are there now any attachments or legal
proceeding against you, or any action for payment default?
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If yes state details:
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I/We certify that the particulars above are true and correct and that
I am over the ago of 18 years and am not an undischarged bankrupt.
Pursuant to the Privacy Act 1993 I/We authorize Oxford Finance to contact
any credit reporting agencies, credit providers, my/our employer/s,
accountant/s, or any other source to obtain, check and exchange (both now
and in the future) such personal, financial and commercial information
and references about me/us as is necessary for the purpose of considering
this application, or for any future application, the protection or
administration of any loan rising out of this application and to assist
in the enforcement of any agreement between me/us and any finance company.
I/We agree that you may produce this authority to such parties for the
purposes of collecting such information. Under the provisions of the Privacy
Act 1993, you are entitled to have access and request consideration to personal
information held against you.
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Date:
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Full name (of applicant):
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