1. Your personal details:
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Surname:
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First name:
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Date of birth:
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Email address:
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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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Tenancy:
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How long have you lived there?
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Previous Address:
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Tenancy:
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How many years did you live there?
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Relationship:
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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?
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Wages or Salary:
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Address:
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Phone:
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Contact Person:
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Previous Employer:
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How long?
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Wages or Salary:
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Address:
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Phone:
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Contact person:
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3. References:
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Nearest Relative (not living with you):
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Phone:
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Address:
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Relationship:
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Personal Contact:
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Phone:
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Address:
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4. Account References:
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Account References (Please list all previousor exsisting loans, credit cards etc):
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Previous Finance Co :
Other
Describe:
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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:
Other
Describe:
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6. Purchase Details:
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Purchase Price:
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Other Costs:
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Total Cost:
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Purpose:
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Applicants Contribution:
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Trade In:
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This Loan:
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Total Funding:
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Term of Loan :
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7. Trade in Details:
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Year of Manufacture:
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Make:
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Model:
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Registration expiry:
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Value of Trade:
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Less Settlement:
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Insurance Company:
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Settlement made out to:
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Net Trade in Value:
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8. Finance Details:
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Average Monthly Expenditure:
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Rent/Mortgages:
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Car Loan:
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H.P:
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Other Loan:
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This Loan:
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Total Expendature:
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Assets:
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House:
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Furnushings:
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Investments/Bank:
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Car:
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Other:
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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:
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Mortgage Outstanding:
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Store Cards:
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Credit Cards:
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Car Loan:
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Bank Loan/Overdraft:
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Other:
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Other:
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Other:
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Total:
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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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9. Co-Borrower:
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Are you applying for this loan:
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Your Co-Borrower's name:
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Are you applying for this loan with a co borrower?
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10. 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:
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