Business Finance Enquiry

Type of Customer
Type of Business
Business Name
Registered Address
Street Address
Contact Person Name
Full Name*
Date of Birth Date Selector
Contact Number
Email Address
Home Address
Industry Type
Please tell us about your industry
Finance Required for
Amount of Finance Required
(Loan Amount less Deposit)
Security Being Offered/Purchased
Additional Comments
If you have any other additional comments please let us know here
Loan Purpose
Loan Amount
Loan Deposit
Term Required
Repayment Frequency
Repayment Amount
My preferred email address for communication is
My preferred mobile number for receiving SMS/text message notifications is
Note: Please notify Dorchester Finance in writing if you do not wish to receive any promotional material about services and products offered by Dorchester Finance and its associated group of companies. If no such request is received from you we will take it that you have accepted and agreed to Dorchester Finance using your personal information for these purposes.



I understand that there is no obligation to provide personal information but failure to do so may prejudice my chance of obtaining finance.  I declare that the information contained in this application is true and correct
I authorise Dorchester Finance Limited and all related companies (as defined in the Companies Act 1993) to use and disclose the personal information I have provided to undertake all necessary enquiries and request, collect, check and exchange information (both now and in the future), including but not limited to personal, commercial and financial information about me and references, from:
- Any Credit Reporting Agency credit provider,
The NZTA (NZ Transport Agency),
Ministry of Justice,
- my employer(s),
- accountant,
- or any other source,
For the purposes of assessing my creditworthiness, providing credit to me, administering and enforcing this Agreement, offering me insurance, maintaining credit records with Dorchester Finance Limited, a related company and external agencies, marketing goods and services provided by Dorchester Finance Limited, a related company or any other supplier nominated by us. 

I also authorise Dorchester Finance  Limited to disclose information about any loan arising out of this application to any potential assignee of this loan, guarantor or to any person providing services in connection with refinancing this loan, or to any person or organisation I have authorised to obtain information, at any time in the future.

I also understand and agree that in order to facilitate a Credit Reporting Agency’s credit reporting services Dorchester Finance Limited will disclose to such agency information about me for that purpose, including any updates of such information. The Credit Reporting Agency will hold that information on their systems for that purpose. If I default in my payment obligations to Dorchester Finance Limited, I understand that the information about that default may be given to any Credit Reporting Agency and they may give that information about my default to other Credit Reporting Agency customers.

I also understand that:
- Dorchester Finance Limited will meet its obligations to me under the Privacy Act 1993;
- such information will be held by Dorchester Finance Limited at their business address and by other parties for the purposes described above;
- I have the right to access and correct personal information held about me in accordance with the Privacy Act 1993.

I confirm that I do not have any outstanding traffic, parking or other fines, do not have a criminal record and am not an undischarged bankrupt.

Personal Property Securities Act 1999
I waive my right to receive Verification Statements or Financing Change Statements under the PPSA.  I acknowledge that I am able to request such statements by contacting Dorchester Finance Limited in writing.

Electronic Communication: I agree that Dorchester Finance Limited may use electronic communication (including email and SMS/text message) for the purpose of making disclosure to me pursuant to the Credit Contracts and Consumer Finance Act 2003, providing me with notices and/or changes to Dorchester Finance Limited Terms and Conditions and/or any other reason such as marketing of services and products.
 I/We have read, understood and accept these terms and conditions
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