Personal Loan Application Thank you for choosing us. Please fill out this form. "*" indicates required fields 1Personal Details2Employment Details3Bank Statements4ID Check5Income & Expenses How Much Do You Need To BorrowPaid Back Over How Many MonthsWhat do you need the loan for*Please select oneVehicle ExpensesPurchasesTravel & EntertainmentMedical ExpensesUtility BillsDebt ConsolidationMoving HouseOtherName* First Name Middle Name Last Name Phone*Email* Date of Birth* MM slash DD slash YYYY Marital Status*SelectMarriedDefactoSeparatedDivorcedSingleOtherNo of Dependants*Select01234+Street* Suburb* State*SelectQLDNSWVICWATASNTACTPostcode* Years at Address*SelectUnder 1 Year1 Year2 Years3 Years4 Years5+ YearsProperty Status*SelectOwnRentBoardOtherLandlord/Agent Landlord/Agent PhonePrev Address* Years at AddressSelectUnder 1 year1 Year2 Years3 Years4 Years5+ YearsSuburb* State*SelectQLDNSWVICWATASNTACTPostcode* Employment Status*SelectFull TimePart TimeCasualSelf EmployedUnemployedRetiredTime In Years*SelectUnder 1 Year1 Year2 Years3 Years4 Years5+ YearsOccupation* Employer Name* Phone* Address* Suburb* State*SelectQLDNSWVICWATASNTPostcode* ABN* Prev Employer Address Suburb StateSelect OneQLDNSWVICWATASNTPostcode Company Name Prev StatusSelect OneFULL TIMEPART TIMECASUALRETIREDUNEMPLOYEDTime In YearsSelect OneUnder 1 Year1 Year2 Years3 Years4 YearsOccupation Employers Number In order to assess your loan we need your last 3 months of bank statements. This is a responsible lending practice, required by law before we can approve your loan. Please type your full name in the box below and follow the instructions.Please Enter In Your Name 90 days of statements for all accounts will be sent to CITILOANS GOLD COAST PTY LTD. This form uses 256-bit fully encrypted bank-level secure connection between you and your bank to quickly and easily deliver us a read-only copy of your bank statements. It is a legal requirement for all lenders to obtain a bank statement before paying out a loan. This is a one-time secure access and your details are never stored.Consent I Agree To continue please agree to the User Terms & Conditions and Privacy Policy.Enter Your Bank Name* Bank Username* Password* If you prefer. Email your bank statements to [email protected] Upload identification Please choose 3 forms of ID (one with a photo) to upload to our secure servers. Acceptable forms of ID are: Passport Birth Certificate Driving Licence Proof of Age Card Medicare Card Concession Card Centrelink Card Utility / phone bill Marriage Certificate Please take a photo or scan your ID then click on the choose file box below to attach. Accepted formats are Jpg, Png or PDF.Files* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 2 MB, Max. files: 5. Pay period*SelectWeeklyFortnightlyMonthlyIncome*Gov AssistancePlease input all expenses below as per your pay period. If you get paid weekly then please list all weekly expenses. If you get paid fortnightly please list all fortnightly expenses. If you get paid monthly please list all monthly expenses.Home LoanRentPersonal LoanCredit CardMedical ExpensesInsuranceFoodPhoneCar / TravelEntertainmentClothingOtherTotal IncomeTotal ExpensesDisposable IncomeEmailThis field is for validation purposes and should be left unchanged.
