Online Application

Note: This form will require approximately 5-10 minutes to fill-in.
*Required fields are - First name, Surname, at least one contact method and the Authorisation checkbox at the bottom of page. Make sure you read the declaration.

First name

Last name

Applicant 2 (if applicable)
First name

Last name

Company / Business (if applicable)

DOB
/ /

Sex

Driver Lic No.

Marital status

Any dependants

Unit / Number Street
/

Suburb

State

Post Code

Phone
e.g 08 88664433

Mobile
e.g. 0400 000 000

Employment situation:

Annual Gross Income

Please give Brief description of the nature of your work

Best Time to call you

Do you own or are you paying off your property

What product of ours would you like information on
or Other:

What is the approx value of your property

If more than 1 please select how many

What is the approx mortgage amount you owe at present
$ Repayments $

Do you have any credit rating defaults (are they paid or unpaid)

Do you have any current or past mortgage arrears in the last 6 month drop bar never, a few but up to date now , currently outstanding how much

Do you have any super; if so how much

Do you own any other assets if so please give brief description and value e.g. car value boat value, furniture value any cash in account

Do you have any credit card debt if so how much (and repayments)
$ Repayments $

Do you have any store cards if so how much
$

Do you have any cars loans if so how much
$ Repayments $

What is the amount of mortgage or loan amount you wish to request in dollar figure please:

Please click the checkbox to indicate that you authorise the following:

I/We authorise Redilend Australia or its agents to make such enquiries and take up such references, as it considers necessary in relation to my/our application. I/We also understand and agree that Redilend Australia and other intermediaries may be paid and retain fees, margins and commissions in respect of the credit arranged by Redilend Australia. If you do not provide personal information, Redilend Australia may be unable to provide you credit.

PRIVACY ACT AND PROTECTION OF PRIVACY CONSENT BY APPLICANT AND GUARANTOR PRIVACY ACT 1988

I/We acknowledge that I/we have made an application for credit from Redilend Australia.

Redilend Australia may use the personal information you provide about you for the purpose of providing credit and for direct marketing of products and services offered by Redilend Australia or an organization Redilend Australia are affiliated with or represents.

The information provided by you will be held by Redilend Australia and you can obtain information about it by contacting Redilend Australia. You have the right to request not to receive direct marketing material.

I/We agree that Redilend Australia and any other financier or manager who at any time provides or has any interest in the credit (all included in the term Redilend Australia can do any of the following at any time:

Commercial Credit Information: Seek and use commercial credit information about me/us to assess an application for consumer credit or commercial credit.
Consumer information: Seek or use consumer credit information about me/us to assess an application for commercial credit or consumer credit.
Collection of overdue payments: Seek and use a credit report about me/us provided by a credit reporting agency to collect overdue payments from me/us.
Provide information to mortgage insurer: Provide information to a mortgage insurer to assess the risk of providing mortgage insurance or to assess the risk of default.
Exchange of information between credit providers: Seek from and use or give to another credit provider (including without limitation any other credit provider who has lent money on the same security) any information about my/our credit worthiness, credit standing, credit history or credit capacity. In particular Redilend Australia may provide a bank opinion on me/us.
Exchange of information with advisers: Seek from and use or give to any originator, financial consultant, accountant, lawyer, or other adviser acting in connection with any financing provided or proposed to be provided to me/us any consumer or commercial credit information.
Provide information to credit reporting agencies: Give to a credit reporting agency personal or commercial information about me/us. The information may include identity particulars; the fact that credit has been applied for the amount: the fact that Redilend Australia is a current credit provider to you; payments which become overdue more than 60 days, and for which action is commenced: advice that payments are not longer advice that cheques drawn by you have been dishonoured more than once, in specified circumstances that in the opinion of Redilend Australia you have committed serious credit infringement: and the credit provided by you by Redilend Australia has been paid or otherwise discharged.
Provide information for securitisation: Disclose any report or personal information about me/us to another person in connection with funding financial accommodation by means of an agreement involving securitisation.
Provide information to guarantors: Provide information to any person who proposes to guarantee or has guaranteed repayment of any credit provided to me/us.
Disclosure of personal information: Disclose personal information about me/us to organizations involved in provided credit to me/us, or any other associate, or contractor of Redilend Australia, including for example, stationery printing houses, lawyers, accountants, or people considering acquiring an interest in your business or your assets.
Provide information regarding loan/s and mortgage/s: Verify and disclose details of loans/mortgages, including but not limited to, information regarding current balances, credit limits, outstanding legal costs, arrears and defaults.

	I have read and accept the Redilend Australia Privacy Statement I give my consent to the use and disclosure of my personal information, as provided in the Redilend Australia Privacy Statement. Further, I authorise that Redilend Australia may make such enquiries, collect, obtain and exchange information relating to this application. I understand that it is an offence to make a false or misleading statement.
	I acknowledge that the information provided by me is true and correct, and that Redilend Australia will use and rely on that information, as well as information obtained from a credit reporting agency as well as other sources, in order to make a determination about whether Redilend Australia will accept your offer.
	I understand that this application form is to provide information and collect information, and does not constitute an offer or acceptance of credit.

How did you hear about us: If other:

Additional Comments:

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*Please read our privacy policy