Applicant

First Name Surname:

Date of Birth:

Address:

Phone/Mobile:     Email: 

Length of time at this address:     Owned / Rented:  

Application's previous address: 

Martial Status:
Married Defacto Single Other ..............................................................................................................................................................................


Employment

Occupation/Full/Part:     Hours work: 

Employer:     Employer's Address: 

Phone No: 

Accountant's name (only if self employed)     Phone No:  

Any criminal record:      Have you been Bankrupt:      ..............................................................................................................................................................................


Guarantor [only if applicable]

Full Name:     Relationship: 

Date of Birth:     Address: 

Phone/Mobile No: 

Employer:     Phone No:  ..............................................................................................................................................................................

Contacts

Next of Kin (not living at the same address) 

Address  

Phone/Mobile No  

Relative (not living at the same address) 

Address  

Phone/Mobile No:  

Friend (not living at the same address)  

Address  

Phone/Mobile No:   ..............................................................................................................................................................................


Credit Reference

Full Name:     Phone/Mobile No: 

Address: 

Amount Required:     Reason for Loan  

Security Offered  

Repayment Term (in months)     Deposit Paid: 

Monthly Living Expenses  

Income:  Weekly Fortnightly Monthly

Other Income* (specify)    *Specify other income  

Monthly Mortgage / Rent      Monthly Hire Purchases  

Other Monthly Expenses ** (specify) 

** Specify Other Monthly Expenses  

How did you hear about our company? 

Comment:
..............................................................................................................................................................................


I/We declare that I am over the age of 18 years and I/We warrant that the particulars and information set out herein are true and correct. I/We further acknowledge that the information provided will be rely upon by the lender to make a lending decisions and I/We further acknowledge that the lender may or may not choose to independently verify or checked with third parties to ascertain and verify all the information aspects are true and correct.
I/We declare that I/We am/are not formerly or currently adjudicated bankrupt, apply or enter into a No Asset Procedure, Summary Instalment Order or liable under any proceedings under the Insolvency Act 2006 and its amendments nor I have been convicted of any criminal offence and involving any dishonesty.
Privacy Act 1993 • I/We irrevocably authorise Blue Star Finance Ltd (BSF) to furnish and collect all personal information to third parties and make all necessary enquiries concerning my/our financial matters from any other parties and any source, including but not limited to all government/crown entities, other financial Institutions, credit rating agency, lawyers, accountants, employers and others. I/We authorise any party or entity approached by BSF to provide such information to Blue Star Finance Limited in due course.
I/We hereby acknowledge the necessity for Blue Star Finance Ltd to use this information for the purpose of 1) accurately assessing my current and future loan application requirements whether granted or not 2) and from time to time may request information as part of its administration and enforcement of the loan and other loan obligations under the loan agreement signed. 3) Assist with any other investigation, AML/CFT suspicious transaction reporting/monitoring to any government agency or lodging default with any such credit reporting source deemed necessary. Those sources may share this default information and your other information(s) lodged/reported with any other parties.


Agreement to the term above