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Loan Amount*
Monthly Income*
Purpose of Loan* Select Purpose of LoanBusinessHome PurchaseCar PurchaseHolidayWeddingInvestmentPayday LoanStartupOther
How long do you need the loan for* Select Loan Years6 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15+ Years
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First Name*
Last Name*
Mobile Number*
Email Address*
Birth Date*
What is your credit score* (Dont Know Find out for Free)
Have you been bankrupt in the last 3 years? YesNo
Are you a Australian Resident? YesNo
Do you gamble online reguarly? YesNo
Do you own your own car? YesNo
have you been declined a loan by your bank? YesNo
Are you currently in financial hardship?? YesNo
