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1. Applicant Information

Previous Finance Details

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2. Address & Employment

Address Details

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Employment Details

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3. Contact Details

Next of Kin Details (NB - Must not live at the same address as you)

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Another Contact's Details (eg. Friend, Workmate etc)

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4. Financials

Income

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Applicant 1

Applicant 2 / Partner Income

Assets

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Property 1

Property 2

Vehicle 1

Vehicle 2

Other Assets

Outgoings (IE. Your expenses and repayments)

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Expenses

Loan Repayments

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5. Loan Details

Other Information

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I am also interested in a regular service plan

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The Privacy Act 2020

I/we authorise Prime Lending* to collect, retain and use the personal information about me/us, for the purposes of:

• Assessing my/our credit worthiness;
• Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Prime Lending’s rights thereunder;
• Marketing and/or informing me/us about the goods and services provided by Prime Lending

I/we authorise Prime Lending to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Prime Lending to provide this information:

• To any person for the foregoing purposes;
• To any employees and agents of Prime Lending and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
• To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Prime Lending about me/us and to request that this information be corrected. The information will be held at the office of Prime Lending, 196 Wairau Road, Wairau Valley, Auckland or the registered offices of any party nominated by Prime Lending.

*Prime Lending and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.