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Do not apply if you are a Centrelink recipient, unemployed or self- employed
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Address
Address Line 1
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State / Province / Region
Postal Code
Phone
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Email
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Driver's License Number
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Medicare Card Number
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Employer Name
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Employer Phone
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Net income/Month
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Bank Name
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BSB
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Account No
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Loan amount required
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Existing Outstanding Loans:
Total Amount
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Number of Outstanding Repayments
Specific Repayment Amounts and Dates:
Date
Amount to be repaid
Date
Amount to be repaid
Date
Amount to be repaid
Date
Amount to be repaid
I have considered and included all the following expenses in the above Other Monthly Expenses : Food/Groceries, Electricity, Phone, Internet, Clothes, Pharmaceutical, Entertainment, Transport, Petrol, Car Rego, Insurance, Maintenance and Loans, Credit Cards, Personal Loans, Other Loans
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Yes
No
Do you see anything in your foreseeable future that may affect your ability to repay this contract. (Ie - The arrival of a new baby, an addiction such as gambling, a current employment contract finishing, etc.)
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Yes
No
I confirm that I will use the loan for
*
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Home improvements / renovations
Domestic White goods
Relocation expenses
Rental bond
Travel expenses
Unexpected medical expenses
Unexpected car expenses
Education
Weddings, Funerals, Family gatherings
Vet bill
Unexpected bills such as fines, legal, accounting
Other ( fill below, can not be essential expenses such as food , rent or regular bills)
Other ( fill below, can not be essential expenses such as food, rent or regular bills)
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Electronic Signature
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Clear Signature
Date
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Checkboxes
*
I confirm that I read and understood the
Credit Guide May 2022
.
Terms & Conditions of Credit Contract
Tilmak Pty Ltd trading as The Money Centre Melbourne City, ABN 74054353954, Australian Credit License 395052
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Home
About Us
Cash Loans
Responsible Lending
How can I get a Cash Loan
Services
Fully On-line Process
Fees
Faq
Contact Us
Application