Personal Information               Application Type: Individual Application Joint Application First Name:   Middle Name(s):     Last Name:   Date of Birth:                   Drivers Licence: Learner Restricted Full   Driver's Licence Number:   Version: Marital Status: Single Married Widowed De Facto Divorced Separated   Number of dependents:     Phone:   Mobile:     Email:       Residence Type: Own Renting Boarding Living with parents Address:   Suburb:     City:   Time at Address:       Previous Address:   Previous Suburb:     Previous City:   Time at Previous Address:       Occupation:   Employer:     Time at Job:   Employer Phone Number:       Previous Employer:   Time at Previous Job:       Other Contacts   First Name:   Middle Name(s):     Last Name:   Date of Birth:     Address:   Suburb:     City:           Phone:   Mobile:     Relationship:   First Name:   Middle Name(s):     Last Name:   Date of Birth:     Address:   Suburb:     City:           Phone:   Mobile:     Relationship: ASSETS   LIABILITIES     Home & Section:   Mortgage(s):     Furnishings:   Bank O/D:     Bank:   All HPs:     Car:   All Loans:     Investments:   Credit Cards:     Other:   Store Cards:       TOTAL ASSETS:   TOTAL LIABILITIES:     NET WORTH       INCOME   EXPENSES     Applicant net wages (after tax):   Mortgage/Rent payments:     Joint Applicant new wages (after tax):   HP/Credit accounts:     Other Income:   Rates/Phone/Power:       Insurance(incl Life):       Other Expenses (please specify):       TOTAL INCOME:   TOTAL EXPENSES:

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