BSB: 802-143
02 4350 5255

Loan Enquiry

Your Personal Details


Home Address

Previous Home Address

Employment Details

Partner Personal Details


If under 24 months, state

Loan Details

Purpose of the Loan Amount
Existing Loan Balance*
Total Amount Required $0

Do you know of any changes to your circumstances in the future that will impact on your ability to make contracted repayments*?

Existing Debts

Items Financed Payable To Joint Debts Y/N Repayments Repayment Frequency Balance Limit
1st Mortgage
2nd Mortgage
Other Real Estate
Credit Union Loan
Personal Loan
Credit Card
Store Account
Child Maintenance

Existing Assets

Joint Asset?
$ Value


Terms and Agreements

Under the National Credit Code you may be liable to a criminal penalty if you make any false or misleading representation that is material to the Credit Union’s decision to approve this loan.

By Submitting this application you acknowledge the following:
  • I/We have read and agree to the Disclosure Statement (click to view)
  • I/We authorise the credit union to make any relevant enquiries into reference mentioned, my employer or any other credit provider
  • I/We acknowledge that a credit reporting agency report will be obtained.
  • I/We are comfortable with our ability to make repayments under the proposed loan without difficulty.
  • I /We hereby apply for a loan as above and certify that the foregoing statements are true and complete in every particular.


ABN 29 087 650 897
Australian Credit Licence 241716
Anzac Avenue Wyong NSW 2259
Phone: 02 43505224 Fax 02 43512594

Human Check

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* Compulsory Field.