Custom Finance

Get a pre approval on your new loan, fill in the secure form below to apply. All information is private and will not be shared with any over company.

Personal Information

No. of Applicants:
Full Name:	Applicant 1
Date of Birth:	Applicant 1
Full Name:	Applicant 2
Date of Birth:	Applicant 2
Marital Status:
No. of Dependants:
Drivers Licence 1:	Expires:
Drivers Licence 2:	Expires:
Address:
Suburb:
State:
Postcode/Zip:
Country:
Years in Present Home:	Months:
Present Employer:
Years & Months with Current Employer:	Months:
Previous Employer:
Years & Months with Previous Employer:	Months:
Home Phone:
Work Phone:
Fax Number:
Mobile Phone:
Email Address:

Type of Loan Required

Loan Type:

Income

Annual Income (before tax):	Applicant 1
Annual Income (after tax) :	Applicant 1
Annual Income (before tax):	Applicant 2
Annual Income (after tax) :	Applicant 2
Benefits/Centrelink:
Rental Income:
Other Details:
Total Monthly Income:(nett)

Liabilities / Credit Cards / Personal Loans

Name (e.g. bank name)	Amount/Month	Amount/Total
	mth
	mth
	mth
	mth

Bank Overdraft
Bank name:
Overdraft Limit:
Overdraft Used:

Assets
Name (e.g. bank account, boats, cars, land, buildings..)	Amount/Total

Your General Credit Rating:

All information set out in the Application and in any form supplemental to the Application is to the best of the Applicants knowledge true and correct and Select Finance will rely on the accuracy and truth of such information and may cancel any approval or offer of a Banking Facility and/or the Financier may demand repayment of a loan or overdraft which has been provided or cancel Visa Debit Access Card, if it believes such information is not true and correct.

Privacy Act Consent
I/We authorise Custom Finance WA or other persons providing advice acting on their behalf to act as my/our agent in seeking access to consumer credit information. This authority applies to enquires made in connection with an application or proposed application by me/us for credit and/or advice in relation to all existing credit.

I/We also authorise the disclosure of information in this questionnaire to finance providers to facilitate consideration/approval of the requested funding.

I Agree With The Above Terms And Conditions.

* Required Fields, Must Be Filled In