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FINANCE EASY

ONLINE FINANCE APPLICATION FORM

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Date of Birth
Day
Month
Year
Multi-line address
Length of time at current address?
Drivers License Type

This is the 3 digit number labelled 5b on your NZ drivers license

How soon do you need the loan?
Within 24 hours
Within 3 days
Within a week
Within 2 weeks
No rush / flexible timing
Current Employments Status
Full time
Part Time
Casual
Current Marital Status
Single
Married
De Facto
Current Living Status
Owner with Mortgage
Renting
Boarding
Other
Do you have dependents under the age of 18?
Yes
No
Length of time at with current employer?

Privacy Act 2020 Statement I/we authorise Online Finance NZ to collect, retain, and use personal information about me/us for the following purposes: • Assessing my/our creditworthiness. • Facilitating the financing, whether directly or indirectly, of my/our contract(s) and enforcing Online Finance NZ’s rights under those contracts. • Marketing and/or providing information about the goods and services offered by Online Finance NZ. I/we authorise Online Finance NZ to collect personal, financial, and commercial information about me/us from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) for the purposes outlined above. I/we authorise Online Finance NZ to provide this information: • To any person for the purposes outlined above. • To employees and agents of Online Finance NZ and/or any other party, in the ordinary course of business, for the purposes outlined above. • To credit agencies for maintaining accurate and effective records. I/we acknowledge that if I/we do not provide all or part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that under the Privacy Act 2020, I/we have the right to access any personal information collected by Online Finance NZ about me/us and to request corrections to that information. This information will be held at the office of Online Finance NZ or the registered offices of any nominated third party.

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