Online Application Test

Difficult Loan Company / Online Application Test

Application Form

Step 1 of 4 - Your Details

Details of Your Spouse/Partner
TITLE*
- Mr
- Mrs
- Ms
- Miss
FAMILY NAME*
GIVEN NAME(S)*
DRIVERS LICENCE*
DATE OF BIRTH*
OCCUPATION*
WHAT IS THEIR ANNUAL INCOME?*
EMPLOYER'S NAME*
EMPLOYER'S ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
EMPLOYMENT TYPE*
- Full Time
- Part Time
- Casual
- Self Employed
HOW LONG HAVE THEY BEEN WITH THIS EMPLOYER?*
NAME OF PREVIOUS EMPLOYER*
HOW LONG WERE THEY WITH THIS EMPLOYER?*

Your Assets
Tell us about the assets you own.
DO YOU OWN A HOUSE OR HOUSES?*
IF YES, PLEASE PROVIDE THE VALUE(S) OF THE HOUSE(S)
DO YOU OWN A MOTOR VEHICLE(S)?
IF YES, PLEASE PROVIDE THE VALUE(S) OF THE VEHICLE(S)
PLEASE LIST THE TOTAL OF YOUR CASH SAVINGS
PLEASE LIST THE DETAILS AND VALUE OF ANY BUSINESS ASSETS YOU MAY HAVE
PLEASE LIST YOUR SUPERANNUATION BALANCE
ARE THERE ANY OTHER ASSETS THAT YOU OWN THAT YOU WOULD LIKE TO TELL US ABOUT?

Your Debts
Tell us about your current debts.

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