Your Name *

Date of Birth *

Drivers Licence Number

Current Address*

Postcode *

Time at current address *

Previous Address*

Preferred Phone*

Second Phone Number

Job Status

EMPLOYED

PARENTING PENSION

PENSIONER

OTHER

Marital Status

SINGLE

MARRIED

DEFACTO

ACCESS TO CONSUMER CREDIT INFORMATION
(SECTION 18K(1)(B), PRIVACY ACT 1988)
I/we agree that Specialist Finance Solutions may obtain a consumer credit report containing information about me from a credit reporting agency for the purpose of assessing my/our application for consumer credit.

Yes, I/we agree.