ACU ACU ACU

internet banking

Loan Application

1. Your personal details

ACU Member Number
Invalid Input

Title(*)
Invalid Input

First Names(*)
Invalid Input

Last Name(*)
Invalid Input

Date of Birth(*)
/ / Invalid Input

What is your gender?(*)
Invalid Input

What is your marital status?(*)
Invalid Input

Are you a permanent resident of New Zealand?(*)
Invalid Input

How many dependant children do you have?(*)
Invalid Input

How did you hear about Aotearoa Credit Union?(tick as many as apply)

Invalid Input

Are you employed?(*)

Invalid Input

What is your occupation?
Invalid Input

Employers Name
Invalid Input

Employer's Address
Invalid Input

How long have you been employed there?
Invalid Input

What is your drivers licence number?
Invalid Input

What type of licence do you hold?
Invalid Input

Upload Photo I.D.(*)
Invalid Input

 

2. Your contact details

What is your home address?(*)
Invalid Input

What type of residence is this?(*)
Invalid Input

How long have you lived at this address?
Invalid Input

What was your previous address? (if under 3 years at current)
Invalid Input

Upload Proof of Address
Invalid Input

What are your phone numbers and email address?
Home phone number
Invalid Input

Mobile number
Invalid Input

Work Number
Invalid Input

Fax number
Invalid Input

Email Address(*)
Invalid Input

Please provide contact details of TWO relatives or friends in New Zealand, NOT living with you:
Person 1
Name
Invalid Input

Address
Invalid Input

Home phone number
Invalid Input

Mobile number
Invalid Input

Relationship to you
Invalid Input

Person 2
Name
Invalid Input

Address
Invalid Input

Home phone number
Invalid Input

Mobile number
Invalid Input

Relationship to you
Invalid Input

 

3. Joint applicant’s details (if applicable)

Title
Invalid Input

First Names
Invalid Input

Last Name
Invalid Input

What is your date of birth?

Invalid Input

What is your gender?
Invalid Input

What is your marital status?
Invalid Input

Are you a permanent resident of New Zealand?
Invalid Input

How many dependant children do you have?
Invalid Input

Are you employed?

Invalid Input

What is your occupation?
Invalid Input

Employers Name
Invalid Input

Employer's Address
Invalid Input

How long have you been employed there?
Invalid Input

What is your drivers licence number?
Invalid Input

What type of licence do you hold?
Invalid Input

 

4. Loan details

How much would you like to borrow?
Invalid Input

What is the purpose of the loan? (Please provide full details?
Invalid Input

 

What are you offering as security for this loan? (please tick and complete as many as apply)

Motor Vehicle or Boat
Registration number
Invalid Input

Vehicle make
Invalid Input

Vehicle model
Invalid Input

Estimated value of vehicle
Invalid Input

Is the vehicle insured
Invalid Input

Type of insurance
Invalid Input

Savings
Value of savings
Invalid Input

Household Contents
Value of household contents
Invalid Input

Upload Bank Statement(*)
Invalid Input

1 month bank statement if paid weekly 2 months if paid fortnightly 3 months if paid monthly

 
What do you own?
Home
Invalid Input

Household contents
Invalid Input

Motor vehicle/s
Invalid Input

Savings
Invalid Input

Other properties (please specify)
Invalid Input

Total Assets
Invalid Input

What do you owe?
First Mortgage
Invalid Input

Second Mortgage
Invalid Input

Motor vehicles
Invalid Input

Credit/Store card debt
Invalid Input

Personal loans/Hire purchases
Invalid Input

Total Liabilities
Invalid Input

Notes to the above
Invalid Input

 

7. Income & Expenditure

Please fill in the table below and tick the appropriate letter to show how often you are paid/pay each item. W = weekly, F = fortnightly, M = monthly
Net income after tax
How often?
Invalid Input

Amount
Invalid Input

Other income (please specify)
Other Income
Invalid Input

How often?
Invalid Input

Amount
Invalid Input

Other Income
Invalid Input

How often?
Invalid Input

Amount
Invalid Input

Total Income
Invalid Input

Expenditure
Mortgage/Rent/Board
How often?
Invalid Input

Amount
Invalid Input

Other loans
How often?
Invalid Input

Amount
Invalid Input

Insurances
How often?
Invalid Input

Amount
Invalid Input

Credit/Store card repayments
How often?
Invalid Input

Amount
Invalid Input

Hire purchase repayments
How often?
Invalid Input

Amount
Invalid Input

Food/Living expenses
How often?
Invalid Input

Amount
Invalid Input

Total Expenditure
Invalid Input

Have you ever been declared bankrupt?
Invalid Input

If yes, what year were you declared bankrupt?
Invalid Input

Have you been admitted to the no asset Procedure?
Invalid Input

If yes, what year
Invalid Input

 

8. Declaration

  • From time to time, Aotearoa Credit Union (including selected third parties) may use the information (“information”) I have provided to Aotearoa Credit Union to send me information of any products or services that Aotearoa Credit Union thinks may be of interest to me/us.
  • I/we understand that the information will be used to access my/our credit worthiness and financial position, to process and assess my application and for the management, assessment, enforcement (including disclosing default information to any credit reporting agency, including Veda (“Veda”) of any agreement I/we have with Aotearoa Credit Union.
  • By signing this application, I /we authorise Aotearoa Credit Union (for the purpose listed above) to: • make enquiries about me and disclose and obtain any additional information Aotearoa Credit Union considers necessary; • disclose my/our personal information to potential assignees, to credit rating and credit reporting agencies (such as Veda) and any other person that Aotearoa Credit Union may appoint to collect any outstanding debt from me/us.
  • I/we understand that I/we have the right of access to and correction of, all personal information held by Aotearoa Credit Union that relates to me by writing to Aotearoa Credit Union, PO Box 200-175, Papatoetoe
  • I/we understand that all information Aotearoa Credit Union provides to Veda including information relating to any default by me/us of any obligation to Aotearoa Credit Union will be held by Veda for its credit reporting service and Veda may give such information to its customers who use its service. I/we also understand that I may access and correct the information held by Veda by writing to Veda, Private Bag 92165, Victoria Street, Auckland.
  • I/we declare that the information i have provided in this application is correct.
Todays date(*)

Invalid Input