YES Finance Personal Loan Application

	SECTION 1

	Loan details
	*Goods		*Price
			Deposit
			*Preferred payment $

SECTION 2

Applicant details:

Name: Enter your legal name, as per your I.D.
Dependants: Children or relatives living with you and NOT paying board
If you do not have an phone number please select the N/A box
If you do not have an email address please select the N/A box

*Joint or Single application?

*Apellation/title

*First names

*Surname

*D.O.B.

*Email address

N/A

*business/work phone

N/A

*mobile phone

N/A

*No: of Dependants

Ages

*Marital status

SECTION 3

Tenancy

If you do not have a phone number please select the N/A box

*type of tenancy

*home phone

N/A

*Current address

*Suburb

*City/Area

*Term

SECTION 4

Applicant identification:

Type of I.D.

I.D. number

Car: make

Registration

SECTION 5

Applicant employment:

*Type of employment

	SECTION 6
	References: 1) Parents 2) Brother/sister/relative
	*Have you previously had a Yesfinance loan		Account#
	1) Name		Phone
	Address		Kin
	2) Name		Phone
	Address		Kin

SECTION 7

Budget:

Income: (net income after tax i.e. What you receive.)

*Your take home pay

Partner's pay

Other income

Monthly income

(automatically calculated)

Expenses: (NOT power, telephone, food)

*Tenancy

$ *

Hire Purchase

Card

Insurance house

Insurance car

Other

Monthly Yes Finance loan payment

(automatically calculated)

Monthly expenses

(automatically calculated)

	SECTION 8
	Please enter any additional information to be considered with your application
	*How did you hear of YES Finance		Enter other

	SECTION 9
	Privacy Act 1993
	I/We: (a) warrant that the information provided in this application is true and correct; (b) authorise Yes Finance to contact my/our employer, any credit agency and any other source (each a "source") to obtain, check and exchange (both now and in the future) information in connection with this application and any agreement that I/we may hereafter enter into with Yes Finance. (c) Acknowledge that by ticking the below box on this application shall operate as an authority to each Source to provide Yes Finance with any information about me/us which Yes Finance may require in connection with this application or any such agreement; (d) acknowledge that this application will form part of any agreement I/we may hereafter enter into with Yes Finance and that the authorisation set out above will be deemed to be incorporated into that agreement. You are entitled, under the provisions of the Privacy Act 1993, to (a) have access to personal information held by Yes Finance about you; and (b) request correction of any personal information held by Yes Finance about you;
	I/We agree that the information in connection with this finance application may be transmitted via facsimile and/or electronic mail, and I/we acknowledge that there may be some security risks associated with the transmission.
	I have read and accept the terms and conditions within this informative statement/authorisation			Tick here
	I have read and accept the terms and conditions within this informative statement/authorisation			Tick here
	I hereby state that I have viewed and confirm the I.D. of the applicant above			Tick here