Apply on Line - Cash Loan Money Centre Wide Bay

9:00 am > 4:30 pm
07 5481 1806

115 Mary Street Gympie

1/425 Kent Street Maryborough

9:00 AM - 4:30 PM

Monday to Friday

Gympie 5481 1806

Maryborough 4123 0071

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Online Loan Application

Loan Details

Loan Amount *
Loan Term *
Payment Frequency *
Next Salary Date *
Repayments to Start on Date *

Applicant Details

First Name *
Middle Name
Last Name *
Date of Birth *
Loan Purpose *
Mobile Phone
Home Phone
Email *
Identification Type *
ID Document Number *
Current Street Address *
Suburb *
State *
Postcode *
PLEASE NOTE ** If you have been at your current address for less than five (5) years please provide your previous address below
Previous Street Address
Previous Suburb
Previous State
Postcode

Employment Details

All Employed Applicants MUST complete ALL of this section
Employer
Employer's Phone
Employer's Street Address
State
Postcode
Your Job Title
Length of Time with Employer

Applicants on Pensions or Benefits

Government Department
Pension or Benefit Type

Income

WEEKLY Wage AFTER TAX
Net Weekly Wage
Benefits / Pensions Income
Weekly Income From Benefits/Pension
Other Income
Other Income per Week

WEEKLY Expenses

Rent or Mortgage *
Power and Gas *
Food and Personal *
Car Expenses *
Credit Cards *
Other Expenses *

Banking Details

Bank *
Bank Branch *
Bank Account Name *
BSB Number *
Account Number *

Required Documents

Last 90 Days Bank Statements *Your last 90 days of Bank Statements
Photo ID Document *Drivers Licence or Passport or Proof of Age ID
Utility Bill *Power or Phone Bill for Address Confirmation
Proof of Income *Payslip or Centrelink Statement
Confirm and Agree By ticking the acceptance box below you authorise us to gather information about you to access your credit worthiness via the following:
- To gather information from a credit reporting agency for the purpose of assessing your Credit Worthiness
- To share information about you if it is relevant to your credit application, I understand this may include any information about my credit worthiness, credit standing, credit history, credit capacity that credit providers are allowed to exchange under the Privacy Act 1988
- To assess an application for credit by you
- To notify other credit providers of a default by you
- To exchange information with other credit providers as to the status of your account
- To assess your credit worthiness.
Accept ALL Terms *
Accept

Verification

Please enter any two digits *Example: 12
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