Purpose of Loan*

More Detail for Loan*

Can you make sure you will be able to repay this loan on time?*

Can you make sure you have no unpaid credit defaults ?*

I agree that all the information I have given is true and current*

Can you cut back on your non-essential spending while you repay this loan?*

I confirm I am not bankrupt or on a Part IX Debt Agreement?*

How did you hear about us?*

How do you evaluate your own credit rating?*

Number of short-term loans?

I have read and understood the Credit Guide and understood the Privacy and Credit Reporting Notice.

I also have read and understood the Electronic Communication Consent and Authority and make all consents and acknowledgements it contains including communicating with you electronically.

I understand that by completing this application I authorize Australian Synergy Finance Pty Ltd to obtain a copy of my full credit file.

If my application is unsuccessful, I would like to be referred to a third party who may be able to assist me.