| Please complete all the details then press submit to Bank South Pacific. |
| Purchase Price: |
K
|
| Own Contribution: |
K
|
| Loan Requested: |
K
|
| Purpose: |
K
|
| Monthly/Fortnightly payment offered: |
K
|
 |
| Your Personal Details |
| Surname |
|
| Given Name(s) |
|
| Date of Birth |
|
| Marital Status |
|
| Ages of Dependents |
|
| Full name of your partner |
|
| Date of Birth (partner) |
|
| Your residential address |
|
| Date you moved there |
|
| Home Phone No |
|
| Email |
|
| Who owns this residence? |
Self (provide rate notice)
Relatives
*Landlord - give details |
| *Landlord/Agent's Name |
|
| Phone No (Landlord/Agent's) |
|
| Postal Address |
|
| Your previous address |
|
Years/Months
at this address |
|
| Name, address, phone number and relationship of nearest relative not living with you. |
|
|
|
| Credit History - Credit Reference: previous loans, finance companies, stores etc. |
Name (1) |
|
| Address (1) |
|
| Account Number (1) |
|
Name (2) |
|
| Address (2) |
|
| Account Number (2) |
|
Name (3) |
|
| Address (3) |
|
| Account Number (3) |
|
|
Have you ever been bankrupt or had any judgement or legal proceedings against you? |
|
Yes*
No |
|
*Details
|
|
| Employment Details - Self |
| Occupation |
|
| Employer's Name |
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| Employer's Address |
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| Phone Number |
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| Date Commenced |
|
| Previous Employer |
|
| Years There |
|
|
| Employment Details - Partner |
| Occupation |
|
| Employer's Name |
|
| Employer's Address |
|
| Phone Number |
|
| Date Commenced |
|
| Previous Employer |
|
| Years There |
|
|
| Statement of Position |
Liabilities (What you owe) |
| Home Loan from
|
K
|
| Other Loans - Name of Lender & Account No. |
|
|
K
|
|
|
K
|
|
|
K
|
| Rates, Taxes, Store Accounts etc. |
|
|
K
|
|
|
K
|
|
|
K
|
| All Other Debts & Liabilities |
|
|
K
|
|
|
K
|
|
|
K
|
| Total Liabilities |
|
K
|
|
Budget - Monthly Payments |
| Home Loans |
K
|
| Other Loans |
K
|
| Motor Vehicle Running Costs |
K
|
| Rent |
K
|
| Electricity & Phone |
K
|
| Insurance, Rates & Taxes |
K
|
| School Fees |
K
|
| Wantoks |
K
|
| General Living Expenses |
K
|
| Total Payments per month |
K
|
|
Assets (What you own) |
| Value of Home |
|
K
|
|
Address: Lot
Sect
Suburb
|
| Motor Vehicle |
|
K
|
| Accounts - Bank |
Branch |
|
|
|
|
K
|
|
|
|
K
|
|
|
|
K
|
|
|
|
K
|
| Furniture |
|
K
|
| Other Assets Description (if a property, advise type of residence, village or lot, sect and suburb) |
|
|
K
|
|
|
K
|
|
|
K
|
|
|
K
|
|
|
K
|
| Total Assets: |
K
|
|
Monthly Income (Attach 3 pay slips, financial statements) |
| Applicants monthly net income |
K
|
| Other monthly income - give details |
|
|
|
K
|
|
|
K
|
|
|
K
|
|
|
K
|
|
|
K
|
| Total Income per month |
K
|
| I have read and understood the information contained herein. The details completed are a true and accurate record given to enable the Bank to assess my/our loan request. |
| Applicant's Name
|
Date
|
| Applicant's Name
|
Date
|
|
Bank Use Only |
|
Approved in principle - Proceed to Loan Contract/Security. |
|
Declined-advise customer. |
| Name
|
Date
|
| |
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