ONLINE LOAN APPLICATION... Apply for a loan now! Fast approval, quick payment, friendly and helpful team. Please enable JavaScript in your browser to complete this form.1234561. PERSONAL DETAILS: Full name (Mr/Mrs/Miss/Ms) *Birth date *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Partners name (Mr/Mrs/Miss/Ms)Birth date DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Residential address *Suburb *Post code *Postal address (if different from above)SuburbPost codeHome number *Mobile number *Business number *FaxEmail *Drivers licence No. (5a) *Version number (5b) *Marital status *Number of dependents AgesPlease select *OwnerTennantYears * Your occupation *Employer’s name *Employer’s address *Years *Previous employer *Years *Partners employerYears *Next2. CONTACT DETAILS: (must be 3 different contacts) NEXT OF KIN Full name *Relationship to you *Phone number *Address *Suburb *Post code *NEAREST RELATIVE NOT LIVING WITH YOU Full name *Relationship to you *Phone number *Address *Suburb *Post code *ALTERNATIVE CONTACT Full name *Relationship to you *Phone number *Address *Suburb *Post code *Next3. FINANCIAL DETAILS Joint weekly income (Net of tax & excluding overtime) *Please provide evidence of your income * Click or drag a file to this area to upload. Bank *Branch *A/C Number *Balance *OUTGOINGS: Please select *MonthlyFortnightly WeeklyHP *Credit cards *Loans *Power *Phones *Rates *Food *Insurances *Other *Dependent support *This loan *Please check you have provided: *Bank statementProof of incomeID Verification Bank Statement attachment * Click or drag a file to this area to upload. ID Verification attachment * Click or drag a file to this area to upload. Next4. CREDIT DETAILS JOINT EXISTING HIRE PURCHASES / LOANS & CREDIT CARDS: CompanyItemBalanceRepaymentsCompanyItemBalanceRepaymentsCompanyItemBalanceRepaymentsCredit ReferencesPlease attach THREE WRITTEN credit references from existing / past financial institutions or businesses who have advanced goods on credit. References provided will assist in speedy application assessment.1. Credit reference or payment history * Click or drag a file to this area to upload. 2. Credit reference or payment history * Click or drag a file to this area to upload. Have you ever been bankrupt? *Please selectYesNoIf so, when were you discharged?Evidence file attachment Click or drag a file to this area to upload. Have you been taken to court for debt recovery purposes? *Please selectYesNoIf so, please provide details.Have you ever had goods repossessed? *Please selectYesNoIf so, please provide details.Are you insured? *Please selectYesNoAre your vehicle insured? *Please selectYesNoIf so, please state which company.Next5. LOAN DETAILS Amount required *Repayments (Weekly) *Purpose of loan *GuarantorA guarantor may be required before this loan may proceed, a Guarantors Application will also need to be completed in this instance. The nominated guarantor will then be required to sign a written guarantee (contract supplied later) BEFORE monies will be advanced.Guarantor’s full namePhone numberRelationship to applicantAddressSuburbPost codeSecurityPlease supply details of a vehicle that can be used for security on your loan. PLEASE PROVIDE A (PHOTO)COPY OF YOUR CERTIFICATE OF REGISTRATION WITH THIS APPLICATION, OR PROVIDE THE FOLLOWING.Vehicle makeVehicle modelVehicle yearVehicle registrationVehicle Chassis / VinNext6. PRIVACY ACT & CREDIT REPORTING PRIVACY CODE DECLARATIONS I / we understand that you Embassy Finance Ltd are asking me for personal information about me for the following purpose’s: 6.1 You will give my personal information to Veda Advantage NZ Ltd’s credit reporting service to credit check me, and Veda Advantage NZ Ltd will give you information about me for that purpose. Veda Advantage NZ Ltd will hold that information on their systems and use it to provide their credit reporting service. 6.2 When other Veda Advantage NZ Ltd customers use the Veda Advantage NZ Ltd credit reporting service, Veda Advantage NZ Ltd may give the information to those customers. 6.3 You may use Veda Advantage NZ Ltd ‘s credit reporting services in the future for purposes related to the provision of credit to me. This may include using Veda Advantage NZ Ltd’s monitoring services to receive updates if any of the information held about me changes. 6.4 If I default in my payment obligations to you, information about that default may be given to Veda Advantage NZ Ltd, Veda Advantage NZ Ltd may give information about my default to other Veda Advantage NZ Ltd customers. 6.5 “I / we authorise any person or company to provide you with such information as you may require in response to credit and / or employment inquiries. I / we authorise you to furnish to any third party details of this application and any subsequent dealings that I / we have with you as a result of this application being actioned by you.” 6.6 “I / we understand that the above information will be stored by Embassy Finance Ltd at Canada Street, Morrinsville for the purposes of this loan, that I / we may access that information and request correction of its details.”I accept the terms and conditions *YesSignature *Clear SignatureDate *MessageSubmit It couldn't be easier! CONTACT US NOW Or Call Us On 07 889 5029