Apply online for your Bike Loan by completing the following Application Form.

Please try and complete as many fields as possible to ensure your application is successful.

Aussie Bike Loan Application Form

 
 
Full Name of Applicant(s) Borrower/Co Borrower/Guarantor (Delete as applicable)
Name 1 Phone 1
Name 2 Phone 2
       
Address 1 For Yrs/Mths
Address 2 For Yrs/Mths
Post Code 1    
Post Code 2    
 
Current Housing Situation Own Buying Renting Boarding
Customer Email Address:
Landlord - Name & Address:
Phone No.
 
Marital Status
Date of Birth
Age of Dependants
Drivers Licence No.
Expiry Date
1.
2.
 
Occupation 1 F/T, P/T, CASUAL Occupation 2 F/T, P/T, CASUAL
1. 2.
 
Name & Address of Present Employer Phone No. For Years/Months
     
Previous Employer Name & Address (min. 3 years required) Phone No. For Years/Months
 
 
Is the Co Borrower contributing to payments?

Is the Co Borrower Gaining use of the Goods?

Yes No Yes No
 
Dealer/Supplier & Contact Name - Phone Number Broker Name
Make & Model of Goods to be Mortgaged Further Description of Goods to be Mortgaged
 
Sedan/Hatch/Wag/Ute/4X4 Comp Plate Kilometres  
New Used Auto Manual
 
Rego No. VIN/Chassis No. Engine No. Colour
 
Accessories & or Non Standard Equipment
A/C P/S Cruise C/Locks P/Windows Alloys Airbag Bullbar T/Bar
Commercial use % Pvt
 
Description of Trade In Year Value $ Payout Amount $ Finance Company Equity in Trade in $
 
Finance Reference - Name of Institution Date of Agreement Term in Months Monthly Payments
 
 
 
  $
CASH PRICE
Cash Deposit
Trade-in Year Type
Add lending for Other Purposes (inc. Third Party Debts)
 
  AMOUNT TO BE BORROWED
  Comprehensive Insurance  
  Current Insurer
  Current Registration Number
  Current Insurance Rating
  Have you had any accidents (or insurance claims)
  Any criminal convictions
 
 
Repayment Structure
Term in Months Repayments Residual/Balloon Annual % Rate  

Depreciation Rate
(Lease Only)

Advance Arrears
 
Other/Seasonal Structure
 
 
LIABILITIES $ ASSETS $
Mortgage Loans Land & Buildings
Mortgagee: Address of Property
Other Loans (Please detail) Plant & Machinery
Bank Overdraft – Limit $ Motor Vehicles
How secured: (Please list year, make, model)
Stock & Trade Accounts Furniture & Fittings Insured Value
Credit Cards – Limit $ Cash in Savings or other Accounts
Other Liabilities (Please detail) Sundry Debtors
    Investments (Please detail)
    Other Assets (Please detail)
       
TOTAL LIABILITIES
TOTAL ASSETS
   
LESS TOTAL LIABILITIES
   
NET ASSETS
 
 

Have you had any legal proceedings taken against you for debt, been bankrupt, insolvent or assigned your estate?

Yes No If yes, give details:

 
MONTHLY INCOME
(This is the total amount of money you earn - less tax) 		$ MONTHLY EXPENDITURE
(This is the total amount of money you spend) 		$
Trading Net Profit (if applicable) Rent/Mortgage Repayments
Salary (Net) Self Superannuation
Salary (Net) Spouse Estimated Home Expenses (food, gas, entertainment, phone, power, clothing)
Other Fixed Income Hire Purchase/Loan Repayments
Rental Income Motor Vehicle Expenses
Overtime

Credit Cards

    Other (Details)
    New payment for this proposal
       
TOTAL INCOME TOTAL EXPENSES
LESS TOTAL EXPENSES    
UNCOMMITTED INCOME    
 
 
Accountant Contact Name/Phone No.
 
Bankers Branch Account Type
 
Insurance Company Type of Cover
 
Business Reference - Name & Address  
Phone No.
   
Personal Reference - Name & Address  
Phone No.
   
Nearest Relative - Name & Address  
Phone No.
   
Relationship  
Phone No.
 

I have read the privacy policy as displayed on this website and agree to the terms and conditions.

Yes No