Apply online now or call us on 1300 762 731.

Please make sure you fill in all fields marked with an asterix (*) before submitting your application.

If you have borrowed from Cash Smart or MiFin before please go to Existing Customers.

Loan

Loan Amount*

Loan Purpose*

Your Details

Name*

First Last

Sex*

Date of Birth*

Licence, 18+ Number or Passport*

Home Phone

Please enter your whole number with no spaces.

Mobile Phone

Please enter your whole number with no spaces.

Work Phone

Please enter your whole number with no spaces.

Email*

Enter Email Confirm Email

Your Address

Number and Street*

Suburb/City*

State*

Postcode*

Do you...*

Work

If the majority of your income is received from Centrelink you cannot apply online.

Occupation*

Employer*

Employer Phone*

Number and Street

Suburb/City*

State*

Postcode

Commenced*

Pay Cycle

Type*

Pay Amount*

Payday*

Your Bank

BSB*

Account Number*

Your Budget

Details

$ Amount

Frequency of amount
week/fn/month

Income - your main income $

Income*

Other Income eg partner contribution$

OtherIncome*

Personal loan repayments$

Personal Loan*

Car loan repayments$

Car Loan*

Credit card repayments$

Credit Card*

Rent or Mortgage or Boarding etc$

Rent or Mortage*

Food$

Food*

Medical$

Medical*

Other $

Other

Please state "other"

Other

Please list 3 emergency contacts:

These emergency contacts will only ever be used if we become unable to reach you directly. However, we will check these details against publicly available databases.

Full Name

Relationship. Is my…

Mobile Phone

Home/Work Phone

1*

Full Name	Relationship. Is my…	Mobile Phone	Home/Work Phone

2*

Full Name	Relationship. Is my…	Mobile Phone	Home/Work Phone

3*

Full Name	Relationship. Is my…	Mobile Phone	Home/Work Phone

I have had access to the disclosure documents.

I’ve read and understood the Warning about Borrowing and want to proceed with the application.

You must tick these boxes first in order to make the “Submit” button appear. If you click either hyperlink above they will open in new pages/tabs. Simply close the new page that opens to come back to this “Apply for a Loan form”.

Apply online now or call us on 1300 762 731.

Loan

Your Details

Your Address

Work

Your Bank

Your Budget

Details

$ Amount

Frequency of amount week/fn/month

Please list 3 emergency contacts:

Full Name

Relationship. Is my…

Mobile Phone

Home/Work Phone

Frequency of amount
week/fn/month