Applicant Financial Details

Applying to purchase the Refund System on a 'pay by instalment' basis requires us to assess your credit worthiness. As such, we require the following details in order to make a decision as to your eligibility for credit.

Name:
Address:
Email:
Phone:
Current Job Title/Role
Full Time/Part Time/Casual
Current Household Weekly Income
Current Employer Name
Employer Address and Phone
No. of Years Employed in this Role
Your Current Savings Total
Bank Details – BSB/Acct No
Next of Kin Name
Next of Kin Contact Details