Application for Finance:
Amount to purchase
Amount to finance
12 months24 months36 months
Date of Birth
Number of Dependants
Time at Address
Mobile Phone (required)
Annual Family Income
Time at Job
YOU CONSENT TO OUR COLLECTING, HOLDING, USING AND DISCLOSING
(A) INFORMATION ABOUT YOU THAT YOU GIVE TO US; AND (B) OTHER INFORMATION WE GATHER ABOUT YOU (“PERSONAL INFORMATION”) AS FOLLOWS:-
So we may:
1. (a) Verify what you tell us about yourself with third parties such as the School and Government Agencies. (b) Decide whether to lend you money, administer any loan and enforce payment (including referring a debt to Debt Collection agencies and Credit Reporters). Comply with our obligations under the Anti-Money Laundering and countering the Financing of Terrorism Act 2009 and any other legislation.
2. In these processes we may provide your personal information to third parties including the school and debt collectors.
If we are unable to collect this information we may not be able to provide finance to you. You have rights to access the personal information we hold on you and request correction of your personal information in accordance with the Privacy Act 1993. Please contact us to make these requests.
By signing this document, you declare that the information you give us is true and correct and you consent as shown above.
I agree to the Cyclone Terms & Conditions
I agree to the Debit Success Terms & Conditions
I agree to the Crown Terms & Conditions