Your contact details

*First Name

*Last Name

*Telephone No

*Post Code

*Email Address

Your income details

*Number of Dependents

*Monthly NET Salary
(after tax)

*Other monthly NET income
(after tax)

Your expense details

*Do you have any Credit Cards?

Yes No

*Combined Total Limit of your Credit Cards

*Do you have any other Loans?

Yes No

*Total Monthly Payment on these other Loans

Optional Information

This information is NOT utilised to generate the total pre-qualification
figure but may help us to further understand and tailor our response to your situation.

Date of Birth (dd / mm / yyyy)

/ /

Employment

Please Select Self Employed Full Time Part Time Casual Unemployed

Time of Employment

Please Select Less than 6 months 1 to 2 years 2 + years

Do you Qualify for First Home-Owners Grant?

Yes No  *Find Out

If you have already decided on a property, what is the purchase price of property?

Your deposit

Is this for owner occupier or investment purposes?

Ow/Occ Investment