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Person Details

Title*

Mrs

Miss

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First Name*

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Last Name*

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Gender*

Male

Female

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Residency Status*

Citizen NZ

Non Resident

Permanent Resident

Work Permit

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Email*

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Mobile Phone*

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Date Of Birth*

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Marital Status*

Single

Married

Defacto

Divorced

Separated

Widowed

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Dependants*

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Driver License Type*

Full

Restricted

Learners

Foreign Licence

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Driver License Number*

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Driver License Version Number*

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Driver License Expiry Date*

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Upload Driver License

front and back, best size:240x224px

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Residential

Residential Situation*

Rent

Board

Mortgage

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Address*

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Move In Date*

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Employment

*Winz clients require a Part-Time job

Employment

Full-Time

Part-Time

Self-Employed

WINZ with Part-Time Job

ACC

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Employment Start Date

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Occupation

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Income

*Minimum Income required: $750/week, $1,500/fortnight or $3,225/month after tax (combining all of your income sources)

Income Type	Frequency	Amount
Select income type Salary / Wages ACC Winz with Part-Time job Other Income 	Select frequency Weekly Fortnightly Monthly Yearly 	$ 

Upload proof of income

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Expenditure

Expense Type	Frequency	Amount
Select expense type Rent Board Mortgage Mobile phone / Internet Electricity Food 	Select frequency Weekly Fortnightly Monthly Yearly 	$ 

Estimated weekly payment

$ 0

Cash Deposit

$ 0

Interest

$ 0

Total Payment

$ 0

Vehicle Cost（$）

Cash Deposit（$）

Trade In（$）

Finance Rate（%）

Establish Fee（$）

Maintenance（$）

Loan Term (months)

* On Road Costs and Clean Car fee or rebate may apply. Finance calculation based on a 60 months month term, 0 cash deposit / trade in and with an example annual fixed interest rate of 14.95%. The total payable amount is $0, which includes $0 of interest. Actual interest rate may be higher or lower. Includes an establishment fee of $500 & $36.00 per month account fee. Estimate only, not an offer of finance. Terms, conditions and lending criteria apply. Price Includes GST.

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