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" indicates required fields
Co-Borrower Form
Your First Name
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Your Middle Name
Your Last Name
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Phone (Mobile)
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Email
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Do Your Live At The Same Address As The Main Applicant?
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Yes (I Live At The Same Address)
No (I Live At A Different Address)
Address
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Street Address
Primary Employment Type
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Full-Time
Part-Time
Temp Agency
Self Employed
Beneficiary
Which Company Do You Work For?
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Time With This Company (Years)
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Less Than 3 Months
3 Months
6 Months
1 Year
1.5 Years
2 Years
3 Years
4 Years
5 Years
7.5 Years
10 Years +
'After Tax' Income From Employment
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Frequency
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weekly
fortnightly
monthly
Do You Receive Income From Any Other Sources?
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Yes (I Have Income To Add)
No
e.g Second Job / WINZ / IRD / Child Support
Additional Income
*
Frequency
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weekly
fortnightly
monthly
Description
*
Drivers License (Front & Back)
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