What type of loan do you need?*

How much would you like to borrow?*

Have you been with your current employer Full-Time/Part-Time for at least 1 Month or Casual for 3 Months?*

Yes

No

How many defaults are you currently aware of on your credit file from the last 5 years?

Are you currently Bankrupt or in a Part 9 debt agreement?*

Yes

No

How many loans $2,000 or under have you taken out in the last 3 months?*

How many current Pay Advance companies have you utilised in the last 30 days?

Have you missed any payments on your loans in the last 90 days?*

How much on average do you spend each month on Buy Now Pay Later facilities?*

How much on average do you spend on gambling per month?*

Do you withdraw $1000 per month or more from ATM's*

Yes

No

Name*

First Name Last Name

Your Legal name as it appears on your Drivers Licence

Email Address*

Mobile Number*

Your Date of Birth*

State*

Post Code*

What do you need a personal loan for?*

If required, would you have a vehicle to offer as security on the loan?*

Your Credit Rating*

Employment Status*

(Must be working Full-Time, Part-Time, Casual or Self-Employed)

Residential Status

Residency Status*

How did you hear about us*

Broker Name

Dealer Name

Friend Name

Terms & Conditions and Privacy Policy*

I agree

By selecting the checkbox above I acknowledge & accept the Ume Loans Terms & Conditions, Complaints Policy, Privacy Policy, (see links below) and I agree that my credit file may be accessed as part of my loan assessment. Further, I am authorised to provide the personal details presented and consent to my Identification information being passed to and checked with the document issuer, official record holder, a credit bureau and authorised third parties for the purpose of verifying my identity and address. Finally, by checking this box I confirm that Ume Loans have my consent to contact me to discuss the possibility of a loan and insurances that maybe appropriate to my individual circumstances and if I request so, Ume Loans may provide me with quotes.

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