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Applying for a Loan through iCredit

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Please complete the following details and an Authorised Representative will contact you to discuss your requirements and assist you in applying for a loan.

Personal & Residential Details
Personal Details
Title/Salutation *
First Name *
Middle Names
Last Name *
Gender *
Date of Birth (dd/mm/yyyy) *
Please enter a date in the dd/mm/yyyy format
Driver's Licence Number *
Contact Details * - Please enter at least one contact number
Home Phone Number   
Please enter the contact number that is the most convenient for you
Only one number is required
Work Phone Number   
Mobile Phone Number
Email *
Residential Address Details- Please provide 1 year of residence history
If you have less than 1 year's residence at your
current address you will need to enter a previous address
Address * 
Postcode *
Suburb / Town *
At Address Since (mm/yyyy) *    
Please enter a date in the mm/yyyy format
prior to today's date

Employment Details
Employment Status *
Occupation * 
Employer's Name * 
After Tax Salary/Wages $ per 
Loan Details
Purpose of Loan *
Estimated Loan Amount ($) * 
Loan Term (Months) *
Details of Enquiry (optional)
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