Loan Application

Loan Application

Apply for a personal loan in three simple steps

Fill out the online loan application for and click 'submit'
You will be contacted to confirm your application details and book an appointment to visit a branch to confirm your identity
Visit your local NZCU branch to obtain your loan account details.

Loan requirements

Loan Amount: *

Purpose of loan: *

Please provide full details

Proposed repayment:

Repayment frequency:

Security offered:

Step 1 - Applicant details

Main Applicant

Personal Details

Customer Number:

If you are an existing customer, please enter your customer number

Title:

Last name: *

First name: *

Middle Name:

Also known as:

Date of birth (dd/mm/yy): *

Number of Dependents:

Ages:

Are you a NZ citizen?:

Yes

Male/Female:

Male

Female

Marital Status:

Drivers Licence Number:

Drivers Licence Version Number (refer to 5B):

Contact details

Type of residence:

Residential address: *

How long at this address?:

If at current address less than 3 years what was your previous address?:

email: *

Home phone: *

Mobile phone: *

Work phone: *

Fax:

I would prefer to be contacted via: *

Nearest relative not living with you

Name:

Address:

Phone:

Relationship:

Work details

Are you working at present?:

Yes

Employers name & address:

Occupation: *

Length of employment (years months): *

Average hours worked per week: *

Proof will be required

Employment type:

Payment method:

Joint Applicant

Personal Details

Customer Number:

If you are an existing customer, please enter your customer number

Last name:

First name:

Middle Name:

Also known as:

Are you a NZ citizen?:

Yes

Male/Female:

Male

Female

Date of birth (dd/mm/yy):

Title:

Marital Status:

Drivers Licence Number:

Drivers Licence Version Number (refer to 5B):

Number of Dependents:

Ages:

Contact details

Type of residence:

Residential address:

How long at this address?:

If at current address less than 3 years what was your previous address?:

Home phone:

Mobile phone:

Work phone:

Fax:

Email:

I would prefer to be contacted via:

Nearest relative not living with you

Name:

Address:

Phone:

Relationship:

Work details

Are you working at present?:

Yes

Employers name & address:

Occupation:

Length of employment (years months):

Average hours worked per week:

Proof will be required

Employment type:

Payment method:

Solvency: *

Have you ever been declared bankrupt or had a No Asset Procedure in New Zealand or had any equivalent order made against you in any other country?

Step 2 - Financial position

Assets (what you own)

Home 1:

certified value

Home 2:

certified value

Household contents 1:

insured value

Household contents 2:

insured value

Vehicle 1:

insured value

Vehicle 2:

insured value

Other property

Such as boats, caravans, motorbikes, etc

Bank account balance:

Investments:

Credit Union shares:

Superannuation fund:

Other assets:

Details of security

Vehicle 1

Description:

Make and model:

Year:

Registration/Serial No:

Value of security:

Security insured:

Yes

Third party

Insurance company:

Property owned by:

Vehicle 2

Description:

Make and model:

Year:

Registration/Serial No:

Value of security:

Security insured:

Yes

Third party

Insurance company:

Property owned by:

Vehicle 3

Description:

Make and model:

Year:

Registration/Serial No:

Value of security:

Security insured:

Yes

Third party

Insurance company:

Property owned by:

Commitments (what you owe)

Repayment frequency:

weekly

fortnightly

monthly

Mortgage:

Mortgage payment:

Second mortgage:

Second mortgage payment:

Motor vehicle:

Motor vehicle payment:

Bank O/D:

Bank O/D payment:

Credit card:

Credit card payment:

Loan/Hire purchase

Lender 1 name:

Lender 1 amount:

Lender 1 payment:

Lender 2 name:

Lender 2 amount:

Lender 2 payment:

Lender 3 name:

Lender 3 amount:

Lender 3 payment:

Student loan:

Student loan payment:

Other

Name 1:

Amount 1:

Payment 1:

Name 2:

Amount 2:

Payment 2:

Income - Payments In

Payment frequency: *

weekly

fortnightly

monthly

Proof of earnings:

Yes

Whole of pay:

Yes

Your net income: *

after tax

Partner's income:

if joint application

Other

Income 1:

Income 2:

Expenditure - Payments Out

Payment frequency: *

weekly

fortnightly

monthly

Mortgage/Rent:

Rates:

Power/Phone/Gas/Water:

Insurances:

Vehicle expenses:

Food:

Hire purchase/Credit card:

Loan/Overdraft:

This loan:

Credit Union Savings

Loyalty Saver

Current balance:

Current contribution:

weekly

fortnightly

monthly

Current contribution amount:

Proposed contribution:

weekly

fortnightly

monthly

Proposed contribution amount:

All other savings

Current balance:

Current contribution:

weekly

fortnightly

monthly

Current contribution amount:

Proposed contribution:

weekly

fortnightly

monthly

Proposed contribution amount:

Step 3 - References

Other Details

Best time to contact me:

I can be contacted on:

Where did you hear about us?:

Additional Information:

Please include any other information which might assist us with your application. For example, any extra information that you could not fit in the application, bad credit history or anything else you need to disclose.

Privacy Acknowledgement: *

I have read and accept the Privacy Act Declaration and Indemnity Statement

Click here to read the Privacy Act Declaration and Indemnity Statement

Rates and Fees