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Form preview Anz loan application form If you re using your personal loan for a new purchase do you have current insurance protection for that purchase Would you like to discuss what ANZ Cover can offer you for ANZ Cover House Protection ANZ Cover Contents Protection or Motor Vehicle Fire Theft and Accident Insurance. discounts apply for customers who have more than one policy in the ANZ Cover range ANZ Cover Loan Protection Insurance If you would like to apply for ANZ Cover Loan Protection Insurance please read and accept the customer authority/declaration below and then fill out this section with the assistance of an ANZ sales representative. Discounts apply for customers who have more than one policy in the ANZ Cover range ANZ Cover Loan Protection Insurance If you would like to apply for ANZ Cover Loan Protection Insurance please read and accept the customer authority/declaration below and then fill out this section with the assistance of an ANZ sales representative. Option 1 Disability Redundancy and Life Cover Premium Total mthly loan repayment including insurance or Joint cover for joint personal loan applications Single cover for sole personal loan applications Customer Authority/Declaration The information received from you will be securely held by ANZ Banking Group New Zealand Limited ANZ and if you have applied for ANZ Cover Loan Protection Insurance ANZ Life Assurance Company Limited ANZ Life and Royal Sun Alliance Insurance New Zealand Limited R SA. ANZ Personal Loan Application Loan Details How much do you wish to borrow How are Funds required yrs Term of loan Applicant Details Separate/new loan Add to existing loan Loan purpose Customer 1 Title First name s Family name Current residential address Customer 2 for joint loans Yrs Time there Mths Postcode Phone Home Mobile Fax Home Phone Business Fax Business E mail Date of birth Gender M F Permanent Resident of New Zealand Yes No If no do you have a work permit Previous address if above is less than 2 years Current occupation Employer Employer address Employment type Temporary Full-time Part-time Unemployed Self employed Casual Contract Period Employed Previous Employer Marital status Single Married Separated Divorced Defacto Widowed Number of dependants living with you Do you Age s Own freehold Rent Live with Parents/Family Own mortgage Other Board Page 2 Statement of Position combined if two people are applying Assets what you own Current value Deposits/Investments with ANZ Liabilities what you owe Combined limit Number of Motor Vehicles State CC rating 4WD Tick if yes Value Real Estate Owned Life Insurance/Superannuation Surrender Value Only Other Assets specify excluding personal and household effects ANZ Overdrafts Limit Other Institutions Overdrafts Current ANZ Loans HP s /Lease payments ANZ Credit Cards Outstanding Other Debts specify eg Student/Family Loans tax etc Other Credit Cards incl store cards Limit Number of Credit/Store cards Total Assets Less Total Liabilities Total Liabilities Surplus Proposed Monthly Budget as it will be if loan is approved combined if two people applying deposits and liabilities ie.
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