Application Details

Title Mr Mrs Miss Ms Dr Sir Other

First Name

Surname

Mobile Phone

Home Phone

Work Phone

Address 1

Address 2

Suburb

State Please choose NSW Vic QLD Tas SA WA NT ACT

Postcode

Email

What would be the best time for us to contact you? Anytime Morning Afternoon Evening

Would you prefer a Locumsgroup Adviser to come to you or to visit a Locumsgroup Shop?

I'd like an adviser to come to me

I'll visit the Locumsgroup Mortgage Centre at 20 Loftus St,Sydney NSW 2000

Loan Details

What is the purpose of your loan? Please Choose Buy property to live in Buy investment property Refinance home you live in Refinance your investment loan Business loan enquiry Land purchase Land & construction Other

Is your household income Please Choose $0-$20,000 $21,000-$40,000 $41,000-65,000 $65,000-$90,000 $90,000+

Employment type Please Choose Full-time employed Part-time employed Self-employed Casual employee

First Home Buyer Yes No

Have you found a property? Yes No

Do you have a deposit? Yes No

Likely loan amount required? Yes No

Comments

Please ask any questions or add any additional comments about your personal situation that might help our advisers?