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About
Our Range
Contact
Apply for Finance
08 9021 4536
Home
About
Our Range
Contact
Apply for Finance
08 9021 4536
Step
1
of
9
- Applicant Details
0%
Title
Mr
Mrs
Miss
Ms
Other
Name
(Required)
First
Middle
Last
Age
(Required)
Date of Birth
(Required)
Day
Month
Year
Marital Status
(Required)
Defacto
Married
Single
Widowed
Divorced
Phone
(Required)
Email
(Required)
Number of Dependants
(Required)
Permanent Resident
(Required)
Yes
No
Drivers License Number
(Required)
State
(Required)
Expiry
(Required)
Day
Month
Year
Please upload a photocopy of your drivers license
(Required)
Drop files here or
Select files
Accepted file types: jpg, pdf, Max. file size: 5 MB.
*Front & Back.
Type
(Required)
Car
Motorbike
Other
How long have you held this license?
Less than 6 months
6 Months - 2 Years
3 Years Plus
10 Years Plus
Street
(Required)
Suburb
(Required)
Postcode
(Required)
Type
(Required)
Rent
Board
Mortgage
Parents
Time spent in current residence
(Required)
1 Year
2 Years
3 Years Plus
Landlord / Lender's Name
Landlord / Lender's Contact Information
Amount per month ($)
(Required)
Have you been in this address for a minimum of 3 years?
(Required)
Please note, we require a minimum of 3 years of Australian residential addresses.
Yes
No
Add additional address(es) below
Street
Suburb
Time Spent in Residence
Landlord's Name
Landlord's Phone
Amount per month ($)
Additional Address #3
Add Additional Address #3
Street
Suburb
Time Spent in Residence
Landlord's Name
Landlord's Phone
Amount per month ($)
Additional Address #4
Add Additional Address #4
Street
Suburb
Time Spent in Residence
Landlord's Name
Landlord's Phone
Amount per month ($)
Occupation
(Required)
Employment Status
(Required)
Employer
(Required)
Contact Name
(Required)
Contact Position
(Required)
Contact Phone
(Required)
Duration of Employment
(Required)
Less than 1 year
1 Year
2 Years
3 Years +
Please note, we require a minimum of 3 years of job histories.
Employer #2
Contact Name
Contact Position
Contact Phone
Duration of Employment #2
Less than 1 year
1 Year
2 Years
3 Years +
Additonal Employer #3
Add Additional Employer
Employer #3
Contact Name
Contact Position
Contact Phone
Duration of Employment #3
Less than 1 year
1 Year
2 Years
3 Years +
Additional Employer #4
Add Additional Employer
Employer #4
Contact Name
Contact Position
Contact Phone
Duration of Employment #3
Less than 1 year
1 Year
2 Years
3 Years +
Please upload payslips
(Required)
Drop files here or
Select files
Max. file size: 5 MB.
Photocopies or PDF documents only.
We may also request to see; bank statements, CentreLink statements, utility bills, rates notices, reantal agreements and motorbike license.
Amount per Month ($)
(Required)
Frequency
(Required)
Weekly
Fortnightly
Monthly
Annually
Other / Frequency
Card Issuer
Limit ($)
Personal Loan Issuer
Monthly Amount ($)
Car Loan Issuer
Monthly Amount ($)
Other Expenses
Monthly Amount ($)
Are you willing to put a deposit on the bike?
Yes
No
How much? ($)
Would you like to add on any accessories/ bolt-ons to the application?
Category
Value
Outstanding Debt
Closest relation that does NOT live with you.
Name
First
Last
Address
Phone
Relationship
Name
First
Last
BSB
Account Number
Repayment
I would like my repayments to be:
Fortnightly
Monthly
Duration of Loan
I would like the loan to go over:
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
Had any insurance refused or cancelled
(Required)
Yes
No
Suffered any motorcycle theft or insurance claims?
(Required)
Yes
No
Been charged or convicted of any offence (other than vehicle/ motorcycle offence)
(Required)
Yes
No
Ever had your motor vehicle or motorcycle license suspended or revoked for any reason?
(Required)
Yes
No
Do you hold a current/ valid Australian motorcycle license?
(Required)
Yes
No
Is the motorcycle used for any business/ commercial use?
(Required)
Yes
No
Which Yamaha are you wanting to finance?
When were you hoping to pick up the bike?
Additional Information
Signature
