AMMF Finance Application AMMF Online Loan Application Welcome to the Australian Motorcycle & Marine Finance (AMMF) online loan application form. On completion of your application you will be contacted by our friendly direct sales team. (Terms and conditions apply.) Tips for completing this form: Please give us as much information as possible to support your application. The fields marked with an asterisk (*) are mandatory. Once you have submitted the application an e-mail will be sent to you confirming receipt. Thank you for your application. We look forward to doing business with you. Applicant Information Title Title* Mr Mrs Ms Miss Master Dr Prof First Name Last Name Gender Gender* Male Female Email Address Mobile Phone Date of Birth* Marital Status* Single Married Defacto Divorced Widowed Number of Dependants Drivers License No Drivers License Issued By Drivers License Issued By* ACT NSW NT QLD SA TAS VIC WA Driving Licence Expiry Date* Permanent Resident* Yes No Current Address Street Address 1 (PO Boxes not accepted) Street Address 2 (PO Boxes not accepted) City State Island Island North South Postcode Country Country Australia New Zealand Residential Status Owned Renting Boarding Years in Residence Months in Residence Previous Address (if less than 3 years at current address) Street Address 1 (PO Boxes not accepted) Street Address 2 (PO Boxes not accepted) City Previous State Island Island North South Postcode Country Country Australia New Zealand Residential Status Owned Renting Boarding Years in Residence Months in Residence Employment Information Current Employer Name Occupation Employer Phone Type Employer Phone Type Business Employer Phone Number Employer Contact Name Employment Type Full Time Part Time Casual Self-employed Contractor Years Employed Months Employed Monthly Income After Tax Previous Employment (if less than 3 years at current employer) Previous Employer Name Occupation Employer Phone Type Employer Phone Type Business Employer Phone Number Employer Contact Name Employment Type Full Time Part Time Casual Self-employed Contractor Years Employed Months Employed Expenses Mortgage Financier Mortgage Account Balance Mortgage Monthly Repayment Monthly Living Expenses (Not including Mortgage/Rent or other loan repayments) Monthly Rent/Board Other Loan 1 (if applicable) Type of Loan or Credit Type of Loan or Credit Car Loan Line of Credit Marine Loan Motorcycle Loan Personal Loan Financier Monthly Amount Other Loan 2 (if applicable) Type of Loan or Credit Type of Loan or Credit Car Loan Line of Credit Marine Loan Motorcycle Loan Personal Loan Financier Monthly Amount Other Loan 3 (if applicable) Type of Loan or Credit Type of Loan or Credit Car Loan Line of Credit Marine Loan Motorcycle Loan Personal Loan Financier Monthly Amount Credit Card 1 (if applicable) Type Type Visa Master Card Other Card Issuer Credit Card Limit Credit Card 2 (if applicable) Type Type Visa Master Card Other Card Issuer Credit Card Limit Credit Card 3 (if applicable) Type Type Visa Master Card Other Card Issuer Card Limit Asset To be Financed Condition Condition New Used Manufacturer Model Year Purchase Price Deposit / Trade in Value Balance to be Financed Term Term 2 Years 3 Years 4 Years 5 Years Frequency Frequency Fortnightly Monthly Next of Kin (Not living at same address) First Name Last Name Address Contact Number Relation To Primary Applicant Privacy Act Authorisation and Disclosure By selecting the options below you provide AMMF authorisation and agree to the statements in the Privacy Policy I agree that I have read and understood the AMMF Privacy Act Authorisation and Disclosure Statement Tick here if you do not wish to receive direct marketing communication from AMMF, AMMF’s related companies, joint venture partners, its agents or contractors. * required fields
