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CPS Credit Union Co-operative (ACT) Limited
ABN 31 087 649 670

Personal/Car/Line of Credit Loan Application

You can apply for a personal loan, car loan or line of credit (including Visa Card) using the application form below and submitting it electronically within our secure environment

A Community CPS representative will contact you to arrange to obtain a payslip. Should you have any difficulties while completing your application please call the our Call Centre on 02 6286 0555.

Member Number:
Preferred Community CPS Branch:
Application No.: __________________________ (staff to complete)

Surname:
Other Names:
Residential Address:

Telephone (H):
Date of Birth:
Number of Dependants:
Ages:
Married Single Divorced
Other:
Drivers License No.:
Expiry Date:

Amount of Loan: $
Purpose of Loan:
Loan Type:
Personal/Car Loan Line of Credit Visa - Line of Credit
Enter the corresponding 'L' Type (if known):
If loan is to purchase car, please complete:
Make:
Model:
Year:
Purchase Price: $
Trade-in: $
Deposit: $

Residential Status: I/We
Own the property Buying the property Renting Boarding Living with parents
Length of Residence:
If under 3 years, previous address:

Previous Residential Status: I/We
Own the property Buying the property Renting Boarding Living with parents
Length of Residence:
Name and address of a relative not living with you:


Relationship:
Telephone:
Name and address of a friend not living with you:


æ Telephone:

Employer:
Occupation:
Address:

Work Telephone:
Length of Service:
If service under 3 years, previous employer and address:


Occupation:
Length of Service:

Joint Application
Spouse's Full Name:
Date of Birth:
Drivers License No.:
Employer:
Occupation:
Employer's Address:

Work Telephone:
Length of Service:
If service under 3 years, previous employer and address:


Occupation:
Length of Service:

Annual Salary
Self: $
Spouse: $
Gross Wage
Self: $
Spouse: $
Other Income
Self: $
Spouse: $
æ
Nature of Employment
Self:
Full Time
Spouse:
Full Time
Part Time Part Time
Casual Casual
Contract
Term:
Contract
Term:
Other
Specify:

Other
Specify:


Liabilities
æ
Repayment
Amount $
æ
Balances
Owing $
Approved
Credit Limit $
Payable to
Name and Branch
Home Repayments
Rent and Bond æ
Other Mortgages
Car Loan æ
Personal Loan æ
Other Personal Loans æ
Bankcard
Credit Cards
Store Accounts
Child Maintenance/Care æ
Other æ

List of Assets
æ Estimated Value $ Description/Location
Residence
(House, Home, Unit etc.)
Other Property/Land
Motor Vehicle æ
Savings æ
Other Assets: æ æ

Current Motor Vehicle Details
Make:
Model:
Year:

Have you been bankrupt or entered any scheme of arrangement with your creditors or have any judgements, orders or garnishes been made against you for debts?
Yes No
If yes, please give details:

Do you have any association as defined under Section 4 of the Financial Institutions Code 1992 with other CPS Credit Union members? ie Family members, Business Associates etc
Yes No
If yes, please give details:
Name:
Membership Number:
Name:
Membership Number:

I/We declare that the information stated within the application is true and correct in every particular.
Signature of Member:
Date:
Signature of Member:
Date:
NB If submitting this loan application electronically via our website, the form will be signed at the time of funding the loan.

PRIVACY PROTECTION OF INFORMATION
Privacy Act 1988
Please read carefully

Application for Credit
IMPORTANT NOTICE TO APPLICANT(S) FOR CREDIT, (SECTION 18E (8)(c) Privacy Act 1988)

The Credit Union may give information about you to a credit reporting agency, but only limited kinds of information allowed by the Privacy Act 1988 (Commonwealth). This includes:

  • identity particulars - this only includes your name, sex, date of birth, current known address, two immediately previous addresses, your current or last known employer, and your driver's licence number.
  • payments overdue for at least 60 days, when the Credit Union has taken steps to recover.
  • cheques for an amount greater than $100, drawn by you which have been dishonoured more than once.
  • the fact that you have applied for credit and the amount.
  • the fact that the Credit Union is a credit provider to you.
  • advice that payments are no longer overdue.
  • the opinion of the Credit Union that you have committed a serious credit infringement.
  • when the credit provided to you has been discharged.

STATEMENT BY APPLICANT(S) FOR CREDIT
Please read carefully before signing.
Where more than one applicant, each applicant to sign.

1. Type of Credit
The credit I am applying for is:
For a domestic, family or household purpose (consumer credit).
OR
For another purpose (commercial credit).

2. Giving information to a Credit Reporting Agency
(SECTION 18E(8)(c) Privacy Act 1988).

The Credit Union has informed me that it may give certain personal information about me to a credit reporting agency. I understand that the Credit Union can only give limited kinds of information which are set out in the Privacy Act 1988 and examples of which are listed above.

3. Exchanging Information with other Credit Providers
(SECTION 18N(1)(b) Privacy Act 1988).

I agree to the Credit Union checking personal information about me with any credit provider named in my credit application, and with other credit providers that may be named in a credit report issued by a reporting agency, for any of the following purposes:

  • to assess my credit worthiness
  • to notify a default by me
  • to assess an application by me for credit
  • the collection of overdue payments
  • to help me avoid defaulting on my credit obligations

I understand that this information can include any information about my credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give to or receive from each other under the Privacy Act 1988.

4. Access to Commercial Credit Information
(SECTION 18L(4) Privacy Act 1988).

For the purpose of assessing my application for credit, I consent to the Credit Union obtaining a report containing information about my commercial activities or commercial credit worthiness, from a business which provides information about the commercial credit worthiness of persons.

5. Access to Consumer Credit Information for a Commercial Credit Application
(SECTION 18K(1)(b) Privacy Act 1988).

If my application is for commercial credit, I consent to the Credit Union, in order to assess my application, obtaining from a credit reporting agency a credit report about me containing consumer credit information.

Name of applicant:
Signature:
Date:
Name of joint applicant:
Signature:
Date:
NB If submitting this loan application electronically via our website, we will telephone you to provide us with a "verbal" privacy consent.


Consumer Credit insurance is available should you die, become ill, unemployed or have an accident.
Please select your options.
Life insurance against death.
OR
Full loan repayment protection against sickness, accident and unemployment.
OR
Part loan repayment protection - sickness and accident only.
OR
No protection, do not require any insurance.
Please select your insurance options from the those above.
WARNING : Completion of this information does no constitute automatic insurance cover. Insurance cover is subject to loan approval and becomes effective once the insurer accepts your proposal and the insurance premium is paid.

Information You Need to Supply to Assist Your Loan Application
To assist members with fast processing of their loan application, the following information is requested to be supplied when you submit your completed loan application form. If you apply over the telephone or the internet, any relevant documents can be faxed to the Credit Union on (02) 6286 0642.
(1) Members with more than 6 months CPS membership:
  • For salaried employees a recent pay slip, no more that one month old.
    or
    for self-employed applicants, the last two years financial results (including balance sheet, trading figures profit & loss account and tax returns).
  • Documentary evidence of any other income.
(2) Members with less than 6 months CPS membership are also required to supply
the following additional information:
  • For salaried employees a letter from your employer on business letterhead stating length of employment, fortnightly gross and net salary, details of nature of employment (permanent, part-time, casual or contract) and number of regular hours worked.
    NB. Employee letter is NOT required in the following cases:
    (i) public service employees paying superannuation contributions,
    if this is verified on the pay slip.
    (ii) home owners/buyers, if a copy of a recent rates notice is supplied.
  • Statements of account, which are no more than two months old are required for all loans/commitments recorded on the liability section of the loan application form.

PRIME PURPOSE FOR THE LOAN
Business or Investment Purposes
Personal, Domestic or Household Purposes

SECURITY OFFERED FOR THIS LOAN
Secured Personal Loan
Motor Vehicle Boat Caravan
Full Details
Make:
Model:
Year of Manufacture:
Rego:
VIN/Chassis No.:
æ
Engine No.:
Colour:
æ

Important Information About the Assessment of Your Loan Application
All loan applications are assessed against CPS lending criteria. This means that we will be assessing the following:

(1) Your ability to repay the loan from your regular income. This will be determined by the information that you provide to us, being compared with independent statistical data on household expenditure and living expenses. Listed below are details of the information you need to supply with your loan application to ensure fast processing.

(2) Your credit history, with both CPS and other financial institutions. We will evaluate this by undertaking an enquiry with the Credit Reference Association of Australia (CRAA) with your permission as given in the Privacy Consent form which you sign as part of your loan application.

(3) The stability of your employment and residency. From the information that you provide in relation to your employment and residency, we will determine your suitability to commit yourself to a certain loan amount over a given term.

(4) Other Factors. We will take into account any other relevant factors that you provide or which come to our attention during the assessment of your application. These include sufficient and adequate security (if applicable), debt sufficiency and future debt commitments.

The main aim of our loan assessment process is to examine your application objectively based on the facts presented to us. We want to ensure that you can afford the financial commitment placed on you in the form of loan repayments and to limit the credit risk undertaken by the Credit Union and thus by all members of CPS.


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