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0800 784 252
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How it Works
About Us
Reviews
Contact Us
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Application Form
It takes less than 3 minutes
Loan Type
Loan Type
SECURED
$501-$20,000
I have a vehicle that does not have money owing on it or a house with greater than 60% equity.
UNSECURED
$200-$500
I have good Credit History with no bad debts.
Please tick which type of loan you are applying for.
Loan Type
Loan Details
How much cash do you need?
How much cash do you need?
How much cash do you need?
How much cash do you need?
Paid back over approx
Paid back over approx
Paid back over approx
Paid back over approx
How often can you make these repayments?
*
Weekly
Fortnightly
Date of your first repayment
*
DD slash MM slash YYYY
Region
*
Auckland
Bay of Plenty
Canterbury
Gisborne
Hawkes Bay
Manawatu
Marlborough
Nelson / Tasman
Northland
Otago
Southland
Taranaki
Timaru / Oamaru
Waikato
Wairarapa
Wanganui
Wellington
West Coast
Is there a joint borrower?
*
I am the only applicant
This is a joint application
Guarantors
Regretfully due to the additional identification and disclosure requirements for Guarantors, any loan using a Guarantor must be hard copy printed. Government legislation requires that the Guarantor signs the Loan Contract in front of a Lawyer. We’re sorry we can’t offer electronic signing for loans involving Guarantors, however if you think this will be an issue, please call us on 0800 784 252.
Security
All of our loans need a vehicle for security. The value of the security needs to be greater than the amount you borrow and if you're using a vehicle it needs to have a current WOF and registration
What can you use for security on the loan
*
A motor vehicle
Two motor vehicles
Nothing
All of our loans require a vehicle, boat or real estate for security. We can't use household chattels.
If you don’t have something to offer yourself you could look at using a Guarantor or joint borrower who can offer security to support your application. Give us a call on 0800 784 252 to discuss your options.
Please note: we can only accept motor vehicles from 2000 onwards for security purposes
Vehicle registration plate #
*
Make
*
Model
*
Year
*
Is there money owed on the vehicle?
*
It's a freehold vehicle
There is finance owing on it
Is being used as security already
PLEASE NOTE: THE VALUE OF THE SECURITY (NET OF OUTSTANDING DEBT), MUST BE GREATER THAN THE AMOUNT YOU WISH TO BORROW. ALL VEHICLES USED AS SECURITY MUST ALSO HAVE A CURRENT WOF AND REGO.
How much is owing?
*
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How much is owing on your vehicle?
Secondary Vehicle registration plate #
*
Secondary Vehicle Make
*
Secondary Vehicle Model
*
Secondary Vehicle Year
*
Is there money owed on the secondary vehicle?
*
It's a freehold vehicle
There is finance owing on it
Is being used as security already
ALL OF OUR LOANS NEED A DEBT FREE VEHICLE, REAL ESTATE OR BOAT FOR SECURITY. THE VALUE OF THE SECURITY NEEDS TO BE GREATER THAN THE AMOUNT YOU BORROW AND IF YOU'RE USING A VEHICLE IT NEEDS TO HAVE A CURRENT WOF AND REGISTRATION
This field is hidden when viewing the form
How much is owing on your vehicle?
Real estate address
*
Approximate mortgage balance
*
Personal Details
Contact Details
Income/Expenses
Bank Details
Loan Type
Loan Details
Personal Details
Please complete your first, middle and last name and date of birth exactly as they appear on your Licence, Passport or other ID.
Title
*
Mr
Mrs
Miss
Ms
First Name
*
Middle Name
Surname
*
Date of birth (dd/mm/yyyy)
*
DD slash MM slash YYYY
Gender
*
Male
Female
Occupation
*
Employer
*
Employment status
*
Full Time
Part Time
Casual
Seasonal
Self employed
Student
Homemaker
Retired
Unemployed
DPB or Sickness beneficiary
Length of employment
*
0-6 months
6 months – 1 year
1 year
2 years
3 years
4 years
5 years +
How many children are in your care?
*
0
1
2
3
4
5+
Identification
Are you a New Zealand resident
*
Yes
No
Type of photo ID
*
NZ Driver licence
NZ Passport
Driver licence number (5a)
*
Version number (5b)
*
Passport number
*
Passport Issue date
*
DD slash MM slash YYYY
Passport expiry date
*
DD slash MM slash YYYY
* We will require a copy of this ID (scanned or photo from your phone) to be emailed to apply@qcf.co.nz
Joint Applicant - Personal Details
Joint Applicant's title
*
Mr
Mrs
Miss
Ms
Joint Applicant’s first name
*
Joint Applicant’s middle name
*
Joint Applicant’s surname
*
Joint Applicant’s date of birth (dd/mm/yyyy)
*
DD slash MM slash YYYY
Joint Applicant’s marital status
*
Defacto
Divorced
Married
Single
Widow
Joint Applicant’s gender
*
Male
Female
Joint Applicant’s occupation
*
Joint Applicant’s employer
*
Joint Applicant’s employment status
*
Full Time
Part Time
Casual
Seasonal
Self employed
Student
Homemaker
Retired
Unemployed
DPB or Sickness beneficiary
Joint Applicant’s length of employment
*
0-6 months
6 months – 1 year
1 year
2 years
3 years
4 years
5 years +
How many dependants does the Joint Applicant support?
*
0
1
2
3
4
5+
Joint Applicant’s street number and name
*
Joint Applicant’s suburb
*
Joint Applicant’s city/region
*
Joint Applicant's postcode
*
Joint Applicant's time at address:
*
0-6 months
6 months-1 year
1 year
2 years
3 years
4 years
5 years+
Joint Applicant’s residence type
*
Own without mortgage
Own with mortgage
Renting
Housing NZ
Boarding
Live with family
Other
Joint Applicant’s mobile phone number
*
This field is hidden when viewing the form
Joint Applicant’s mobile phone number
020
021
022
023
024
025
026
027
028
029
Joint Applicant’s mobile phone number
*
Joint Applicant’s email address
*
Joint Applicant’s home phone number (landline)
This field is hidden when viewing the form
Joint Applicant’s home phone number (landline)
03
04
06
07
09
Joint Applicant’s home phone number (landline)
Joint Applicant’s work phone number (landline)
This field is hidden when viewing the form
Joint Applicant’s work phone number (landline)
03
04
06
07
09
Joint Applicant’s work phone number (landline)
Joint Applicant - Identification
Is the Joint Applicant a New Zealand citizen
*
Yes
No
Joint Applicant’s type of photo ID
*
NZ Driver licence
NZ Passport
Firearms Licence
Overseas Passport
Joint Applicant’s driver licence number (5a)
*
Joint Applicant’s version number (5b)
*
Joint Applicant’s passport number
*
Joint Applicant's passport issue date
*
DD slash MM slash YYYY
Joint Applicant's passport expiry date
*
DD slash MM slash YYYY
Joint Applicant’s firearms licence
*
* We will require a copy of this ID (scanned or photo from your phone) to be emailed to apply@qcf.co.nz
Guarantor - Personal Details
Guarantor’s title
*
Mr
Mrs
Miss
Ms
Guarantor’s first name
*
Guarantor’s middle name
*
Guarantor’s surname
*
Guarantor’s date of birth (dd/mm/yyyy)
*
DD slash MM slash YYYY
Guarantor’s gender
*
Male
Female
Guarantor’s marital status
*
Defacto
Divorced
Married
Single
Widow
Guarantor’s occupation
*
Guarantor’s employer
*
Guarantor’s employment status
*
Full Time
Part Time
Casual
Seasonal
Self employed
Student
Homemaker
Retired
Unemployed
DPB or Sickness beneficiary
Guarantor’s length of employment
*
0-6 months
6 months – 1 year
1 year
2 years
3 years
4 years
5 years +
How many dependants does the guarantor support?
*
0
1
2
3
4
5+
Guarantor’s street number and name
*
Guarantor’s suburb
*
Guarantor’s city/region
*
Guarantor's postcode
*
Guarantor’s time at address:
*
0-6 months
6 months-1 year
1 year
2 years
3 years
4 years
5 years+
Guarantor’s residence type
*
Own without mortgage
Own with mortgage
Renting
Housing NZ
Boarding
Live with family
Other
Guarantor’s mobile phone number
*
This field is hidden when viewing the form
Guarantor’s mobile phone number
020
021
022
023
024
025
026
027
028
029
Guarantor’s mobile phone number
*
Guarantor’s email address
*
Guarantor’s home phone number (landline)
This field is hidden when viewing the form
Guarantor’s home phone number (landline)
03
04
06
07
09
Guarantor’s home phone number (landline)
Guarantor’s work phone number (landline)
This field is hidden when viewing the form
Guarantor’s work phone number (landline)
03
04
06
07
09
Guarantor’s work phone number (landline)
Guarantor - Identification
Is the guarantor a New Zealand citizen
*
Yes
No
Guarantor’s type of photo ID
*
NZ Driver licence
NZ Passport
Firearms Licence
Overseas Passport
Guarantor’s driver licence number (5a)
*
Guarantor’s version number (5b)
*
Guarantor’s passport number
*
Guarantor’s passport expiry date
*
DD slash MM slash YYYY
Guarantor’s firearms licence
*
* We will require a copy of this ID (scanned or photo from your phone) to be emailed to apply@qcf.co.nz
Joint Applicants and Guarantors must be New Zealand Citizens
Contact Details
Income/Expenses
Bank Details
Loan Type
Loan Details
Personal Details
Contact Details
This section relates to the Main Applicant
Street number and name
*
Suburb
*
City/Region
*
Postcode
*
Time at address:
*
0-6 months
6 months-1 year
1 year
2 years
3 years
4 years
5 years +
Residence type
*
Own without mortgage
Own with mortgage
Renting
Housing NZ
Boarding
Live with family
Other
Mobile phone number
*
This field is hidden when viewing the form
Mobile phone number
020
021
022
023
024
025
026
027
028
029
Mobile phone number
*
Email address
*
Home phone number (optional)
This field is hidden when viewing the form
Home phone number (landline)
03
04
06
07
09
Home phone number (landline)
Work phone number (optional)
This field is hidden when viewing the form
Work phone number (landline)
03
04
06
07
09
Work phone number (landline)
Income/Expenses
Bank Details
Loan Type
Loan Details
Personal Details
Contact Details
Income/Expenses
Applicant’s Income
We need you to complete this section accurately to ensure we can make a responsible lending decision.
Source of Income
Amount
Frequency
Received From
Main applicant take home pay
*
Frequency
*
Weekly
Fortnightly
Monthly
Received from
*
Partner's take home pay
Frequency
Weekly
Fortnightly
Monthly
Received from
Other income (boarder, assistance etc)
Frequency
Weekly
Fortnightly
Monthly
Received from
Section Break01
Income for Joint Applicant/Guarantor
Source of Income
Amount
Frequency
Received From
Joint applicant/Guarantor take home pay
*
Frequency
*
Weekly
Fortnightly
Monthly
Received from
*
Partner's take home pay
Frequency
Weekly
Fortnightly
Monthly
Received from
Other income (boarder, assistance etc)
Frequency
Weekly
Fortnightly
Monthly
Received from
Section Break01
Applicant’s Expenses
Expense Type
Amount
Frequency
Paid To
Rent/Mortgage/Board
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Regular fix expenses ( eg: SKY TV, Fines etc.)
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Loans/Credit cards/HP’s
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Section Break02
Joint Applicant/Guarantor Expenses
Expense Type
Amount
Frequency
Paid To
Rent/Mortgage/Board
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Regular fix expenses ( eg: SKY TV, Fines etc.)
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Loans/Credit cards/HP’s
Expense Duration
Weekly
Fortnightly
Monthly
Expense Paid To
Section Break02
Bank Details
Loan Type
Loan Details
Personal Details
Contact Details
Income/Expenses
Bank Details
Bank information
This is the account we will put your cash into. It must be the same one your income goes into and automatic payments will come out of.
Bank account number
*
1st Block
2nd Block
3rd Block
4th Block
Full name on the account
*
Other Information
This field is hidden when viewing the form
Reason For Loan
Boat purchase
Business
Debt Restructure
Education/School
Emergency
Funeral
Holiday/Travel
Home renovations
Medical
Personal
Rental bond
Vehicle purchase
Wedding
Other
Reason For Loan
*
Emergency contact person not living with you
*
Phone number of emergency contact
*
This field is hidden when viewing the form
Phone number of emergency contact
020
021
022
023
024
025
026
027
028
029
Phone number of emergency contact
*
What is your credit rating like?
*
Good – All accounts paid on time
Accounts sent to debt collection agency - Paid
Accounts sent to debt collection agency – Not paid
Multiple accounts at debt collection agency - Paid
Multiple accounts at debt collection agency - Not Paid
DRO, N.A.P or Bankruptcy
I don't know
Additional Comments
Terms and conditions
*
I/we as the main applicant, joint applicant and/or guarantor have read and understood the
terms and conditions
of this application.
Credit Check Consent
*
I/we as the main applicant, joint applicant and/or guarantor consent to a Credit Check and Financial Assessment for affordability.
We're sorry but we're unable to approve your loan without security. All of our loans need a freehold vehicle, boat or real estate to support them. You may be able to add a Guarantor to your loan if they have a vehicle they're willing to use as security. Give us a call on 0800 784 252 if you have any questions.
Name
This field is for validation purposes and should be left unchanged.