Application Forms

If you do not wish to fill out your application online, feel free to download and print our Credit Applications. They are provided for your convenience as Adobe Acrobat PDF documents.

Personal Credit
Application

Business Credit
Application

Online Personal Credit Application

Description of Goods:
Value of Goods GST Inc: $
Deposit: $
Term (Months):
Payment Frequency:
Type of Loan:

Given Names:
Surname:
Date of Birth:
Phone Number:
Fax:
Mobile:
Email Address:
Sex:
Marital Status:
Address:
Period of Residence at Present Address:	years
Are you a:
Previous Address:
Are you a NZ Citizen:	Yes No
If not, please state citizenship:
A permanent resident:	Yes No
Approximate Personal Net Weekly Income:

Home Owner:
Value of Home: $
Balance of Mortgage: $
If rented or leased, Name of Landlord:
Landlord's Phone:

Occupation:
How long employed:
Present Employer:
Address:
Phone:

Partner's Details
Given Names:
Surname:
Date of Birth:
Address:
Phone:
Mobile:
Email Address:
Partner's Employer:
Employer's Phone:

Next of Kin Details
Name:
Address:
Phone:

Company References
Company Name:
Address:
Amount Owing:
Monthly Payments:

Company Name:
Address:
Amount Owing:
Monthly Payments:

Personal References
Name:
Address:
Relationship:
Phone:

Name:
Address:
Relationship:
Phone:

Privacy Act

I hereby authorise any person or company to provide you or BOSS Finance Ltd with such information as you may require in response to your enquiries associated with this application. I also further authorise you or BOSS Finance Ltd to furnish to any third party or parties details of this application and any subsequent dealings that I may have with you or BOSS Finacne Ltd as a result of this application being actioned by you or BOSS Finance Ltd.

I declare that the above particulars are true and correct and that I am over the age of eighteen years, that I have never been adjudged bankrupt nor have I committed any act of bankruptcy.

I hereby agree in consideration of credit being extended to me to pay all legal and other incidental expenses incurred in respect of recover of my debt to BOSS Finance Limited.

Tick here to authorise and accept