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Enquiry Type

Individual / Personal

Company

Broker

Lived at address for LESS than 3 years

Previous Address (if you have lived in your current address less than 3 years)

Address

City

State

Post Code

Australian Passport Number

Drivers Licence Number

Drivers Licence Card Number

Where is my drivers license card number?

New South Wales

Your NSW licence number is under ‘Licence No.’ on the front of the card. Your card number is also on the front of your card in the top right-hand corner.

Victoria

Your VIC driver’s licence number is under ‘LICENCE NO.’ on the front of your card. Your card number is on the right-hand side on the back of your card.

Queensland

Your QLD driver’s licence number is under ‘Licence No.’ on the front of your card. Your card number is either on the front or back of your card in the centre.

Western Australia

Your WA driver’s licence number is under ‘Licence Number’ on the front of your card. You'll find your card number on the back.

South Australia

Your SA driver’s licence number is under ‘Licence No.’ on the front of your card. Your card number is on the back of your card.

Tasmania

Your TAS driver’s licence number is under ‘LIC NO.’ on the front of your card. Your card number is in the top right-hand corner on the back of your card.

Northern Territory

Your NT driver’s licence number is under ‘Licence Number’ on the front of your card. Your card number is at the bottom on the back of your card.

Australian Capital Territory

Your ACT licence number is under ‘Licence No.’ on the front of your card. Your card number is next to your photo on the card.

Drivers Licence Issuing State

Foreign Passport Number

Foreign Passport Country

Medicare Card Number

Name as it appears on Medicare Card

Medicare Card Type

Australian Citizen Medicare Card

Interim Medicare Card

Reciprocal Heath Care Card

Medicare Valid Until Date

Position on Medicare Card

I confirm that I am providing my details only. If I have provided document details above, I consent to my information being matched with the document issuer or official issuer via third party systems for the purpose of verifying my identity.

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Have you been declined credit or a loan in the past 12-24 months?

Yes

I was approved, but with a higher interest rate or for a lower amount than I wanted.

Were you advised to check your credit report?

Yes

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Do you have a credit card or loan with a high interest rate, such as a payday loan?

Yes

Unsure

Do you currently have any accounts/bills that are overdue by 60 days or more?

Yes

Unsure

Have you previously had any accounts/bills overdue by 60 days or more?

Yes

Unsure

How long ago? (If the previous answer was Yes)

1-3 Years

4-6 Years

7+ Years

Unsure

Do you have any open accounts with debt collection agencies?

Yes

Unsure

Have you missed any repayments on loans, credit cards, or utility bills in the past two years?

Yes

Unsure

Have you had any judgments, such as a court order to repay a debt or unpaid property rates, filed against you?

Yes

Unsure

Have you ever been declared bankrupt or entered into a Part 9 debt agreement?

Yes

Unsure

Complete the form below, and one of our specialists will contact you soon to discuss potential solutions for improving your credit rating.