In order for us to provide you with high quality credit advice please complete our secure client information form. All data is encrypted and only authorised staff will have access to your supplied information.
How long will this take?
About 10 - 15 minutes. Try to be accurate but it does not need to be absolutely exact to the last dollar.
Save your form
You can save your form if you'd like to come back to it later. Just click the Save button found at the bottom of each section.
A quick tip if using this form on an iPhone or iPad
Do not click the 'go' button as it will take you to the next page - just click the 'X' button after typing. It will then let you go to the next question or field.
If you have any questions please contact us on 1800 512 138 or by email at info@xcelleratefinance.com.au
Many thanks,
The team at Xcellerate Finance
Current address
Previous address 1
Previous address 2
Previous address 3
Next of kin address
Contact person
Registered address
Principal place of business
Employer address
Property 2 address
Property 3 address
Property 4 address
Property 5 address
Property 6 address
Property 7 address
Property 8 address
Property 9 address
Property 10 address
Consent to receive marketing Information - you consent to us doing so & we may provide you with information from time to time about new products and services available to you from us or other businesses with whom we have a relationship. Your consent to our providing this information to you will be implied unless you notify us that you do not wish to receive this information.
Consent to receive documents electronically - you consent to us providing you with documents by electronic communication, you confirm that paper documents may no longer be given, and electronic communications must be regularly checked for documents. Consent to the giving of documents by electronic communication may be withdrawn at any time.
Please be patient, it can take up to a minute to send us all of your information. Once complete, this page will refresh to our needs analysis questionnaire.