EXPRESS Application Form
We will call the mobile number listed ASAP after you submit this express application
How much would you like to borrow?
What is your loan for?
*
Car or Motorbike
Boat or Jetski
Truck
Caravan
Home Improvement
Wedding or Event
Debt Consolidation
Travel
Other
Name
*
First Name
Last Name
Mobile Number
*
-
021 / 027
mobile number digits
E-mail
*
example@example.com
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Notes - Anything else you would like to let us know
Consent
I authorize Bloom Financial Group Ltd and any lending or credit reporting agencies to collect personal and credit information about me from my employer, credit bureaus, or any individuals or entities with whom I have financial dealings, as well as from any references I have provided. This information, along with what I provide in my application, may be used in connection with this application and any future relationships we may have. Additionally, my personal and credit information may be shared with other lenders, credit bureaus, or credit reporting agencies as needed. I authorize Bloom Financial Group to perform a Credit check or any other necessary required checks. We will provide your personal information to Centrix Group Limited when we use their consumer credit reporting services (for example for credit checking). Details of how Centrix handles your personal information can be found here: https://www.centrix.co.nz/privacy-statement Centrix will collect your credit information for the purpose of providing credit reporting services to us and other subscribers to Centrix consumer credit reporting services, and Centrix will use and disclosure your credit information in accordance with the Centrix Privacy Statement. You have rights of access to and correction of your credit information and any other personal information held by Centrix as set out in Centrix Privacy Statement.
*
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission and that I am not an undischarged bankrupt.
YES
Apply
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