• No Interest Loan Application Form

  • Your Contact Information

  • Format: 0000 000 000.
  • How long at this address?

  • About You

  • Gender*
  • Date of Birth
     - -
  • What is your highest level of education?
  • Are you an Australian Citizen or Permanent Resident?
  • Indigenous Identity*
  • Do you identify as a person with a disability?*
  • Do you require any special assistance?

  • The Loan

  • Your Circumstances

  • Do you earn less than $70k (single person) or $100k (couple / individual with dependents)?*
  • Do you have a health care card or a pension card?*
  • Have you experienced domestic and family violence (DFV) in the last 10 years?*
  • What is your current accommodation*
  • What are your living arrangements?*
  • What is your current employment status?*

  • Your Emergency Contact

  • What is their relationship to you?*
  • Format: 0000 000 000.

  • Centrelink Confirmation eServices (CCeS) Authority

    If you would like us to download your Centrelink Statement for you, please carefully read and complete the following section.
    • Services Australia will disclose personal information to Toukley Neighbourhood Centre including your name, payment type, payment status, one off payment, income, assets, deductions, shared care arrangements and Youth Allowance Independent Rate to confirm your eligibility for relevant NILS service.
    • This consent, once given, remains valid while you are a customer of Toukley Neighbourhood Centre unless you withdraw it by contacting Toukley Neighbourhood Centre or Services Australia.
    • If you withdraw your consent or do not alternatively provide proof of your circumstances/details you may not be eligible for the NILS service provided by Toukley Neighbourhood Centre.
      If you have any questions, please contact us on 4396 1555 before completing the following authorisation.
    • Alternatively, you can get proof of your circumstances/details from the department yourself and provide it to Toukley Neighbourhood Centre so that your eligibility for relevant NILS service can be determined.
  • Do you authorise Toukley Neighbourhood Centre No Interest Loans Scheme Inc. to use Centrelink Confirmation eServices to perform a Centrelink enquiry of your customer details in order to enable the business to determine if you qualify for a NILS service.*

  • Document Checklist

    Please gather the listed documents and upload below. Your loan cannot be processed until we have all required documentation. If you need assistance, please contact us on 4396 1555.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Check off the documentation that you have provided.*

  • Documentation

    You can provide additional documentation by email - please send to nils@tnc.org.au.
  • Should be Empty: