Geneva Finance

Enter loan details

Please tell us about the loan amount you would like to borrow and the motor vehicle you wish to purchase.

Loan Amount

Term (months)

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12 24 36 48 60

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Frequency

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Weekly Fortnightly Monthly

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Loan Purpose

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Vehicle Purchase Personal Loan

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Enter personal details

Please provide your personal details. These uniquely identify you and will be kept private and confidential.

General Details

Title

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Dr Miss Mr Mrs Ms

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First Name

Middle Name

Last Name

Date Of Birth

Gender

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Female Male Diverse

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Marital Status

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De Facto Divorced Married Separated Single Widowed

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Number Of Dependants

Does your partner work and receive income?

Contact Details

Same Physical and Postal Address?

Current Physical Address

Current Postal Address

Time At Current Address (years/months)

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Time At Previous Address (years/months)

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Previous Physical Address

Residential Status

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Boarder Home Owner Living With Parents Renter

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Residency Status

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Non Resident NZ Citizen Permanent Resident Work Permit

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Home Phone

Work Phone

Mobile Phone

Enter additional details

Please provide some additional details. These uniquely identify you and will be kept private and confidential.

Employment Details

Please provide Employment details. If you've been employed in your current role less than 24 months we will require you to provide Previous Employment details.

Current Employment

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ACC Casual Employed Full Time Employed Permanent Part Time Seasonal Self Employed Student Superannuant Unemployed

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Current Employer Name

Current Start Date

Previous Employment

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ACC Casual Employed Full Time Employed Permanent Part Time Seasonal Self Employed Student Superannuant Unemployed

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Previous Employer Name

Previous Start Date

Previous End Date

Financial Details

Using the buttons, please provide an estimate of the total income you receive per month from all sources and the total expenses you pay out per month.

Incomes

Income	Amount (After Tax)	Frequency	Max number of items reached.

Please enter at least one income.

Income

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Salary\Wages Other

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Amount (After Tax)

Frequency

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Annually Fortnightly Monthly Weekly

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Expenses

Expense	Amount	Frequency	Company	Balance	Max number of items reached.

Please enter at least one expense.

Expense

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Credit Card Hire Purchase Insurance Mortgage Loan Rates Other Expenses

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Amount

Frequency

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Annually Fortnightly Monthly Weekly

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Company

Balance

Identification Details

Please provide Current Identification details.

Driver Identification

Do you have a Driver Licence?

New Zealand

International

Driver Licence Type

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Full Restricted Learner

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Driver Licence Number

Country Of Issue

Driver Licence Version

Driver Licence Expiry Date

Passport Identification

Do you have a Passport?

Passport Number

Country Of Origin

New Zealand

Australia Cook Islands Fiji India Japan New Zealand Niue Other Philippines Samoa Tonga United Kingdom USA

Please choose a country of origin.

Loan Application Submission

Please agree to our privacy statement before submitting.

Financial Advice Disclosure Statement

Privacy Policy

Geneva Finance takes your privacy seriously, and we are committed to protecting your personal information. We recognise the importance of keeping your personal information confidential and secure.

Yes, I agree to the Privacy Act Acknowledgement

I hereby authorise any person or body of persons listed below to disclose to Geneva Finance Limited (GFL) including its subsidiaries Geneva Financial Services Limited (GFSL) and Stellar Collections Limited (SCL), promptly on request the following personal information about me:

My current address(s) and or current whereabouts, including any arrival and departure records held in New Zealand:
My current known name(s);
My other known name(s);
My current bank account(s) including bank statements; and
Any employment details.
My date of birth

The persons or bodies of persons to whom this authority applies are:
any New Zealand Government department, agency or service including (but not limited to):
Ministry of Social Development (including Work and Income);
Inland Revenue;
Ministry of Justice;
Department of Corrections;
New Zealand Immigration Service;
New Zealand Police; and /or
Kainga Ora Homes and Communities
any New Zealand Telecommunication Company or service including (but not limited to);
Spark New Zealand Limited; and/or
Vodafone New Zealand Limited.
any registered bank in New Zealand; and
any other credit provider or debt collector in New Zealand; and
any current or previous employer.
GFL and/or GFSL is collecting information about you to determine whether to open a credit account in your name; GFNZ and/or GF may not be able to open a credit account if all the requested information is not provided. Information collected and held about you may be used by GFL and/or GFSL and/or SCL from time to time for credit assessment and control purposes, to register security interest, for sending you promotional and other material about the services it supplies, and generally to do business with you. Information collected and updated may be exchanged with organisations or people including other credit providers, government departments, your employer, and your relatives for those purposes. Under the Privacy Act, individuals have rights of access to and correction of their personal information about you. I/we declare that the information provided on my/our credit application form is true and correct. I/we understand that Credit Checks and PPSR Checks will be obtained to enable the processing of this application to determine credit worthiness. I/we declare that no money is owed on the security being provided other than that which has been stated. I/we declare that I am/we are not un-discharged bankrupts. I/we irrevocably agree that GFL and/or GFSL and/or SCL may give to and seek from credit providers, credit reporting agencies, my/our employer/s, relative/s, or other named person/s such personal, financial, and commercial information as is necessary relating to this credit application, the administration of any loan and any ongoing debt recovery. I/we acknowledge that any costs relating to debt recovery are payable by me/us and that a default may be recorded against my/our credit history for non-payment of debts incurred with GFL and/or GFSL and/or SCL. I/we understand and agree that the information on this form and subsequent information updated after the opening of the credit account may be exchanged with other credit providers or other third parties to assist the recovery of my/our debt. Under the Privacy Act individuals have rights of access to and correction of their personal information. Under the Privacy Act, we may refuse access to personal information if doing so would create a serious threat to health, safety, or life of an individual or the public, create a likelihood of serious harassment or cause significant distress to a victim of an offence. You may also request the full details of every organisation or person to whom GFL and/or GFSL and/or SCL has disclosed information about you. Your personal information is stored electronically or in paper files. We take security measures to keep your personal information safe against unauthorised use, access and disclosure. This includes the use of passwords, other identity controls and secure storage. I/we understand that any such personal information collected and held may be used by GFL and/or GFSL and/or SCL for the purposes of operating, maintaining, or taking lawful recovery action in respect of my/our account(s) with GFL and/or GFSL and/or SCL.

If you have any questions about this Privacy Declaration and/or our handling of personal information or you believe that we have at any time failed to keep one of our commitments to you to handle your personal information in the manner required by the Privacy Act, please email complaints@genevafinance.co.nz. You can also make a complaint to the Office of the Privacy Commissioner. See www.privacy.org.nz for more information. I/we declare that the information provided on this Application Form is true and correct. I/we understand that a Credit Check of Fines on the Ministry of Justice overdue fines database will be obtained to enable the processing of this Application to determine credit worthiness. I/we authorise GFL and/or GFSL and/or SCL to conduct a search of the Ministry of Justice overdue fines balance database to obtain a fines status response and to obtain the balance of any fines in default. I/we also authorise GFL and/or GFSL and/or SCL to conduct a search of the Ministry of Justice overdue fines balance database now or in the future in accordance with the administration of any loan and any ongoing debt recovery. I/we understand that should I/we have an overdue, unpaid, or outstanding fine or reparation payable to the Ministry of Justice my/our contact information, as supplied on this application for credit, will be passed to the Ministry of Justice for it to collect, retain, use, and disclose to the Court for fines enforcement purposes.

Do you currently reside in New Zealand?

Geneva Finance does not currently offer loans to customers outside New Zealand.

For this application process you may need to provide the following:

Enter loan details

Enter personal details

General Details

Contact Details

Enter additional details

Employment Details

Financial Details

Incomes

Income Details

Expenses

Expense Details

Identification Details

Driver Identification

Passport Identification

Loan Application Submission

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Financial Advice Disclosure Statement

Privacy Policy

Privacy Waiver Please read and accept our privacy statement before proceeding.

Privacy Declaration

SUMMARY OF PROCEEDINGS ACT 1957 DECLARATION

Privacy Waiver
Please read and accept our privacy statement before proceeding.