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Personal Information First Name * Surname   * Identity type   - select one - ID Book Passport * ID number   * Address   * Suburb   * Postal code   * Email   * Home phone number   * Work phone   * Cellphone   * Are you a first time buyer   - select one - yes no * If not, do you have a current bond?   - select one - yes no Is it still active?   - select one - yes no If not, has it been cancelled?   - select one - yes no Occupational status   - select one - Full-time employed (non-professional) Full-time employed (professional) Housewife Part time employed Pensioner Scholar Self-employed (non-professional) Self-employed (professional) Student Tempory employment Unemployed * Are you actively looking for a property to purchase   - select one - yes no * Have you already signed an offer to purchase   - select one - yes no * Have you given any financial details to the Estate Agent yet?   - select one - yes no In which area are you purchasing?   *       About the loan I may be interested in       Type of application   - select one - Individual Joint with other person Joint with spouse Close Corporation Company Trust * Loan Type   - select one - Further advance New loan Building loan Re-advance Switch * What will the property be used for?   - select one - Rental Owner Occupied Holiday Other * Loan Amount Required   * Reason for loan   - select one - Build a new home Buy an existing home Buy vacant land Home Improvements Other * Interest Rate Option   - select one - Fixed Variable * Estimated purchase price   * Which bank do you favour for your bond, if any?       About my finances       Gross Monthly Household Income   * Existing Monthly Rent / Bond Payments   * Additional information may help to secure a better interest rate concession on your home loan