The Little Loan Shop Application Form

This is The Little Loan Shop application form for a loan from our Credit Provider called Acorn Finance. To process your application, you need to supply the following information.

How much do you want to borrow? *

How often are you paid? *

Weekly

Fortnightly

Monthly

How many payments do you want to make? *

One payment at end of the loan

Spread payments over 2 weeks

Spread the payments over 4 weeks

Spread the payments over 6 weeks

Please enter your mobile phone number *

Please enter your email address *

Please enter your name EXACTLY as it appears on your ID - Driver Licence or Passport

First Name *

Middle name

Last Name *

Date of Birth DD/MM/YYYY *

Street Address *

Suburb *

City *

What is the name of your employer? (At least 80% of your after tax income must be from paid employment - NOT Winz or Studylink) *

Total income after tax per week. Must be at least $450 per week to qualify *

How many short-terms loans do you currently have? (Loans to be paid back with 8 weeks) *

Gender *

Male

Female

Unknown

Please read the PRIVACY WAIVER AND CONSENT document in the link below. When you accept this by checking the box, it gives Acorn Finance permission to store your personal information and carry out a credit check.

Privacy Waiver and Consent

*

I accept the Privacy Waiver and Consent

Signature. Please type your first and last name for your signature to verify the information provided is true and correct. *