Please fill out the Application Form form below and Submit. One of our representatives will contact you shortly or contact us directly on 02 8080 7330
 

Company Information

Your Name

Company Name

Web Address
Would you like to organise a link from your website?
       
ABN No. of Offices No. of Staff
Email Address
Phone Number
Fax Number
Trading Address

 

 
 
Company Structure Information
Director(s) Names, Date of Birth & Qualifications:
History of the Business:
Shareholder(s) Names, Percentage Held:
List Products/Services Provided:
 
Company Reference Information
List any accreditations held with Banks/Financiers: List any associations that you are a member of and any licenses you hold:
Do you hold any of the following Insurance?
Other (please specify)    
Any material litigation Pending:
 

Credentials
Please send through the following to introducer@assetfin.com.au

  1. Professional Indemnity Cover
  2. FBAA, MFAA or COSL Membership (as applicable)
  3. Finance Brokers, Investment Advisors or Security Dealers License
  4. Company Overview or Resume
  5. Trust Deed (if applicable)
 

Current Lease Finance Information

Do you currently offer Leasing Services? Yes       No

If yes, through which Finance Company and what  are the current arrangements.

Number of Transactions Financed in past 12 months:

Value of Transactions Financed in past 12 months:

 
Privacy Declaration and Authorisation to Release Information
I/we (being the Lessee/s) hereby certify that the information that has been provided is wholly true and not misleading. Pursuant to the Privacy Act 1988 (Cth), I/we authorise and consent Assetfin Australia Pty Ltd ACN 133 732 706 ABN 75 133 732 706 ('Assetfin') collecting from and providing to credit reporting agencies personal information (being consumer credit information and any other relevant information about me/us), and to seek and obtain consumer credit references/reports to allow Assetfin to assess my/our application, manage my/our account, recover any money that I/we owe, and/or finance another product (currently or in the future) to me/us. I/we also acknowledge that the credit/commercial credit applied for may be provided by another credit provider. I/we acknowledge and authorise that in such cases, Assetfin may disclose my/our personal information to such credit provider for the purposes of assessing my/our application, including information about my/our consumer or commercial credit worthiness or financial capacity. I/we acknowledge and authorise you to disclose my/our personal information to others who perform a function or service for, or related to the purposes you collect, use or disclose the information, including agents. These may include introducers, debt collection agents, valuers, solicitors or accountants, and funders. You may also seek information from government authorities or others to enable you to identify me/us and verify information I/we have provided. This may be to locate me or us or the assets. It may include searches of electoral rolls, land titles, business names or ASIC, bankruptcies and court judgments and telephone numbers. I/we acknowledge that if we fail to provide sufficient personal information, my/our application may not be able to proceed. I/we acknowledge that I/we may access my/our personal information by contacting Assetfin on 02 8080 7330.
 
I have read the Privacy Act declaration and I authorise Assetfin to act in accordance with it.
 
     
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