23a Delta Ave, New Lynn, Auckland 0600. 09 827 1001

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I/We apply for the above loan and certify that the particulars above and overleaf are true and correct, that I/we are over the age of 18 years and am not an undischarged bankrupt. Pursuant to the Privacy Act 1993 I/we authorize Ted Traceys LMVD or any Finance Company including but not limited to Falcon Advances, Global Credit, Marac, UDC Finance Ltd, Finance Now, to contact any credit reporting agencies, credit providers, my/our employers, accountants, or any other source, to obtain, check and exchange such personal, financial and commercial information and references as is necessary for the purpose of considering this application, the protection and administration of any loan arising out of this application and to assist the enforcement of any agreement between me/us and any finance company. I/We agree that you may reproduce this authority to such parties for the purpose of collecting such information. Under the provisions of the Privacy Act 1993, you are entitled to have access and request correction to personal information held about you.

By clicking "Submit Application", I/we warrant that the information provided in this application is true and correct and I/We agree to the terms of the PRIVACY ACT 1993