Dealers Quote Form | Max Money Group

Referral Partner ID

Loan Type *

What is the expected price of the car? *

Contact details

Title (customer) *

Name (customer) *

First

Last

Date of birth (customer) *

Minimum age for a personal loan is 18yrs

Mobile number (customer) *

Email (customer) *

More about the client

Residency status *

Does the client have an existing GEM Personal Loan? *

GEM is currently unable to offer lending to clients on a Working Visa unless they already have an existing GEM Personal Loan. We’re sorry we can’t assist this client at this stage. If GEM’s policy changes in the future, we’ll make sure to keep you updated.

Please note that the application may be declined if the client doesn’t have an existing GEM Personal Loan, as GEM is currently unable to lend to clients on a Working Visa unless they already have an existing GEM Personal Loan.

Living status *

Client's share of rent payments ($) *

Payment frequency *

Address *

Suburb *

Years *

Time at current address

Months *

Previous address *

Years *

Time at previous address

Months *

Is the postal address same as the residential address? *

Yes
No

Postal address *

Employment type *

Multiple selections can be made

Frequency of the client's main income *

Identification

Type of ID (customer) *

FRONT of driver licence *

Please upload a clear photo of the FRONT of the driver licence

BACK of driver licence *

Please upload a clear photo of the BACK of the driver licence

Signature page of passport *

Please upload a clear photo of the Signature Page of the passport

Declaration

You confirm that the client has provided informed consent for their personal information to be shared with us for the purposes of obtaining finance quotes and conducting soft credit checks. *

Client Consent Obtained

Dealers – Referral Form (Quote)

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