I am applying for *

Finance application
Finance quote
Yamaha Blue Card

If Blue Card, what limit? *

Name *

First

Middle

Last

Phone

Email *

Gender *

Date of Birth *

Marital Status *

Single
Married
Defacto
Divorced
Widowed

Number of Dependants *

Licence to ride? *

Licence Number *

Licence state *

Licence expiry *

Permanent Resident *

Current Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Residential Status *

Owned
Owned Out Right
Renting
Boarding
Living With Parents

Years in residence *

Months in residence *

Notes to add in relation to living situation

Previous Address if less than 3 years

Previous address if less than 3 years

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Residential Status (If less than 3 years) *

Owned
Owned Out Right
Renting
Boarding
Living With Parents

Years in residence (If less than 3 years) *

Months in residence (If less than 3 years) *

Notes to add in relation to living situation (If less than 3 years)

Employment Information

Current Employment Name *

Employer contact number *

Occupation *

Employer Contact name *

Employer Contact position *

Employment type *

Full time
Part time
Casual
Self-employed
Contractor

Years employed *

Months Employed *

Income frequency *

Income after tax *

Notes to add in relation to work situation

Previous employment if less than 3 years

Previous Employment Name *

Employer contact number *

Occupation *

Employer Contact name *

Employer Contact position *

Employment type *

Full time
Part time
Casual
Self-employed
Contractor

Years employed *

Months Employed *

Notes to add in relation to work situation

Expenses

General Living Expenses - Basics (Monthly)

Groceries *

Electricity / Gas Utilities *

Water / Land Rates *

Transport / Petrol *

Registration *

Clothing *

Child Maintenance *

Mobile / Internet *

General Living Expenses - Discretionary (Monthly)

Restaurants / Take Away *

Childcare *

Private School Fees *

Alcohol / Tabacco *

Entertainment *

Insurance (Home, Life, Car) *

Other:

General Living Expenses - Luxury (Monthly)

Holiday *

Housekeeping *

Gambling *

Donations *

Other

Living Situation *

Monthly Cost *

Please specify which Bank/ Real estate / Private / Living with parents / Owned outright *

If real estate, provide contact number

Monthly Financial Commitment *

Credit Provider / Bank *

Monthly Cost *

Monthly Financial Commitment 2 *

Credit Provider / Bank *

Monthly Cost *

Monthly Financial Commitment 3 *

Credit Provider / Bank *

Monthly Cost *

Notes on Monthly Financial Commitments

Credit Card 1 *

Credit Provider / Bank *

Credit Card Limit *

Credit Card 2 *

Credit Provider / Bank *

Credit Card Limit *

Credit Card 3 *

Credit Provider / Bank *

Credit Card Limit *

Number of Credit Cards *

Bike to be Financed

Condition *

Manufacturer *

Model *

Year *

Purchase Price *

Deposit or Trade in value *

Length of Loan *

Payment frequency *

Insurance

Where will the bike be kept at night? *

How long have you held a valid motorcycle licence? *

Will there be any OTHER ride under the age of 25 using the unit?

In the last 5 years have the following applied to you?

Had any insurance refused or cancelled? *

Suffered any motorcycle or theft insurance claims? *

Been charged or convicted of any offence (other than vehicle/motorcycle offences)? *

Had your motor vehicle or motorcycle license suspended or revoked for any reason? *

If yes to any of the above, please give brief description.

ie: lost licence doing 10 over in a 60 zone, etc.

Next of Kin (Emergency Contact not living at same address)

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Relationship to you *

ie: brother, sister, aunty, etc

If you have payslips or a drivers licence, you can upload them here now or you can do this later.

Click or drag files to this area to upload. You can upload up to 3 files.

Payslips and drivers licence

I accept that *

I have read, agree to and understand the conditions of the YMF Privacy Declaration for this application. I also accept that Trooper Lu's Garage will use my information for marketing purposes.

Yamaha Motor Finance Application