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.

Finance Application

Insurance Quote

Finance Application

Insurance Quote

Yamaha Motor Finance Application

Current Address

Previous Address if less than 3 years

Employment Information

Previous employment if less than 3 years

Expenses

General Living Expenses – Basics (Monthly)

General Living Expenses – Discretionary (Monthly)

General Living Expenses – Luxury (Monthly)

Bike to be Financed

Insurance

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

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

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