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Your personal information is protected by the Privacy Act that imposes fines of up to $150,000 for unauthorised disclosure without your permission.

PLEASE NOTE: The following application is not a contract to buy a motor vehicle, the information you supply is used only as an expression of interest.

 
                                                       
Your Name: 
Your E-Mail: 
Amount to borrow: 
$
Phone: 
Fax: 
Street: 
City: 
Postcode: 
Drivers License : 
Date of Birth : 
Gross Monthly Income : 
$
Notice of Disclosure of Your Credit Information:
Ford Credit Australia Limited ACN 004 915 100 ("Ford Credit") may give information about you to a credit reporting agency for the following purposes
  • To obtain a consumer credit report about you, and/or
  • To allow the credit reporting agency to create and maintain a credit information file containing information about you.
    This information is limited to:
  • Identity particulars - your name, sex, address (and your previous two addresses), date of birth, name of employer and drivers licence number.
  • Your application for credit or commercial credit - the fact that you have applied for credit and the amount.
  • The fact that Ford Credit is a current credit provider to you.
  • Payments which are overdue by more than 60 days, and for which debt collection action has started.
  • Advice that your payments are no longer overdue in respect of any default that has been listed.
  • Information that, in the opinion of Ford Credit you have committed a serious credit infringement (that is, acted fraudulently or shown an intention not to comply with your credit obligations).
  • Dishonored cheques - cheques drawn by you for $100 or more which have been dishonored more than once.

Period to which this understanding applies:
This information may be given before, during or after the provision of credit to you.

AGREEMENTS WITH APPLICANT(S):
I/We AGREE that Ford Credit may:
  1. obtain information about me/us from a business which provides information about the commercial credit worthiness of persons for the purpose of assessing my/our application for consumer credit;
  2. obtain a consumer credit report containing information about me/us from a credit reporting agency for the purposes of assessing my/our application for commercial credit;
  3. give to a person who is currently a guarantor, or who I/we have indicated is considering becoming a guarantor, information or a credit report containing information about me/us for the purpose of assisting the prospective guarantor in deciding whether to act as guarantor, or to keep the existing guarantor informed about the guarantee;
  4. obtain a consumer credit report about me/us from a credit reporting agency for the purpose of collecting overdue payments relating to commercial credit owned by me/us;
  5. exchange information about me/us with those credit providers named in my/our credit application or named in consumer credit report issued by a credit reporting agency to assess an application by me/us for credit, to notify other credit providers of a default by me/us, to exchange information by other credit providers as to the status of my/our credit contract where I am/we are in default with other credit providers, to assess my/our credit worthiness.

I/WE UNDERSTAND that information which is exchanged or disclosed pursuant to the above agreements can include anything about my/our credit worthiness, credit standing, credit history or credit capacity that that credit providers are allowed to exchange or disclose under the Privacy Act and includes a credit report.

Where Ford Credit acts as agent for undisclosed principle I/WE AGREE that Ford Credit may disclose any report about me/us or personal information derived from the report to the principle.

I/WE HEREBY REQUEST Ford Credit from time to time to confirm or disclose to the dealer reports or personal information derived from such reports about me/us or relating to my/our credit application or credit arrangements with Ford Credit including information relating to the termination or possible termination and/or expiration of my/our credit and/or insurance arrangements and for that purpose HEREBY APPOINT such dealer as my/our AGENT AND AUTHORISE HIM to give and receive or seek access to such information to the maximum extent authorised by or under law.

Should my/our credit arrangements entitle me/us to require Ford Credit or its nominee to purchase goods subject to the credit arrangements, I/we request Ford Credit at relevant times to disclose to its nominee or agent such information as is or would be necessary for me/us to complete the sale of the goods and for that purpose I/WE AUTHORISE the nominee or agent to receive an seek access to such information.

I/WE AGREE that if Ford Credit approves the application for credit the above agreements remain in force until a credit arrangement covered by the application ceases.

Do It:
I/we have read the disclosures and agreements and acknowledge that the dealer is my/our agent and is authorised as herein provided.