Name: Own Home Loans
Address: 120 Rosslyn Street, West Melbourne, VIC, 3003, AU
Telephone: 1300 721 631

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Who is your mortgage broker?*
How were you referred to us?*
Personal Details
Title*
First Name*
Middle Name
Last Name*
Date of Birth*

Day
Month
Year
Email*
Mobile Number*
Mother's Maiden Name*
Marital Status?*
If you have dependents, please list them here with Date of birth
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Dependent Name Date of Birth
Residency Status*
Visa Type?*
Your country of residency?*
Current Address*
Street Address Address Line 2 City State Postcode Country
With the above current address are you:*
- Own home
- Under Mortgage
- Renting
- Boarding
- Living with family or friends
We need to get a minimum of 3 years residential history. How long have you lived at the above address?
Years*
Months*
Previous Address
Street Address Address Line 2 City State Postcode
Years*
Months*
Do the above address or addresses combine to be more that three years?
- Yes
- No
Previous Address
Street Address Address Line 2 City State Postcode
Years*
Months*
Details of a Relative
Please provide details of a relative not living with you.
Relationship to this relative?*
Title*
First Name*
Surname*
Phone Number*
Address*
Street Address Address Line 2 City State Post Code Country

Save and Continue Later

Owner	Lender	Repayment	Rate	Balance	Limit	Term Remaining

Owner	Lender	Repayment	Rate	Balance	Limit	Term Remaining

Owner	Lender	Repayment	Rate	Balance	Limit	Term Remaining

Owner	Lender	Repayment	Rate	Balance	Limit	Term Remaining

Owner	Lender	Balance	Limit

Personal Details

Details of a Relative

Dependent Name	Date of Birth

Contact Name	Contact Number

Contact Name	Contact Number

Dependent Name	Date of Birth