Credit Check Form – AUSWIDE – Your Trusted Partner

AUSWIDE Lending Partners

Your Trusted Partner in Smarter Lending

Authority for an agent to obtain an individual's consumer and commercial credit information file held by credit reporting agency (Privacy Act 1988)

1 Personal Details

Full Name *

Driver's Licence No. *

State of Issue *

Licence Expiry Date *

Date of Birth *

Employer

Gender *

Street Address *

Suburb *

State *

Postcode *

2 Supporting Documents

Please upload clear copies of your identification and supporting documents.

✅ Accepted formats: JPG, PNG, PDF, DOC, DOCX | Maximum file size: 5MB per file

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Driver's Licence *

Upload front & back of your current driver's licence

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Passport

Upload the photo page of your current passport

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ABN / Business Document

Upload your ABN registration or business certificate

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Other Supporting Documents

Any additional documents (e.g utility bill)

3 Credit Check Authority

I Authorise Haripur Financial Services Pty Ltd ABN 89 689 210 115 Trading as AUSWide Lending Partners, Unit 11, 2 Distribution Drive, Mickleham VIC 3064, to act as my agent in seeking access to my consumer and commercial credit information file held by a credit reporting agency.

This authority only applies in connection with:

An Application, or proposed application, by me for credit.
My having sought advice in relation to existing credit.

Confirmation *

Yes, I have read and authorise AUSWide Lending Partners to access my credit information file

Date Signed *

4 Credit Report Fee — $33.00

I authorise Haripur Financial Services Pty Ltd ABN 89 689 210 115, Trading as AUSWide Lending Partners (Australian Credit Licence 384704), to collect an upfront fee of $33 by charging my Visa or Mastercard to produce a credit information report.

Cardholder Name *

Card Type *

Card Number *

Enter your 16-digit card number in 4 groups of 4 digits

Expiry Month *

Expiry Year *

CVC / CVV *

Payment Confirmation *

Yes, I authorise the $33.00 charge to my nominated card for the credit information report

Date Signed *

⚠️ By submitting this form you authorise a one-time charge of $33.00 to your nominated card.