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eez
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First Name
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Middle Name
Are you over 17 years old?
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What is your employment status?
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employed
self employed
receive benefits/centrelink
How often do you get paid?
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weekly
fortnightly
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How much do you get paid each payday?
Is your pay deposited into your bank?
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How much do you wish to borrow?
What is your contact phone number?
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Where do you live?
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I have read and understood the
terms and conditions
and agree to be bound by them should I accept Casheez' loan offer.