Financefix Online Application Step 1 of 4 How did you hear about us? Contact Details Full Name* Email Address* Street Address* City* State* ---Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Post Code* Home Phone* Mobile* Personal Details Date of Birth* Marital Status* ---MarriedDivorcedWidowedSingle Number of Children* If yes, what ages are your children?* License Number* Living Details What is your living arrangement?* ---RentBuyingBoarding How long have you been living at your current address?* Name of Landlord or Mortgagee* Phone number of Landlord or Mortgagee* Previous Address (If less than 3 yrs at current address) Name of previous landlord Phone number of previous landlord How long there? Financial Details Occupation* Current Employer* Employer's Phone Number* How long at this job? Previous Employer (If less than 3 yrs at current employment) Previous Employer's Phone Number How long at this job? Current income p/w (after tax)* Any other sources of income? How much?