HOME LOAN SUBMISSION FORM.
Applicant/Guarantor to complete and sign
Your details
Applicant 1
Title (Mr/Mrs/Miss/Ms/Other) Given name(s)
Family name
Applicant 2
Title (Mr/Mrs/Miss/Ms/Other) Given name(s)
Family name
Guarantor 1
Given name(s)
Guarantor 2
Given name(s)
Family name
Family name
Electronic Statements and Notices Consent
Please complete this section if you would like us to send you statements and notices electronically for your new ME Bank products.
Applicant 1
Applicant 2
Home Loan
Yes No
Yes No
EveryDay Transaction Account (if a new account
is opened as part of your home loan application)
Yes No
Yes No
Credit Card (if applicable)
Yes No
Yes No
Note that:
• We will email you when your statement or notice is available. You must check regularly for emails from us and make sure your email address
remains up-to-date.
• We may send the statement or notice by email or make it available at our website.
• You will no longer receive paper statements. In some circumstances we may still send you legal notices by mail.
• You can withdraw this consent at any time. If so, we will send statements and notices by mail.
Credit Card Application
• You can only use this application form if you are also applying for a home loan.
• There can only be one primary cardholder, who will be responsible for all transactions made on the Credit Card account.
The primary cardholder is (please tick one only)
Applicant 1
Applicant 2
Your credit limit
Would you like to get the maximum credit approved by us? Yes No If you selected ‘no’ please enter your requested credit limit (max $15,000) $
Please note that your maximum credit limit will determined after processing your application and in some cases may be lower than your request.
Additional cardholder details (if applicable)
The additional cardholder is (please tick one only)
Applicant 1
Applicant 2
Credit limit increase invitations
With your consent ME Bank may send you written credit limit increase invitations offering to increase your credit limit or inviting you to apply for an increase in
the credit limit on your Low Rate Credit Card. Before you decide whether to provide your consent you should know that:
• If you receive a credit limit increase invitation, it is your choice whether to apply.
• If you do apply, ME Bank has the option whether to approve the increase you have applied for.
• You can withdraw your consent to receive credit limit increase invitations at any time by calling us on 13 15 63.
• You can still apply for a credit limit increase if you don’t consent to receive credit limit increase invitations from us.
Do you (the primary cardholder) consent to receive any credit limit increase invitations that ME Bank may, from time to time, make? Yes No (please tick one)
Members Equity Bank Limited ABN 56 070 887 679. AFSL and Australian Credit Licence: 229500.
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Rate Lock Direct Debit Request – please complete this section to pay the Rate Lock Fee if you have requested Rate Lock
Nominated account details (funds will be withdrawn from this account)
Name of financial institution
Full name(s) of account holder
BSB number
Account number
• These details should be as they appear on your nominated account statement.
• Your nominated account must be held in a personal capacity in your name.
• If your nominated account is a joint account please ensure the account authority is for either party to operate.
Declarations
1. I/We declare that I/we am/are over the age of 18 and I/we wish to apply for the ME Bank product(s) as nominated (i) in my/our application form submitted
by my/our broker and (ii) within this form (together ‘this application’).
2. I/We declare that any information contained in this application including any financial information is true and correct and I/we authorise ME Bank to verify
this information.
3. I/We have read and understand the important information about the products I/we have applied for which is enclosed in the Customer Information Pack
supplied to me/us by my/our broker.
4. I/We acknowledge if this application is approved it will be subject to the terms and conditions that apply to the requested product(s).
4. I/We consent to the Privacy Notice attached.
5. I /we agree to inform any third parties whose personal details have been provided in this application, that their information has been given to ME Bank
which needs to use and disclose it for the purpose of assessing this application, and that ME Bank’s Privacy and Credit Reporting Policy (available online)
explains its information handling and dispute handling practices and their access rights.
6. I/We authorise my/our solicitor or conveyancer to accept any notification on my/our behalf in relation to my/our home loan application.
7. I/We authorise ME Bank to arrange a valuation of the security property.
8. If I/we have applied for an EveryDay Transaction Account:
(a) I/we request ME Bank to send me/us a debit card; and
(b) I/we confirm that I/we are not a US citizen or US tax resident.
9. If I have applied for a Low Rate Credit Card, I request ME Bank to send a card to me and to any other person named in the application as an
additional cardholder.
10. If I/we have made a Rate Lock Request:
(a)I/we authorise Members Equity Bank (User I.D. 185871), through the Bulk Electronic Clearing System, to arrange for funds to be debited from my/our
nominated account at the financial institution shown above to pay the Rate Lock Fee of $500.
(b)I/we acknowledge that this direct debit arrangement is governed by the terms of the Direct Debit Request Service Agreement enclosed in the
Customer Information Pack supplied to me/us.
11. I/We understand that some fees and charges may apply after my accounts are opened and will be disclosed in documents that will be sent to me. I/We
have had an opportunity to view the information on the fees and charges for the product(s) I/we have applied for.
Signature of all applicants/guarantors
Applicant 1 Print name Signature
Applicant 2 Print name M M
Y
Y
Date
D D
M M
Y
Y
Date
D D
M M
Y
Y
Date
D D
M M
Y
Y
Signature
Guarantor 1 Print name Signature
Guarantor 2 Print name Signature
HL0060/2/WEB/0115/213910
Date
D D
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