Free Credit Report

OBLIGATION-FREE CREDIT REPORT CHECK
TO HELP YOU WITH YOUR ENQUIRY WE NEED A CREDIT REPORT YOU ARE ENTITLED TO 1 FREE REPORT PER YEAR OR IN THE FOLLOWING CIRCUMSTANCES.YOU BEEN DENIED CREDIT. IN THIS CASE YOU CAN ORDER A FILE FOR FREE WITHIN 90 DAYS OF BEING DENIED.YOU HAVE SUBMITTED A CORRECTION ON YOUR FILE AND ITS BEEN CORRECTED YOUR ENTITLED TO A FILE.BELOW FILL IN THE FORM AND WE CAN ORDER YOU YOUR REPORT THIS MAY TAKE UP TO 72 HOURS TO RECEIVE THEN WE WILL EMAIL YOU YOUR COPY.

Client's Personal Details:

Please fill in the details below for a free credit file

Name:

Middle Name:

Surname:

Title:

Email Address:

Date of Birth:

Have you ever used another name?

Any other First Name:

Any other surname:

How did you find us?

Address Details:

Current Address:

Unit No:

Street No:

Street Name:

Suburb:

State:

Postal Code:

No Previous Address in Australia

Previous Address (1):

Unit No:

Street No:

Street Name:

Suburb:

State:

Postal Code:

Previous Address (2):

Unit No:

Street No:

Street Name:

Suburb:

State:

Postal Code:

Medicare?

Medicare Card Color:

Medicare Card Number:

Medicare Validity:

Medicare Reference Number:

Drivers Licence?

Drivers Licence Name:

Drivers Licence Number:

Place of Issued:

Daytime Number:

Are you currently employed?

Name of current employer:

If you are self employed please enter business name and type:

Acceptance:

Definitions

In the below statement:

I and my means the individual whose personal information is listed below in completed VEDA File Application Form.

1. I declare that I am the person submitting this application and understand that the information I nominate will be provided to a credit reporting agency to access my credit file. I hereby provide my full understanding and consent to access my personal information held by a credit reporting agency.

2. I hereby authorise Real Credit Repairs Australia Pty Ltd ACN 603 777 091 act as my agent in seeking access to my consumer and commercial credit information file held by a credit reporting agency.

Submitting this application will not affect your credit file

 

Signature:

By completing your online signature you understand this is the same as an original signature and is binding