Organisations DetailsFull Organisation Name (or Trading As)*(If incorporated, the name of the organisation, such as that on the Certificate of Incorporation from the Companies Office. If unincorporated, the name used in the Constitution or governing rules.)Company number*The organisation is a (tick one)CompanyIncorporated SocietyIncorporated Charitable Trust BoardIndustrial and Provident BoardBuilding SocietyPartnershipFriendly SocietyCredit UnionTrustTrading address*Period of time at trading addressPostal address*Email* Business phone number*Nature of business*Date business commencedBusiness Solicitor/sEnter business name and contact phone numberBusiness Accountant/sEnter business name and contact phone numberContact PersonMain contact name* First Middle Last Position/Title*GuarantorLegal Name* First Middle Last Date of Birth* Address*Previous addressBusiness phone number*Home phone number*Mobile phone number*Email* Personal Salary/Drawings (monthly) after tax*New Zealand Resident*YesNoTemporary Visa Expiry Date Country of Birth*Other Countries of CitizenshipDrivers Licence NumberDrivers Licence Version NumberDrivers Licence TypeFullRestrictedLearnersDrivers Licence Expiry Date Other Shareholders/DirectorsList the names of other Directors, Shareholders and Partners, each of whom shall be the person acting for the purposes of the Personal Property Securities Act 1999) Number of Shareholders, Directors and/or PartnersHow many Shareholders, Directors and/or Partners, including the Guarantor, does your company have?123List the details for each Shareholder, Director or Partner, excluding the Guarantor you have already entered details for. If there are more than 3, please include the details for additional persons in the Notes field.Name (person 2) First Middle Last DOB Were you born in New Zealand?YesNoCountry of BirthName (person 3) First Middle Last DOB Were you born in New Zealand?YesNoCountry of BirthAddtional NotesTurnover/ProfitTurnover for last financial yearDid you make a net profit?*YesNoAmount of net profitNB: For Limited Liability Companies, guarantors should complete a Personal Application for Credit. For Partnerships, each partner should complete a Personal Application for Credit. For Low Deposit HP and New Lease Clients, you may be asked for financial accounts to support this application.Business ManagerWhich Business Manager have you been dealing with at Brendan Foot Supersite? If you aren't sure or haven't been speaking to anyone yet, please tick Unsure.*Catherine BealChelsea WhittingtonLouise HumphriesPlease ensure the details you have provided above are correct before submitting the application.