Woolworths Credit Cards Credit limit increase request

Please complete and sign this form to apply for a Credit Limit Increase. To enable us to process your credit limit increase request, your account must have been open for at least six (6) months and maintained in good order. Send your form to Reply Paid GPO Box 7034, Sydney NSW 2001 or fax to (+61 2) 8987 5936. Credit card details Credit card number
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Employment details Current employment status Full time Type of employment Employee Occupation Self employed Job title Contractor - specify length of contract Part time Casual Not working

Please increase the credit limit on my credit card to: $ Personal details Title Middle name Date of birth / / Marital status First name (allow 7 days for processing)

Employers name or business name if self employed Surname

Employers address (not a P.O. box)

Number of dependants under 18 years Drivers licence number Home phone number
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Expiry date / /

State of issue Time with employer yrs

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Postcode Employers phone no.

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Work phone number

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mths

If self employed, nature of business

Mobile phone number

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Residential details Current address (PO Box not acceptable) Time there yrs mths Postcode Residential status Home owner Live with parents Have mortgage Rent or board

Statement of financial position Please note: Non disclosure may result in your application being delayed. Current monthly income (AFTER tax) Applicants monthly salary/wage Other monthly income Assets Real estate property Motor vehicles and boats Cash/bank account/shares/investments Liabilities/Commitments Mortgage or rent Car loans Personal loans/hire purchase
$ $ $ $ $

Credit and store cards Card type Card issuer e.g. MasterCard
1. 2. 3. 4. $ $ $ $

Credit Limit

Primary cardholder - sign here Total owing

$ $ $ $

Monthly payment
$ $ $

By signing here I declare that all the details contained in this application are true and correct. If all of the available credit on my credit card is used I confirm that I will have sufficient surplus income to afford the minimum monthly payment on my credit card, which would amount to approximately 2.5% of the new card balance. Primary cardholder signature Date
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Other commitments e.g. mobile $ phone, pay TV, school fees, etc

The Woolworths Everyday Rewards Qantas credit card is issued by HSBC Bank Australia Limited ABN 48 006 434 162 (HSBC). HSBC is the credit provider and a registered person under the National Consumer Credit Protection Act 2009.
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