No Interest Loan Scheme (NILS) Initial Enquiry Form
An Online Form that allows us to take your enquiry straight from the internet.
Are you happy for Logan East Community Neighbourhood Centre to Record your Details on an ONLINE DATABASE with Good Shepherd Microfinance? *
Item for Which the Loan is sought for? *
(If Multiple)Item for Which the Loan is sought for?
How did you hear about NILS? *
Do you Receive a Centrelink Payment or Hold A Health Care Card? *
Which Income do you receive from Centrelink as your main payment? *
How Long Have you lived at your current address? *
How Long Have you lived at your previous address? *
Personal Details
Full Name *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Best Contact Number *
Your answer
Street Address *
Your answer
Email
Your answer
Accommodation Type? *
Are you Aboriginal or Torres Strait Island Descent? *
Required
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