apply.jacarandafinance.com.au
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52.64.166.95
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Submitted URL: https://news.camilleetsesoffresspatiales.fr/QVFfBcHbDkMwAADQL5J0/zGWPRc3UNTaXvYi07lFUTbav3zkwqZzyY9rL40ToWb2JhIClAZE24ZDSox-jFUTj3en3xZR9g-o...
Effective URL: https://apply.jacarandafinance.com.au/jfa/apply/?source=JFANIFTYEDM
Submission: On August 13 via api from BE — Scanned from FR
Effective URL: https://apply.jacarandafinance.com.au/jfa/apply/?source=JFANIFTYEDM
Submission: On August 13 via api from BE — Scanned from FR
Form analysis 1 forms found in the DOM
<form id="step-form" novalidate="" class="" ps-dynamic-form-id="be767b7b-3d5b-4b34-960c-74914e98b284">
<h1 class="text-3xl font-medium mb-4 sm:mb-8">About you</h1>
<div><!---->
<div class="mb-6"><label id="headlessui-combobox-label-1" data-headlessui-state="" class="block mb-2 font-semibold">How much would you like to borrow?</label>
<div class="relative mt-1">
<div class="bg-white relative w-full cursor-default rounded-xl text-left shadow-sm">
<div class="absolute flex top-0 bottom-0 left-0 pl-3 justify-center items-center">
<div class="text-lg px-1 text-gray-400 font-medium">$</div>
</div><button id="headlessui-combobox-button-2" type="button" tabindex="-1" aria-haspopup="true" aria-expanded="false" data-headlessui-state="" class="w-full" aria-labelledby="headlessui-combobox-label-1 headlessui-combobox-button-2"><input
aria-expanded="false" id="loan_amount" role="combobox" type="text" tabindex="0" data-headlessui-state=""
class="border-primary w-full border border-gray-300 bg-transparent rounded-xl py-4 pl-10 pr-10 leading-6 focus:ring-4 focus:border-primary focus:ring-primary-opacity-10" required="" aria-labelledby="headlessui-combobox-label-1"
inputmode="numeric" pattern="[0-9]+"><span class="absolute inset-y-0 right-0 flex items-center pr-4"><svg class="svg-inline--fa fa-angle-down fa-w-10 text-lg text-gray-500" aria-hidden="true" focusable="false" data-prefix="far"
data-icon="angle-down" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512">
<path class="" fill="currentColor" d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path>
</svg></span></button>
</div><!----><!---->
</div>
</div>
<div>
<div class="mb-5">
<h5 class="font-semibold mb-1"> Your name </h5>
<p class="text-sm"> Enter your <strong class="text-primary">full legal name</strong> and <strong class="text-primary">date of birth</strong> as it appears on your driver's licence or government ID, as this will help us identify you. </p>
</div>
<div class="flex mb-5">
<div class="w-1/3 sm:w-1/4" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe=""><!---->
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-5 text-gray-400" data-v-54fddcfe="">Title</span><!----><!----><select id="title"
name="title" data-error-id="title" data-error-field-name="" class="pl-5 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed text-gray-400" required=""
data-v-54fddcfe="">
<option disabled="" value="" data-v-54fddcfe=""></option>
<option value="Mr" data-v-54fddcfe="">Mr</option>
<option value="Mrs" data-v-54fddcfe="">Mrs</option>
<option value="Miss" data-v-54fddcfe="">Miss</option>
<option value="Ms" data-v-54fddcfe="">Ms</option>
</select></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="flex-1 ml-4" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-user fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="user" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
d="M313.6 304c-28.7 0-42.5 16-89.6 16-47.1 0-60.8-16-89.6-16C60.2 304 0 364.2 0 438.4V464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48v-25.6c0-74.2-60.2-134.4-134.4-134.4zM400 464H48v-25.6c0-47.6 38.8-86.4 86.4-86.4 14.6 0 38.3 16 89.6 16 51.7 0 74.9-16 89.6-16 47.6 0 86.4 38.8 86.4 86.4V464zM224 288c79.5 0 144-64.5 144-144S303.5 0 224 0 80 64.5 80 144s64.5 144 144 144zm0-240c52.9 0 96 43.1 96 96s-43.1 96-96 96-96-43.1-96-96 43.1-96 96-96z">
</path>
</svg></div>
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-9 text-gray-400" data-v-54fddcfe="">First Name</span><input id="first_name"
data-error-id="first_name" data-error-field-name="" name="first_name" class="pl-10 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text"
required="" minlength="2" autocomplete="on" aria-label="" data-v-54fddcfe="" ps-firstname-field-id="b2aa177b-b8e5-4741-9566-681843d6b4b2"><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
</div>
<div class="mb-5" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-user fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="user" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
d="M313.6 304c-28.7 0-42.5 16-89.6 16-47.1 0-60.8-16-89.6-16C60.2 304 0 364.2 0 438.4V464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48v-25.6c0-74.2-60.2-134.4-134.4-134.4zM400 464H48v-25.6c0-47.6 38.8-86.4 86.4-86.4 14.6 0 38.3 16 89.6 16 51.7 0 74.9-16 89.6-16 47.6 0 86.4 38.8 86.4 86.4V464zM224 288c79.5 0 144-64.5 144-144S303.5 0 224 0 80 64.5 80 144s64.5 144 144 144zm0-240c52.9 0 96 43.1 96 96s-43.1 96-96 96-96-43.1-96-96 43.1-96 96-96z">
</path>
</svg></div>
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-9 text-gray-400" data-v-54fddcfe="">Middle name (optional)</span><input
id="other_given_name" data-error-id="other_given_name" data-error-field-name="" name="other_given_name"
class="pl-10 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text" minlength="2" autocomplete="on" aria-label=""
data-v-54fddcfe=""><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="mb-5" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-user fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="user" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
d="M313.6 304c-28.7 0-42.5 16-89.6 16-47.1 0-60.8-16-89.6-16C60.2 304 0 364.2 0 438.4V464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48v-25.6c0-74.2-60.2-134.4-134.4-134.4zM400 464H48v-25.6c0-47.6 38.8-86.4 86.4-86.4 14.6 0 38.3 16 89.6 16 51.7 0 74.9-16 89.6-16 47.6 0 86.4 38.8 86.4 86.4V464zM224 288c79.5 0 144-64.5 144-144S303.5 0 224 0 80 64.5 80 144s64.5 144 144 144zm0-240c52.9 0 96 43.1 96 96s-43.1 96-96 96-96-43.1-96-96 43.1-96 96-96z">
</path>
</svg></div>
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-9 text-gray-400" data-v-54fddcfe="">Last Name</span><input id="last_name"
data-error-id="last_name" data-error-field-name="" name="last_name" class="pl-10 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text"
required="" minlength="2" autocomplete="on" aria-label="" data-v-54fddcfe="" ps-lastname-field-id="41aeb619-d9da-44a1-b8b4-3685ec72bbb7"><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="mt-8 mb-5">
<h5 class="font-semibold mb-1"> Contact details </h5>
<p class="text-sm"> Have your mobile phone handy, we will send a <strong class="text-primary">verification code</strong> which you will need to complete this application. </p>
</div>
<div class="mb-5" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-mobile fa-w-10" aria-hidden="true" focusable="false" data-prefix="far" data-icon="mobile" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
d="M192 416c0 17.7-14.3 32-32 32s-32-14.3-32-32 14.3-32 32-32 32 14.3 32 32zM320 48v416c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V48C0 21.5 21.5 0 48 0h224c26.5 0 48 21.5 48 48zm-48 410V54c0-3.3-2.7-6-6-6H54c-3.3 0-6 2.7-6 6v404c0 3.3 2.7 6 6 6h212c3.3 0 6-2.7 6-6z">
</path>
</svg></div>
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-9 text-gray-400" data-v-54fddcfe="">Mobile phone</span><input id="mobile_phone"
data-error-id="mobile_phone" data-error-field-name="" name="mobile_phone" class="pl-10 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text"
pattern="^0[0-9\s]*$" inputmode="numeric" required="" minlength="10" maxlength="10" autocomplete="on" aria-label="" data-v-54fddcfe=""><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="mb-8" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-envelope fa-w-16" aria-hidden="true" focusable="false" data-prefix="far" data-icon="envelope" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
d="M464 64H48C21.49 64 0 85.49 0 112v288c0 26.51 21.49 48 48 48h416c26.51 0 48-21.49 48-48V112c0-26.51-21.49-48-48-48zm0 48v40.805c-22.422 18.259-58.168 46.651-134.587 106.49-16.841 13.247-50.201 45.072-73.413 44.701-23.208.375-56.579-31.459-73.413-44.701C106.18 199.465 70.425 171.067 48 152.805V112h416zM48 400V214.398c22.914 18.251 55.409 43.862 104.938 82.646 21.857 17.205 60.134 55.186 103.062 54.955 42.717.231 80.509-37.199 103.053-54.947 49.528-38.783 82.032-64.401 104.947-82.653V400H48z">
</path>
</svg></div>
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-9 text-gray-400" data-v-54fddcfe="">Email</span><input id="email"
data-error-id="email" data-error-field-name="" name="email" class="pl-10 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="email" required=""
autocomplete="on" aria-label="" data-v-54fddcfe="" ps-email-field-id="9a28651e-9072-4663-8636-36aa91da810b"><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div id="date_of_birth" label-class="font-semibold" class="mb-5"><label class="block mb-2 font-semibold">Date of birth</label>
<div class="relative flex space-x-3">
<div class="flex-1" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe=""><!---->
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-5 xs:pl-3 text-gray-400" data-v-54fddcfe="">Day (DD)</span><input
id="date_of_birth_day" data-error-id="date_of_birth" data-error-field-name="Day (e.g 01)" name="date_of_birth_day"
class="pl-5 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text" pattern="([1-9]|0[1-9]|1[0-9]|2[0-9]|3[01])" inputmode="numeric"
required="" maxlength="2" autocomplete="on" aria-label="Date of birth (Day)" data-v-54fddcfe=""><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="flex-1" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe=""><!---->
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-5 xs:pl-3 text-gray-400" data-v-54fddcfe="">Month (MM)</span><input
id="date_of_birth_month" data-error-id="date_of_birth" data-error-field-name="Month (e.g 01)" name="date_of_birth_month"
class="pl-5 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text" pattern="([1-9]|0[1-9]|1[012])" inputmode="numeric" required=""
maxlength="2" autocomplete="on" aria-label="Date of birth (Month)" data-v-54fddcfe=""><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div>
<div class="flex-1" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe=""><!---->
<div class="flex-1" data-v-54fddcfe=""><span class="block absolute rounded whitespace-nowrap pointer-events-none transition-all duration-75 py-4 pr-5 pl-5 xs:pl-3 text-gray-400" data-v-54fddcfe="">Year (YYYY)</span><input
id="date_of_birth_year" data-error-id="date_of_birth" data-error-field-name="Year (e.g 1995)" name="date_of_birth_year"
class="pl-5 pr-5 w-full border-0 bg-transparent rounded-xl py-4 placeholder-gray-400 focus:ring-0 focus:outline-none disabled:cursor-not-allowed" type="text" pattern="(?:19|20)[0-9]{2}" inputmode="numeric" required=""
minlength="4" maxlength="4" autocomplete="on" aria-label="Date of birth (Year)" data-v-54fddcfe=""><!----><!----></div><!----><!----><!----><!---->
</div><!----><!----><!---->
</label>
<div class="flex" data-v-54fddcfe=""><!----><!----></div>
</div><!---->
</div><!---->
<div class="block text-sm text-gray-500 pt-3 pb-2">You must be at least 18 years old.</div>
</div>
<div id="relationship_status" class="relative mb-8" required="true"><label class="block font-semibold mb-3">Relationship status <!----></label>
<div by="function qF(e,t){return e===t}" id="headlessui-radiogroup-4" role="radiogroup" aria-labelledby="headlessui-label-5"><label id="headlessui-label-5" class="sr-only" role="none">Relationship status</label>
<div class="grid grid-cols-2 gap-4 sm:flex sm:flex-wrap" role="none">
<div class="focus:ring-4 focus:ring-primary-opacity-10 py-4 px-4 cursor-pointer relative flex sm:flex-1 border shadow-sm rounded-xl bg-white focus:outline-none" id="headlessui-radiogroup-option-6" role="radio" aria-checked="false"
tabindex="0" data-headlessui-state="" aria-labelledby="headlessui-label-7">
<div class="flex items-center flex-1"><!----><label id="headlessui-label-7" class="block cursor-pointer flex-1 text-center">Single</label></div>
</div>
<div class="focus:ring-4 focus:ring-primary-opacity-10 py-4 px-4 cursor-pointer relative flex sm:flex-1 border shadow-sm rounded-xl bg-white focus:outline-none" id="headlessui-radiogroup-option-8" role="radio" aria-checked="false"
tabindex="-1" data-headlessui-state="" aria-labelledby="headlessui-label-9">
<div class="flex items-center flex-1"><!----><label id="headlessui-label-9" class="block cursor-pointer flex-1 text-center">Couple</label></div>
</div>
</div>
</div><!---->
</div>
</div>
<div id="is_resident_or_citizen" class="relative mb-8"><label class="block font-semibold mb-3">Are you an Australian citizen or permanent resident of Australia? <!----></label>
<div by="function qF(e,t){return e===t}" id="headlessui-radiogroup-10" role="radiogroup" aria-labelledby="headlessui-label-11"><label id="headlessui-label-11" class="sr-only" role="none">Are you an Australian citizen or permanent resident of
Australia?</label>
<div class="grid grid-cols-2 gap-4 sm:flex sm:flex-wrap" role="none">
<div class="focus:ring-4 focus:ring-primary-opacity-10 py-4 px-4 cursor-pointer relative flex sm:flex-1 border shadow-sm rounded-xl bg-white focus:outline-none" id="headlessui-radiogroup-option-12" role="radio" aria-checked="false"
tabindex="0" data-headlessui-state="" aria-labelledby="headlessui-label-13">
<div class="flex items-center flex-1"><!----><label id="headlessui-label-13" class="block cursor-pointer flex-1 text-center">Yes</label></div>
</div>
<div class="focus:ring-4 focus:ring-primary-opacity-10 py-4 px-4 cursor-pointer relative flex sm:flex-1 border shadow-sm rounded-xl bg-white focus:outline-none" id="headlessui-radiogroup-option-14" role="radio" aria-checked="false"
tabindex="-1" data-headlessui-state="" aria-labelledby="headlessui-label-15">
<div class="flex items-center flex-1"><!----><label id="headlessui-label-15" class="block cursor-pointer flex-1 text-center">No</label></div>
</div>
</div>
</div><!---->
</div>
<div class="mb-8" data-v-54fddcfe=""><!----><label class="block relative rounded-xl border shadow-sm focus-within:ring-4 border-gray-300 bg-white" data-v-54fddcfe="">
<div class="flex relative" data-v-54fddcfe="">
<div class="absolute self-center w-9 text-center text-gray-400" data-v-54fddcfe=""><svg class="svg-inline--fa fa-receipt fa-w-12" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="receipt" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 384 512" data-v-54fddcfe="">
<path class="" fill="currentColor"
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