Application Form

If you are one of the thousands of Australians with inaccurate, disputable
and contestable negative listings on your credit file you came to the right place.

Fill in this Application form below and a consultant will call you within the hour to discuss your application.

Agreement between Credit Clean Australia ("provider")
and:

YesNo

YesNo

YesNo

MaleFemale




YesNo

YesNoSelf Employed

YesNo

The client retains the provider to provide the services to the client subject to the terms and conditions attached to this page and on the basis of the information the client supplies to the provider as shown on this page. In accordance with sections 20R and 6L of the Privacy Act 1988 (Cth), the client authorises the provider to request a copy of the clients credit reporting information as an access seeker and to liaise with all credit reporting agencies including Veda Advantage by phone, fax, internet or any way seen fit by the provider on behalf of the client.

By ticking this box you are here by accepting the above terms and conditions on this agreement page

By completing your online signature you are agreeing to the terms and conditions on this page and understand this is the same as an original signature and is binding

Your details are kept confidential

Terms and Conditions

  1. In this agreement, "services" means the provision by the provider to the client of:
    1. A report about credit status including the relevance of the length of the time of that status, how to change the status if incorrectly reported and recorded, how to respond to debt collection services, how to clean your credit file and how to maintain a good credit status or record;
    2. A copy of the client's credit file as created from information available from agencies that report on creditworthiness;
    3. The report by express post or emailed.
  2. The provider must use its best endeavours to provide the services. The client indemnifies and agrees to keep indemnified the provider against any loss, cost and expenses, action or claim arising however out of this agreement, save and except for actions and claims arising from the provider's exercise of due care and skill, in providing the services.
  3. The client irrevocably and unconditionally authorises and directs the provider to contact, and liaise with, all credit reporting agencies including Veda Advantage to obtain the client's records of creditworthiness by way of telephone, email, internet access, facsimile or anyway that the provider sees fit and authorises the provider to supply this agreement to the credit reporting entities in order to provide the services.
  4. The client warrants that the information the client provides to the provider is true and correct.
  5. The services as defined above specifically do not include finance broking, advising about the success or otherwise of a client's application for finance with any financier or anything other than the services as defined above. The client acknowledges that the provider makes no representation or promise of rectifying or changing the client's records of creditworthiness with any agency or reporting body or in obtaining finance howsoever nor does meeting the providers criteria/being approved for our service assure any of the above.
  6. The client agrees to pay the provider's retained fee for providing the services as defined above only, One thousand and ninety five dollars inc GST upon the provider accepting the clients application and at the client's discretion.
  7. The client authorises the provider to submit a request to dispute listings on the clients behalf on the clients credit history and at the providers discretion to either the financial services ombudsman, telecommunications ombudsman, credit and investment ombudsman, any of the power and water ombudsman's, any credit reporting body of the providers choosing and any other ombudsman. The client acknowledges that this can be done free of charge, however chooses to employ the provider to assist in the process.
  8. The Client may request the Provider to act on his/her behalf to negotiate with a creditor of the Client for the purpose of reducing a debt owed by the Client to the creditor (“Debt”). If the Client makes such request, the Client (by signing this Agreement) authorises the Provider to disclose to that creditor such personal information of the Client as may be contained on the Client's credit file, but only to the extent reasonably necessary so as to enable the Provider to negotiate a reduction in the amount of the Debt. If the Provider is successful in negotiating a reduction in the amount of the Debt, the Client agrees to pay to the Provider a fee (in addition to the standard fee in clause 6 above) for the service being an amount equal to thirty percent (30%) of the difference between the amount of the Debt and the reduced amount payable by the Client to that creditor. The amount payable to the Provider falls due immediately upon the reaching of an agreement with the creditor for a reduction of the Debt and irrespective of whether the creditor confirms the agreement in writing. The fee referred to in this condition is exclusive of GST. For example, if a creditor is owed $1,000 and the Provider negotiates with the Creditor a reduction of the debt to $400, the Client will incur a fee to the Provider of $180 (being 30% x $600 (being the difference between the amount of the debt ($1,000) less the reduced amount payable ($400)).
  9. The Client expressly authorises the Provider to provide the Client’s details including a copy of the Client’s credit reports from any credit reporting bodies and information supplied to the Provider to a finance broker(s) to assist the Client in obtaining finance approval for a loan. The Client acknowledges that the Provider may receive a commission from such finance broker(s) in relation to such referral.
  10. The Client hereby agrees and authorises the Provider to deal with, negotiate with and make representations on behalf the Client to any creditor or credit reporting bureau, for the purposes of obtaining a removal of any negative listing on the credit file of the Client.
  11. The parties agree that this appointment contains all of the terms and conditions as agreed by the parties and there are no other collateral agreements, understandings or arrangements. The client further acknowledges the provider:-
    1. Has not relied on any representation or inducements whatsoever other than those written in this agreement.
    2. Has had the opportunity to receive independent legal and financial advice and either:-
      1. accepts that advice and signs this agreement accordingly; or
      2. Waives the right to obtain that advice and signs this agreement accordingly.
By ticking this box you are here by accepting the above terms and conditions on this terms and conditions page

By completing your online signature you are agreeing to the terms and conditions on this page and understand this is the same as an original signature and is binding

«Back          

Your details are kept confidential