Resources - Housing Interest Loan Reimbursement Application

Please fill out the form below and a customer representative will be in touch with you within 48 - 72 hours.

Have you been in any Pilbara Iron housing scheme before? If yes, please give details:

Personal Details

Full Name:*

Payroll ID:

Phone (Home):

Phone (Work):

Address:

Town:

Loan Finance Details

Full Name/s:

Address:

Town:

Financial Institute:

Amount Borrowed:

Term of Loan:

Interest rate %PA:

Monthly Repayments:

A copy of your loan schedule and a letter that states the purpose of your loan must accompany this application. You can do this via fax or mail. See here for contact details.

Type of Housing:

Please select:

Townhouse

Flat

Duplex

3 Bedroom House

4 Bedroom House

Other

Details Of Land Purchase (if applicable)

Address:

Town:

Location / Lot Number:

Plan / Subdivision:

Purchase Price:

Cost of Residence:

Settlement Date:

Relocation Questionnaire

Are you required to relocate due to work transfer or new employment with Hamersley Iron? Moving house within the same site is not relocating.

Yes

At the time that you were advised by Hamersley Iron that you needed to relocate did you already own a home and live in that house as your usual place of residence?

Yes

Because of your relocation did you sell this previously owned house?

Yes

Was the sale contract of the house entered into within two years of your relocation?

Yes

Declaration

I hereby declare the information contained in this application form to be true and correct and I am aware of and accept the terms and conditions of the Pilbara Iron Interest Reimbursement Scheme.

Employee Code of Applicant:

Date:

* Required Field