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Application Form

Please try to provide as much information as possible on any previous or current credit problems in order for us to give your application the fairest assessment. We endeavour to consider each application individually and may ask you for further background information. Be honest and open with us - we're here to help.

Please note: * = mandatory section
Loan Details:
Loan: £*
Purpose?:
By continuing with this application you are agreeing that we may search our files and those of credit reference & fraud prevention agencies who will record details of the search. If you borrow, details of how you conduct your account (including going into default) may be disclosed to the agencies. Full details of our use of your personal information can be found here. We will also require your contact preference for results of your application, select from email or text.
Personal Details:
Full Name:*
Date of Birth:*
Marital Status:*
Your Contact Preference:*
Telephone:*
Email:*
Address:*
Postcode:*
 
* Length of occupancy
In mths/yrs
/
If previous addresses are less than 5 years -  
Address 2:
Postcode:
 
Length of occupancy
In mths/yrs
/
If previous addresses are less than 5 years -  
Address 3:
Postcode:
 
Length of occupancy
In mths/yrs
/
Additional Details:
Do you have a bank account:
Repay:
Bank or Home Collection?:
Tenancy?:
If tenant, in your own name?:
(if NO please name tenant)
Employment Details:
Employer:
Address:
Job Title:
Time employed in mths/yrs:
Take Home Pay: £
Rent/Mortage: £
 
FT/PT:
Hrs per wk:
Agency Worker?:
 
Non Employment/Benefit Details:
Check which apply:
           
Personal Credit Details:
Any other Personal Credit (Loans/Catalogues/Credit Union/Credit Cards)?:
 
Company
£ Repayment & if pw/pm?
Current Balance £
1.
 
2.
 
3.
 
How did you hear about us?:
BY THE TERMS AND SUBMISSION OF THIS APPLICATION FORM, I AGREE THAT
  • I am over 18 years of age
  • I give permission for you to take up any references
  • You may enquire with a Credit Reference Bureau and register this application (read note)
  • I am not subject to any legal proceedings
  • You make make further offers and send me credit tokens
  • All the details stated are true and complete
Confirm you have read and understood our terms and conditions and the statement below.
I confirm that I am not currently in nor do I intend to enter any kind of formal or informal arrangement to manage my finances because I have a debt problem. I understand that if I am not truthful about having an arrangement I could jeopordise the arrangement and I could be taken to court for my unpaid debts.*
 


Please note: * = mandatory section
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