Your Details
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Title:* |
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First Name(s):* |
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Surname:* |
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Email:* |
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Marital Status:* |
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Date of Birth:* |
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Address:* |
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Telephone Number:* |
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Mobile Number: |
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Accommodation
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Occupancy Type:* |
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How long have you lived in your present
location?* |
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Previous address:*
(if less than 3years at
present address) |
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How long did you live in your previous
location?* |
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Employment / Income
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Take Home Pay:* |
£
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Monthly |
Weekly |
Computerised Wage Slip: |
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Current Employer:* |
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Occupation:* |
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Employer's Address:* |
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Telephone Number:* |
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How long have you worked for this
employer? |
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Previous Employers:*
(if less than 3yrs at current
employer) |
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Previous Occupation:* |
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Previous Employer's Address:* |
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How long did you work
for this employer? |
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Financial
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Term of Finance:* |
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Payment Protection:* |
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Bank Name:* |
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Period With Bank:* |
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Deposit: |
£
Cash - If you have a car to part Exchange please complete
the P/Ex form after completing this finance form. |
Q. Have you had any problems relating to not getting finance?*
(This question must be answered
in order for you to proceed with the finance application)
Yes
No |
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Data
Protection Notice 1998
In considering your application we will search your record
at a credit reference agency. They will add to your record
details of our search and your application and this will
be seen by other organisations carrying out later searches.
It is important that you give us accurate information. We
will check your details with fraud prevention agencies and
if you give us false or inaccurate information and we suspect
fraud we will record this. We and other organisations may
use and search these records to help make decisions about
credit and credit related services, for you and members
of your household; trace debtors, recover debt, prevent
fraud, and to arrange your accounts or insurance policies;
check your identity to prevent money laundering unless you
furnish us with other satisfactory proof of identity. You
have a right, on payment of fee, to receive a copy of the
information we hold about you if you apply to us in writing.
We may pass on your details to other companies to send information
about the product.
I Agree |