THE
APPLICANT
|
| Title:* |
|
| Surname:* |
|
| First
Name(s):* |
|
| Email:* |
|
| Marital
Status:* |
|
| Date
of Birth:* |
|
| Address:* |
|
| Telephone
Number:* |
|
| Mobile
Number: |
|
ACCOMMODATION
|
| Occupancy
Type:* |
|
| How
long have you lived in your present location?* |
|
Previous
address:*
(if less than 3years at present
address) |
|
| How
long did you live in your previous location?* |
|
EMPLOYMENT / INCOME
|
| Take
Home Pay:* |
|
|
Monthly
Weekly
|
| Computerised
Wage Slip:* |
|
| Current
Employer:* |
|
| Occupation:* |
|
| Employer's
Address:* |
|
| Telephone
Number:* |
|
| How
long have you worked for this employer? |
|
Previous
Employers:*
(if less than 3yrs at current employer) |
|
| Previous
Occupation:* |
|
| Previous
Employer's Address:* |
|
| How
long did you work for this employer? |
|
FINANCE DETAILS
|
| Finance
Regarding:* |
|
| Term
of Finance:* |
|
| Payment
Protection:* |
|
| Bank
Name:* |
|
| Period
With Bank:* |
|
| Deposit: |
£
Cash/P'EX |
| Finance
Amount:* |
£
|
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
|