Finance Application Form
The Applicant
Title:*
Miss
Mrs
Ms
Mr
Surname:*
First Name(s):*
Email:*
Marital Status:*
Married
Single
Divorced
Common Law
Date of Birth:*
DD/MM/YYYY
Address:*
Telephone Number:*
Mobile Number:
Accommodation
Occupancy Type:*
Owner
Private Tenant
Council Tenant
Housing Association
Parents
Other
How long have you lived in your present location?*
e.g. 4 Years 3 Months
Previous address:*
(if less than 3years at present address)
How long did you live in your previous location?*
e.g. 4 Years 3 Months
Employment/ Income
Take Home Pay:*
Monthly
Weekly
Current Employer:*
Occupation:*
Employer's Address:*
Telephone Number:*
How long have you worked for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
2
3
4
5
6
7
8
9
10
11
12
Previous Employers:*
(if less than 3yrs at current employer)
Previous Occupation:*
Previous Employer's Address:*
How long did you work for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Finance Details
Finance Regarding:*
General Enquiry
Alfa Romeo, 147, Silver, £2195
Audi, A3, Black, £5895
Audi, A4, Black, £1795
Audi, A4, Red, £895
BMW, 3 Series, Red, £2495
Citroen, Xsara, Blue, £4795
Daewoo, Leganza, Aluminium/silver, £895
Fiat, Benimar, Red, £2985
Ford, Fiesta, Green, £795
Ford, Fiesta, Blue, £895
Ford, Fusion, Green, £3495
Ford, Galaxy, Aluminium/silver, £6595
Ford, Mondeo, Blue, £995
Ford, Mondeo, Blue, £2795
MG, MGF, Silver, £5495
Nissan, Micra, Aluminium/silver, £1095
Peugeot, 206, Red, £6995
Peugeot, 306, Red, £1395
Renault, Clio, Red, £2995
Renault, Laguna, Silver, £1995
Renault, Megane, Blue, £4795
Renault, Scenic, Metallic Green, £2195
Rover, 25, Green, £2195
Rover, 400, Aluminium/silver, £550
Seat, Ibiza, Red, £2995
Skoda, Fabia, Green, £1995
Smart, City-Coupe, Aluminium/silver, £3995
Suzuki, Jimny, Red, £3495
Toyota, Celica, Aluminium/silver, £2995
Toyota, Corolla, Grey, £4295
Vauxhall, Astra, Black, £2495
Vauxhall, Corsa, Aluminium/silver, £1095
Vauxhall, Vectra, Aluminium/silver, £4495
Vauxhall, Vectra, Blue, £1995
Volkswagen, Golf, Red, £1995
Volkswagen, Golf, Red, £2195
Volkswagen, Golf, Red, £2795
Volkswagen, Polo, White, £195
Term of Finance:*
Years
1
2
3
4
5
Payment Protection:*
Bank Name:*
Period With Bank:*
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
2
3
4
5
6
7
8
9
10
11
12
Deposit:
£
Cash/P'EX
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
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