Please complete if you have lived at your current address for less than three years.
Address
Locality
Town/City
Post Code
Years / months at address
Years:
Months:
Previous Previous Address:
Please complete if you have lived at your previous address for less than three years.
Address
Locality
Town/City
Post Code
Years / months at address
Years:
Months:
Date Of Birth:
dd/mm/yyyy
Number Of Dependants:
Residential Status:
Employment Status:
Role Held:
Present Occupation:
Employer Details:
Employers name
Employer phone no
Employer post code
Employer building name/no
Employer street
Employer Town
Years / months in occupation
Years:
Months:
Salary and Bank Details:
Gross annual income
Frequency of pay
Employer phone no
Bank account number
Bank sort code
::
Years / months with your bank
Years:
Months:
Bank Cards Held
Cheque Guarantee
Visa
Mastercard
Switch/Delta
Storecard
Marital status:
Partner's Details:
Please complete if you are married or common law.
Partner/spouse name (If applicable)
Title:
First Name:
Middle Name:
Surname:
Partner/spouse employment status
Partner/spouse occupation
Mothers Maiden Name
Verify Mothers Maiden Name
Terms and Conditions
We are pleased to offer finance subject to status and the following terms and conditions.
1. Age Range:
You must be over 18 years old and hold a valid bankers or credit card or you must be over 21 years old. You must also be under 85 years old.
2. UK Resident:
You must be a resident of the United Kingdom, living at a UK mainland address.
3. Employment:
You must meet one of the following criteria:
You are in regular employment, more than 16 hours per week, or your spouse is in regular employment, more than 16 hours per week - not temporary agency jobs.
You are retired and over the age of 50.
You are registered as disabled.
4. Repayments:
You must be able to pay monthly repayments by Direct Debit and pay any required deposits by Credit Card or Cheque.
