Finance Application Form
Have you previously had any problems getting finance? Yes
No
About the Applicant
Title:
Miss
Mrs
Ms
Mr
First Name(s):
Surname:
Marital Status:
Married
Single
Divorced
Common Law
Date of Birth:
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
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25
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27
28
29
30
31
MM
01
02
03
04
05
06
07
08
09
10
11
12
YYYY
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
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1948
1949
1950
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1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
Telephone Number:
[you must enter a landline or mobile number]
Mobile Number:
[you must enter a landline or mobile number]
Email:
[optional]
Accomodation
Occupancy Type:
Owner
Private Tenant
Council Tenant
Housing Association
Parents
Other
Address:
Postcode:
How long have you lived in your present location?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
00
01
02
03
04
05
06
07
08
09
10
11
Previous address:
(if less than 3years at present address)
Postcode:
How long did you live in your previous location?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
00
01
02
03
04
05
06
07
08
09
10
11
Employment
Current Employer:
Occupation:
Employer's Address:*
Postcode:
Telephone Number:
How long have you worked for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
00
01
02
03
04
05
06
07
08
09
10
11
Previous Employers (if less than 3yrs at current employer):
Previous Occupation:
Previous Employer's Address:
Postcode:
Telephone Number:
How long did you work for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
00
01
02
03
04
05
06
07
08
09
10
11
Finance Details
Approx value of vehicle being bought:
£
Term of Finance:
Years
1
2
3
4
5
Bank Name:
Period With Bank:
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
00
01
02
03
04
05
06
07
08
09
10
11
Deposit:
£
Cash or part exchange
Regsitration of vehicle to be bought (if known):
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.