Personal (Unsecurred) Loans

1 Your personal details

First Applicant

Second Applicant

..Surname
...Surname
..Title
...Title
..First Name
...First Name
 Date of Birth
19
..Date of Birth
19
..Marital Status
.Marital Status
Home Tel no.
Home Tel no.*
..Work Tel no.
Work Tel no.*
Mobile Tel no.
Mobile Tel no.*
..Address1
Address1*
Address2
Address2*
Town
Town*.
County
County*
Postcode
Postcode*
How long have you been at this address (years)?
How long have you been at this address (years)?*
If less than 3 years please give details of previous address
.Address1
.Address1*
Address2
Address2*
Town
Town*
County
County*
Postcode
Postcode*
How long were you at this address (years)?
How long were you at this address (years)?*
Email
Email*
Current Residence
...Current Residence
Are you on Electoral Roll?
Are you on the Electoral Roll?
    * If different from applicant 1
       

2 Your work

First Applicant

Second Applicant

Occupation
Occupation
Employment Status
Employment Status
Time in present employment
years
Time in present employment
years
Annual income (after tax)
£
Annual income (after tax)
£
Employers details (please note your employer will not be contacted without your prior consent) Employers details (please note your employer will not be contacted without your prior consent)
Company
Company
Address1
Address1
Address2
Address2
Town
Town
County
County
Postcode
Postcode
Tel:
Tel:
   

3 Loan Requirements

   
Loan Amount £
Preferred repayment term   years
Loan Payment Protection Required?  
Purpose of Loan  
 
   

4 Current Financial Commitments (1st applicant only)

   
Do you currently hold any accounts with a financial institution?
Account Type
Name of financial institution
Balance (£)
Monthly Payment (£) where applicable
Do you have any of the following cards?
Cheque
Visa
Amex/Diners
Store
Mastercard
Cashcard
         

5 Monthly Household Expenditure

         
Mortgage or rent (£)      
Council Tax (£)      
Endowment Premium (£)      
Other Credit (£)      
Loans to be consolidated (£)      
         
Do you have any CCJs?
CCJ Value
£
 
When?
 
Do you have any defaults?
When?
   
   

6 Repaying your Personal Loan

   

If your application is successful the funds will be credited to the account indicated in this section and a direct debit mandate will be sent for you to sign and return. You do not have to complete this section but this could delay your application by 48 hours.

   

Name(s) of Account Holder(s)

Bank Sort Code

- -

Bank Account Number

 
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