| Borrower |
2nd Applicant (if any) |
| |
| Mr
Mrs
Miss
Ms
|
Mr
Mrs
Miss
Ms
|
Name:
Surname:
D.O.B:
Marital
Status :
No.
of dependant children :
|
Name:
Surname:
D.O.B:
Marital
Status :
No.
of dependant children :
|
Credit
history details |
| Poor credit history?
( if yes please give some details) |
Poor credit history?
( if yes please give some details) |
|
|
|
Outstanding
debts :
|
Outstanding
debts :
|
Employment
details |
| Status:
|
Status:
|
|
|
Occupation:
|
Occupation:
|
| Gross annual income:
|
Gross annual income:
|
Employer
:
|
Employer
:
|
Address
of employer:
|
|
Length
of service:
|
Length
of service :
|
Previous
employent details :
|
Previous
employent details :
|
| Loan details |
| Loan required |
( minimum £500 ) |
| Terms required |
months ( minimum 6 months ) |
| Loan
purpose
|
|
|
Rent
details |
| Landlord's name : |
_
|
Monthly
rent payment : |
_
|
|
|
Bank
details |
| Bank name : |
|
| Time with the bank : |
|
| |
|
|
| Home telephone number : |
|
| Work telephone number : |
|
Mobile telephone number : |
|
| Best time to call : |
|
| |
|
| Email : |
|
| Address :
|
|
Postcode
:
|
|
Time
spent at current address : |
_ |
Previous
address :
(if
time spent at current address is less than 3 years)
|
_
|
Postcode
: |
_ |
Time
spent at previous address : |
_ |
|
|
|
|
