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Customer Loan Application

About
You
Loan
Details
Address
History
Documents
Other
Info
Your
Finances
About You
Email address
Mobile phone number (starts with 07)
Your title
First name?
Last name?
Date of Birth (dd/mm/yyyy)
How did you hear about us?
Loan Details
How much would you like to borrow?
And for how long?
Purpose of loan?
Loan breakdown:
Borrowing £1,000 + Interest £500
Total to repay: £1,500
15 weekly repayments of £100
1564.2% APR
Address History
What's your current address?
Current address
Occupancy type
How long have you lived at this address?
Years
Months
If under 5 years at your current address, please provide your previous address
What was your previous address?
Previous address
Documents

Physical proof of ID and income will be required during a home visit

From the lists below, please click on each document you can provide

Please have all documents ready in advance for upload at the final stage of the application

Accepted proof of ID
Accepted proof of income
Other Information
National Insurance Number
Number of dependants/children under 18
Marital status
Who else contributes to household income?
Do you have a bank account with a credit card?
Employment status?
What is your job title?
What is the name of your employer?
How long have you worked in your current job?
What is your employers address?
Employer address
Your Finances
Please enter your INCOME
Click buttons M, W, 2 or 4 to change frequency:
Monthly, Weekly, 2-Weekly or 4-Weekly
Please enter a value for each line, even if it is zero
Total weekly income:
Please enter your OUTGOINGS
Click buttons M, W, 2 or 4 to change frequency:
Monthly, Weekly, 2-Weekly or 4-Weekly
Please enter a value for each line, even if it is zero
Total weekly outoings:
Terms and Conditions

I agree to all the above statements.

Please sign by typing your name below: