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PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member please use this link for our new member loan application form.

Please fully complete the form below.

  In making this application, I confirm I am not a bankrupt, involved in an Individual Voluntary Arrangement, Debt Relief Order or in agreements with creditors for reduced payments or have plans to be.  

APPLICANT DETAILS

DETAILS OF THE LOAN

  During our assessment we may need to offer a reduced loan value. This maybe as a result of your credit score or credit history. Please tick the box if you are willing to accept a reduced offer  

PERSONAL DETAILS

If you have lived at your current address for less than 3 years please provide details below

YOUR INCOME & EXPENDITURE

Please tell us your income. Include any benefits and pensions you receive as well as well as salary from employment.

Please tell us about your main source of income

If you are employed, please provide your employers name and address

If you are unemployed, please provide details of the main benefit you receive

  Where i have indicated I am employed, I confirm that I am in a permanent contract and not under notice of redundancy or termination of employment.  

If your loan is approved the funds are transferred to your nominated bank. Please provide your bank account and sort code that you wish the funds to be transferred to. Please note: we can only transfer funds to a bank account we have previously verified with you. If you are providing a different bank account we will need to verify the account first.

If we are collecting your repayments by Direct Debit we shall use these details to establish the Direct Debit Mandate.

DECLARATION

Important Your Personal Information: General Data Protection Regulations, credit decisions and the prevention of fraud and money laundering.

We may use credit reference and fraud prevention agencies to help us make decisions, this is sometimes an automated decision, if you are unhappy with the decision it can be reviewed by a staff member. What we do and how both we and credit reference and fraud prevention agencies will use your information is detailed in

A Guide to the use of your personal information by ourselves and at Credit Reference and Fraud Prevention Agencies

A copy can be provide by calling our Head Office on 0191 276 7963

Moneywise recognises individual concerns about how your personal or financial information is dealt with by us. Our privacy notice sets out how we deal with this information and how and when it may be shared with others

  I accept the use of Credit Reference Agencies and declare that the information given by me on this form is true and correct, to the best of my belief. * 

To complete your application please ensure your Email address is correct and then select Apply below.

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