You must complete this form in full before any loan decision can be made. When you apply for a loan you usually know why you need it and how much you would like. You should be confident that you can afford any repayments on loan and other credit. If you experience any issues with applications made on mobile and tablet devices, please call our Head Office on 01207 232351 to check we have received your application. We may request further information separately to process your application.
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.
Personal and Address Details
If you have lived at your current address for less than 3 years please provide details below
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.
Important Your Personal Information: Credit decisions and also the prevention of fraud and money laundering.
We may use credit reference and fraud prevention agencies to help us make decisions. 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
or you can call our Administration Office on 01207 232351 for a copy.
By confirming your agreement to proceed you are accepting that we may each use your information in this way.
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.