We just need a few more details on your credit, income and ability to repay

Your loan details

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Your personal details

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We take security very seriously. Your details will remain secure.

First name

Last name

Gender

Male Female

Marital status Please select… Married Partner Single Co-habiting Separated Divorced Civil Union Widowed

Number of dependants Please select… 0 1 2 3 4 5+

Date of birth

Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Year Year 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944

Email Don’t worry, we won’t spam you.

Mobile phone

Secondary phone

Your address details

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Tell us a little about your current living situation.

Address

House name/number

Town/City

County

Postcode

Type of residence Please select… Home Owner - With mortgage Home Owner - No mortgage Rent Living With Family Other Joint owner Living with Parents Tenant - Furnished Tenant - Unfurnished Council Tenant

Time at address

Years Years 0 1 2 3 4 5 6 7 8 9 10+

Months Months 0 1 2 3 4 5 6 7 8 9 10 11

Your employment details

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We will never contact your employer. Lenders just need to understand how you generate an income.

Employment status Please select… Full Time Employed Part Time Employed Self Employed Temporarily Employed Student Pension Disability Benefits Unemployed

Length of employment status

Years Years 0 1 2 3 4 5 6 7 8 9 10+

Months Months 0 1 2 3 4 5 6 7 8 9 10 11

Do you have a pension?

Yes No

Employment industry Please select… Accountancy Advertising/Media Business Consultancy Call Centre Operations Cleaning Services Computer Services Construction Education Electricity/Gas/Water Finance Health Hotels/Restaurants Insurance Legal Services Leisure/Culture Manufacturing Military Mining/Quarrying Public Administration Publishing Real Estate/Property Research/Development Retail Telecoms/Internet Transportation Other

Employer name

Work phone (optional)

How do you get paid? Please select… Bank Transfer (BACs/CHAPs/Other) Other

Pay frequency Please select… Weekly Every 2 weeks Twice a month Monthly

Next pay date

Your monthly income and expenses

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Please enter accurate information. It will improve your chances of being approved.

Net monthly income £

Rental/Mortgage payments £

Existing loan payments £

Utilities/Bills £

Transport £

Food £

Other expenses £

Your bank details

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Please enter the details of the account you want the funds deposited into.

Account number

Sort code

Card type Please select… Visa Electron Visa Debit Master Card Debit Other

Years at bank

Marketing communications preferences

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We would like to keep you informed of the latest products and services from ourselves and our group companies, listed here. Please indicate by channel below if you would like to receive this information.

Email

Yes No

SMS

Yes No

Last step – almost there!

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Please complete this final step so we can find you a loan offer.

Please tick the box to indicate that you have provided accurate information and have read and agree to our Terms & Conditions and Privacy Policy and you understand as part of your application that your data may be shared with TransUnion (formerly Callcredit) & other credit bureaus for the purposes of matching you to a lender.

In addition, TransUnion and other third parties listed here may combine, analyse and profile your information and pass their knowledge on to other companies to help trace you if important information or assets should be returned to you. Your data may also be used to prevent fraud and to aid with debt recovery in the future. If you do not wish for your data to be used this way by TransUnion and the other third parties, then please click here.