Online Application Form - * Required fields
  1.  Your Personal Details
    First Applicant Second Applicant
(if applicable)
*UK Resident  
*Homeowner
or Tenant		  
Title  
*First Name  
Middle Name  
*Surname  
* Date of Birth  
Status  
Gross income(pa)  
(£)
(£)
Employment  
 
 2.  Your House & Contact Details
    Current Address Old address
(if less than 3 years at current)
 
Home Address  
(contd.)  
Town/City  
County  
Post Code  
Time at current address  
years    months
Work Phone  
*
Home Phone  
* One contact is required
Mobile  
*
E-mail  
 
  3.  Your Mortgage Details - for mortgage payers & homeowners only
 
Name of Lender    
Monthly payment   Numeric (£)  
Mortgage amount   Numeric (£)  
Approx. property value   Numeric (£)  
  4.  Your Loan Requirement
 
*Purpose of loan
*Loan amount Numeric (£)
 
  5. Data Protection Act
 

I have read & accept
the DPA Statement

    

Data Protection information - YOUR RIGHTS
The information you provide us with will be used to assess your application and will be retained on our system and may be submitted to Lenders or brokers who will use it for the same purpose. Both we and the Lenders will search your credit record at one or more licensed credit reference agencies. They will add details of our searches to your credit record, and these may be seen by other organizations which make searches in the future. If you do not qualify for the loan applied for, or we believe that another product may be more suitable for you, we may pass your details to other Lenders or companies who may offer you alternative loan products or services. The information may also be used by us for the subsequent marketing of loan and related products and services to you.