Credit Application Form

Customer Details

  • Current Home Address

  • Previous Address (if less then 5 years)

  • Customer Details


Employment Details

    Current Employment

  • Previous Employment (if less then 3 years)


Joint Customer Details

  • Current Contact Details

  • Previous Address

  • Joint Customer Details

  • Joint Customer Employment Details


Goods & Financial Details


Bank Details


Financial Statement

    First Customer

  • Second Customer


Use of information

  • In considering this application we may disclose details about you and your conduct to any credit reference of fraud prevention agency, and keep a record of our enquiries. Any information we provide to a credit reference or fraud prevention agency will be recorded and retained by them. If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information.
    We and other organisations may also access and use this information to prevent fraud and money laundering, for example when:
    -Checking details on application for credit related or other facilities
    -Managing credit and credit related accounts facilities
    -Recovering debt
    -Checking details on proposals and claims for all types of insurance
    -Checking details of job applications and employees.
    We and other organisations may access and use from other countries the information recorded by fraud prevention agencies.
    We may use credit scoring or other automated systems when accessing your application. If your application is unsuccessful we may pass such details to other selected businesses that may also conduct searches at credit reference and fraud prevention agencies. If you make a joint application, you must be sure that you are entitled to disclose information about your joint applicant. The credit reference and fraud prevention agencies will link together your records, details and information and such links will remain on your credit reference files until such time as you or your joint applicant successfully applies for dissociation.

  • By Submitting the application I/We confirm that all details are correct and that I/we have read the use of your information notice.