Loans-Unsecured-UK
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Loan Application Form

Household income
Loan Purpose Loan Amount

Joint Application Details
Applicant 1 Applicant 2
First Name First Name
Middle Initial Middle Initial
Surname Surname
Sex Sex
Date of Birth Date of Birth
Marital Status Marital Status
Emai Email
Home Number Mobile
     

CURRENT ADDRESS PREVIOUS ADDRESS
House/Flat Number House/Flat Number
House/Flat Name House/Flat Name
Street Name * Street Name *
District District
Town * Town *
County * County *
Date Moved In * Date Moved In *
Residential Status *    
CURRENT EMPLOYMENT
Applicant 1 Applicant 2
Employment Status Employment Status
Occupation Occupation
Employer Employer
Employer Address Employer Address
Date Started Date Started
Take Home Wage (After Tax) per month Take Home Wage (After Tax) per month
Payment Details Payment Details
Do You Get Paid By BACS? Do You Get Paid By BACS? 
Telephone Number Telephone Number 

PREVIOUS EMPLOYMENT : If you have been in your current job for less than 3 years

Applicant 1

Applicant 2

Employment Status Employment Status
Occupation Occupation
Employer Employer
Employer Address Employer Address
Date Started Date Started

YOUR PAST CREDIT
IMPORTANT - Please take time to complete the following details accurately to enable us to complete the application process as quickly and as effectively as possible.

Do you consider your credit rating  
Which of the following do you have
Cheque guarantee card  
UK Bank Account  
Debit Card
In the past three years have you
Been bankrupt/discharged bankrupt or on an IVA
Had or satisfied a CCJ/CCD (County Court Judgement)
Had or satisfied a Default notice
Been on a Debt Management Program