IMPORTANT: before any loan can be approved, we will require in addition to full completion of this form, the following items to be provided:
- Your last TWO wage slips (or entitlement of income) AND bank statements
- Acceptable forms of personal identity – please ensure you are able to produce these
Acceptable forms of Personal Identity (original or copies) we require:
One form of photo ID
Examples: Driving Licence, Passport, CIS Card, Work Pass or Identity Card MoD ID Card, Blue Disabled Drivers Pass
One form of proof of address
Examples: Utility Bill dated in the last 3 months, Tax Notification, Letter from official source, such as Council, Government Department, School, University, College, Bank, Insurance Company, Building Society, Solicitor, Police, Bank or Building Society Statement, Credit Card Statement, Building Society or Savings Pass Book, Council Tax Bill, Official Rent Book, TV Licence, Printed Wage Slip.
Failure to provide the required documents may result in the loan application being delayed or denied altogether.
By signing this application form I agree that: I am over eighteen years of age. When entering this agreement I am not or about to be entered into a Debt Management Programme, involved in an IVA or a Debt Relief Order, and I am not an undisclosed bankrupt at the time of signing. I understand that it is a criminal offence to to obtain monies by deception. All the details stated are true and complete. I authorise you to obtain any such reference to my credit worthiness as you may in your absolute discretion think fit. I further understand that you may decline this application without disclosing your reasons.
PERSONAL DETAILS – please complete all sections
How long have you lived at this address?
Please use numbers e.g. '10', not 'ten'
Name and Address of Nearest Relative (not at your current address)
Name and Address of someone who has known you for more than three years and will give you a reference (different from your nearest relative)
NOTES – please read
By completing this application you are agreeing that the lender may search their records for information about you and with credit reference & fraud prevention agencies who will record details of the search. If you borrow, details of how you conduct your account (including going into default) may be disclosed to the agencies.
Any information provided to the lender or others may be used for making decisions regarding you, members of your financial household or others to whom you are linked financially. Information may also be used for debt tracing, fraud prevention and the prevention of money laundering.
If you are making a joint application in the absence of the other party or if you state a financial association with another person, you are declaring that you are entitled to disclose information about them and to authorise the lender to search, link and record information about you and anyone referred to by you, with credit reference agencies.
This application may be assessed with reference to records of other people with whom you are linked with financially, unless those links have been severed.
You have the right to be told which credit reference agencies the lender has used and a right to obtain a copy of your credit file from the appropriate credit agency.
INCOME AND EXPENDITURE WEEKLY / MONTHLY
Your Income. either weekly or monthly
Your expenditure, either weekly or monthly
Please clearly state if this is weekly, fortnightly, monthly, last working day or otherwise.
REMEMBER – to process your application we first need from you the following:
• Your last TWO wage slips or entitlement of income
• Your last TWO bank statements (itemised please)
• TWO other acceptable proof of personal identity (original or copies as per list above)
You can use the upload box below to send us photos or scans of the documents. Alternatively, submit your form without them and we will get in touch with alternate methods of sending us the documents
Accepted file types: jpg, jpeg, png, tiff, pdf, gif, bmp, Max. file size: 50 MB.
Drop files here or