Car Dealership

Finance Application Form
The Applicant
Title:*
Surname:*
First Name(s):*
Email:*
Marital Status:*
Date of Birth:*	DD/MM/YYYY
Address:*
Postcode
Telephone Number:*
Mobile Number:
Accommodation
Occupancy Type:*
How long have you lived in your present location?*	e.g. 4 Years 3 Months
Previous address:* (if less than 3years at present address)
Postcode
How long did you live in your previous location?*	e.g. 4 Years 3 Months
Employment/ Income
Take Home Pay:*
	Monthly Weekly
Current Employer:*
Occupation:*
Employers Name: *
Employer's Address:*
Postcode
Telephone Number:*
How long have you worked for this employer?
Previous Employers:* (if less than 3yrs at current employer)
Previous Occupation:*
Previous Employer's Address:*
How long did you work for this employer?
Finance Details
Finance Regarding:*
Term of Finance:*
Payment Protection:*
Bank Name:*
Period With Bank:*
Deposit:	£ Cash/P'EX
	Enter Security Code:

Data Protection Notice 1998 In considering your application we will search your record at a credit reference agency. They will add to your record details of our search and your application and this will be seen by other organisations carrying out later searches. It is important that you give us accurate information. We will check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud we will record this. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless you furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you apply to us in writing. We may pass on your details to other companies to send information about the product. I Agree