Personal Credit Form

Complete and please fax or post to above address.

Personal Details
Surname....................................................................... First Name...................................................... Title..............
Address....................................................................................................................................................................... .................................................................................... Postcode....................... Tel.......................... Period..............

If you have lived in your current address for less than 5 years enter previous address
Previous Address....................................................................................................................................................... .................................................................................. Postcode....................... Tel.......................... Period..............
DOB............................................ Nationality............................................. DVLC No............................................
Marital Status: Married, Single, Seperated, Divorced, Widowed
Residence Status: Owner, Tenant-Furnished, Tenant-Unfurnished, LWP
No of Dependants..............................
Occupation............................................................................ Bank......................................................................................
Employer............................................................................... Branch Address.....................................................................
Period.................................................................................... ...............................................................................................
Previous if less than 3 years.................................................. Account No...................................... Sort Code....................
.............................................................................................. Account title..........................................................................
Vehicle Details
Make & Model...................................................................... Price......................................................................................
Cubic Capacity...................................................................... Deposit..................................................................................
Reg No................................................................................. Balance.................................................................................
Mileage.................................................................................. No of Payments...................................................................
PX Details............................................................................. Cost per month £...................................... @ ....................%

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. 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 a decision about credit and credit- related services for you and members of your household Trace debtors, recover debt, prevent fraud, and to manage your accounts or insurance policies Check your identity to prevent money laundering, unless you furnish us with other satisfactory proof of identity You have the right upon payment of a fee, to receive a copy of the information we hold about you apply to us in writing.