Title
Mr
Mrs
Miss
Other
If other, please specify
Marital Status
Single
Partnered
Married
Divorced
Widowed
*
Home
is
Please
Select
Owned
Rented
Living
with parents
*
Previous address
if less than 5 years at current
Months
at previous address
*
Time in Present
Employment
months *
Type of Finance
Please
Select
Finance Lease
Lease Purchase
Hire Purchase
Personal
Contract Purchase
Personal
Contract Hire
Not
Sure, Please Advise
Term
Please
Select
24 Months
36 Months
48 Months
Annual Mileage
Please
Select
6000
7000
8000
9000
10000
11000
12000
13000
14000
15000
16000
17000
18000
19000
20000
21000
22000
23000
24000
25000
26000
27000
28000
29000
30000
31000
32000
33000
34000
35000
36000
37000
38000
39000
40000
41000
42000
43000
44000
45000
46000
47000
48000
49000
50000
Notes -
Please list details of any warranty, accessories
or insurance included in the cash price
The
information that you have provided on this form
will be disclosed to lenders for the purpose
of considering this application. Lenders may
use this information to carry out searches with
credit reference companies and other requistory
and statutory bodies. A record of these searches
will be kept and may be used by other lenders
is assessing applications from you and members
of your household for credit in the future.
Lenders will cross check this information with
other lenders to prevent fraud and may the information
for statistical or marketing purposes. Lenders
may use credit scoring as part of their decision
making process. We may also disclose information
to other companies and we or they may use such
information to advise you of any of our or their
services or of any other persons services which
may be relevant to you. The dealer completing
this form should tell you of the purposes for
which he may use this information.
By pressing the
Submit button below I confirm the accuracy of
the information provided on this proposal form
and acknowledge the uses to which the information
will be put.