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Personal Finance.

Before completing an application, please ensure that you have read understood and agreed to the Customer Declaration and Data Protection Act notice. It is important that you complete all questions as failure to do so may delay your application.

Personal Details

Title:

Surname:

First Name(s):

Marital Status:

Home Tel No:

D.O.B(DD/MM/YYYY):

Mobile Tel:

Work Tel:

Email Address:

Address Details

Current Address:

Property status:

Time at Address:

Previous Address:

(If less than 5 years)

Time at Address:

Employment Details

Occupation:

Nature of Business:

Employers Name:

Employers Address:

Time With Employer:

Previous Employer:

Employers Address:

Bank Details

Bank Name:

Bank Address:

Account Name:

Sort Code:

Account Number:

Time With Bank:

Monthly Net Income and Expenditure.

Net Salary:		Mortgage/Rent:
Regular O/T:		Other Loans:
Partners Net Salary:		Utility Bills:
Net Car Allowance:		Credit Cards:
Other Income:		Other Expenses:
		Current Car Payment:
Total Income:		Total Expenditure:

Data Protection - How we will use your information.

This notice applies to all applicants. We'll check your details with credit reference and fraud prevention agencies ("the agencies") and they'll record our check and provide us with information about you. We'll tell the agencies if we think you've given false information or suspect fraud. We'll also give credit reference agencies information about how you manage your account. We and other companies will use this information to assess you and your household for: credit and credit related services; motor, household, credit, life and other insurance proposals and claims; debt tracing and recovery; prevention of fraud and money laundering; statistical analysis about credit, insurance and fraud; and market research.

Your Declaration.

I hereby warrant that the imformation contained in this application is true and accurate and authorise VanLeaseContracts to make all enquiries to verify the Information to enable it to consider this application. I understand that the lender reserves the right to decline this application.

Tick to Accept.