Unsecured Loan Application

Complete an initial application for a fast decision from our fee free service. There is room on this form for 2 applicants, but only if you live at the same address. The applicant with the bad credit must use the 'Applicant 1' spaces.
Personal Details
Applicant 1:  
Title
First Names
Surname
Date of Birth
Marital Status
Uk Driving License
 Yes No
  Please note: these referees cannot live at the same address as you do.
Referee One:
who is my
Address: House No:
 Home Phone number
Road:
    
Town:
 Post Code
Referee Two
who is my
Address: House No:
 Home Phone number
Road:
    
Town:
 Post Code
Referee Three
who is my
Address: House No:
 Home Phone number
Road:
    
Town:
 Post Code
Applicant 2:
Title
First Names
Surname
Date of Birth
Marital Status
Uk Driving License
 Yes No
Address details    
Current address details:    
Number:
 Home Phone number
Road:
    
Town:
 Post Code
I have lived here for:
 yrs mths
If at present address less than 3 years:    
Number:
    
Road:
    
Town:
 Post Code
I lived there for:
 yrs mths
Residential Status
Homeowner
Council Tenant
Private Tenant
Living With Parents
If Homeowner, estimated House Value: £
Employment Details
Applicant 1:
Occupation
£ Employed Self Employed
Applicant 2:
Occupation
£ Employed Self Employed
About Your Income
Applicant 1  
Employed:
 Gross Annual Earnings
 £
Self employed
Recent net profit:
 £
Applicant 2
Employed:
 Gross Annual Earnings
 £
Self employed
Recent net profit:
 £
About Your Monthly Expenditure
Mortgage/Rent
( per month)
£
About your Loan
Amount Required
£
Term of Loan
 £ yrs
Loan Purpose
£
If you are wishing to repay existing debts please give the following details:
Names of Lenders:
 £ Balance Outstanding £
£ Balance Outstanding £
£ Balance Outstanding £
Do you require loan
protection?

Please be aware that credit reference agencies are used in assisting with any decision and that a record of this enquire will be made. If you are unhappy about sending this information by email you can fax it to us on 01494 452 457 .