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Personal Finance Application



PERSONAL DETAILS:            
Full Name: (including title)     Address:  
Telephone Number:  
     
Email Address:  
     
Property:  
  Post Code:  
Other: (give details)  
 
How long at your present address:  
Status:  
Date of Birth: dd/mm/yy  
/ /
Number of Dependants:  
ADDRESS HISTORY   (If less than 3 years)        
Address:     Address:  
         
         
Post Code:     Post Code:  
Property:  
  Property:  
Other: (give details)  
  Other: (give details)  
EMPLOYMENT DETAILS            
Company Name:     Address:  
Occupation/Title:        
Telephone Number:        
Fax Number:     Postcode:  
Time in this employment:  
Are you receiving a car allowance?  
If so, how much per month?  
PREVIOUS EMPLOYMENT DETAILS   (If less than 3 years)        
Company Name:     Address:  
Occupation/Title:        
Telephone Number:        
Fax Number:     Postcode    
Time in this employment:            
BANK DETAILS            
Bank:     Address:  
Time with Bank:        
Account Name:        
Account Number:     Postcode    
Sort Code:            
DECLARATION: I/We declare that the information supplied on the credit proposal is true and correct. I/We authorise the funder to make a credit reference search, which will be recorded by the agency. I/We am/are aware that credit scoring may be used in the decision making process. I/We agree that the funder can, at any time, disclose details about the application, agreement and the conduct of the account to a licensed credit agency, or HP information Plc, or introducing Dealer/Broker for the purposes of: fraud/crime prevention, tracing customers and any other legitimate purpose. I/We also acknowledge that the funder may refuse to enter into this agreement without stating a reason.
Name:  
Signed:  
NB: by checking this box you are digitally signing this document and agreeing to all it's content.
Date: dd/mm/yy   / /
           
Wessex Fleet Solutions | The Old School | 2 Netherhampton Rd | Salisbury | SP2 8HE
T: 01722 322 888 | F: 01722 321741

Can’t find the deal you are looking for, give us a call now on 01722 322888 or email: info@wessexfleetsolutions.co.uk