Personal Details

Title *  
First Name *  
Last Name *  
Previous Surname (Optional)
Address Line 1 *
Address Line 2
Address Line 3
City *
State / Province / Region / County
Post / Zip Code *
Country
Years at address *  
Date of birth (DD/MM/YYYY) * / /  

Contact Details

Home Tel. *
Mobile Tel. *
Work Tel.
Email *  

Previous Address Details (If less than 3 years at current address)

Address Line 1
Address Line 2
Address Line 3
City
State / Province / Region / County
Post / Zip Code
Country

Marital & Residential

Marital Status
Residential Status

Employment Details

Occupation *  
How Long *  
Employment Status *
Company Name *
Address Line 1 *
Address Line 2 *
Address Line 3
City *
State / Province / Region / County
Post / Zip Code *
Country
Annual Salary *  

Previous Employment Details

Occupation
How Long
Employment Status
Company Name
Address Line 1
Address Line 2
Address Line 3
City
State / Province / Region / County
Post / Zip Code
Country
Annual Salary

Goods & Financial Details

Vehicle Make *  
Vehicle Model *  
Date of 1st Reg. (DD/MM/YYYY) / /
Engine cc
Mileage
Reg No
Import
Extras
Cash Price * £ .
Less Cash Deposit * £ .
Less Part Exchange £ .
Advance Required * £ .
Period *




Use of your information


In considering this application we may disclose details about you and your conduct to any credit reference or fraud prevention agency, and keep a record of our enquiries. Any information we provide to a credit reference or fraud prevention agency will be recorded and retained by them. We will check your details with any fraud prevention agency 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 for the following purposes:
- Performance by us of any contract you and we may be a party to.
- Help make decisions about credit and credit related services for you and members of your household.
- Help make decisions on motor, household, credit, life and other insurance proposals and insurance claims for you and members of your household.
- Trace debtors, recover debt, prevent fraud and to manage your accounts.
- Check your identity to prevent money laundering, unless you furnish us with other satisfactory proof of identity.
- Statistical information

We may use credit scoring or other automated decision making systems when assessing your application. If we are unable to proceed with your application, we may pass such details to other selected businesses that may also conduct searches at credit reference and fraud prevention agencies.

If you make a joint application, the credit reference and fraud prevention agencies will link together your records, details and information. Such links will remain on your credit reference files until such time as you or your joint applicant successfully applies for a disassociation. We may also pass your details to other associated companies within the European Union where reasonably necessary for the above purposes. By agreeing to proceed with this application you hereby consent in our processing such details for these purposes. You have a right, on payment of a fee, to receive a copy of the information we hold about you. Please contact us on 01302 646464 for details. We may contact you from time to time with information about our products that me be of interest to you, by post or by telephone.

If you do not wish to recieve such information, please tick the box.

I do not wish to reciece such information

We may pass your details to other associated companies within the European Union who may contact you form time to time with information about their products that may be of interest to you, by post or by telephone.

If you do not wish to receive such information, please tick the box.

I do not wish to recieve such information

* I fully understand the contents of this notice  

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