Please Fill in all sections of the form for a
quick and easy application, all questions reffer to first applicant unless otherwise
stated.
Unsercured loans are avalible
for UK adults over 1 to 7 years 1,000 to 25,000.
Personal
Details:
Please indicate if you currently hold a Personal
Loan with The Halifax or The Royal Bank of Scotland
-- Yes No
Applicant
1:
Title:
-- Mr
Mrs Miss Ms.
Dr Rev Other
Full
Forename(s):
Surname:
If
your name has changed within the last three years, please tell us your previous
name Previous
Title:
-- Mr
Mrs Miss Ms.
Dr Rev Other
All
previous full forename(s):
Previous
surname:
Applicant
2:
Title:
-- Mr
Mrs Miss Ms.
Dr Rev Other
Full
Forename(s):
Surname:
If
your name has changed within the last three years, please tell us your previous
name Previous
Title:
-- Mr
Mrs Miss Ms.
Dr Rev Other
All
previous full forename(s):
Previous
surname:
Applicant
1 Details:
Daytime Telephone:
Evening
Telephone:
Mobile
No:
Email
Address:
House
No./Name:
Street
Name:
Town:
County:
Postcode:
Country
of residence:
Nationality:
Date
of birth:
(DD/MM/YYYY)
Time
at current address:
Years
Months
If
you have lived at your current address for less that three years, please tell
us your previous address
Previous
house No./Name:
Town:
County:
Postcode:
Time
at previous address:
Years
Months
If
you've lived at your last two addresses for less than three years, please provide
details here:
Applicant
2 Details:
Daytime Telephone:
Evening
Telephone:
Mobile
No:
House
No./Name:
Street
Name:
Town:
County:
Postcode:
Country
of residence:
Nationality:
Date
of birth:
(DD/MM/YYYY)
Time
at current address:
Years
Months
If
you have lived at your current address for less than three years, please tell
us your previous address
Previous
house No./Name:
Town:
County:
Postcode:
Time
at previous address:
Years
Months
If
you've lived at your last two addresses for less thn three years, please provide
details here:
Applicant
1:
Are
you: --
A home owner A tenant - furnished A
tenant - unfurnished In student housing Living
with parents Other
Marital
status:
-- Married Single Widowed
Divorced Separated
No.
of dependant children:
Employment
details Applicant 1:
Are
you employed by:
-- Public corporation Armed Forces
Local/Central government Private sector self-employed/Partner
Self-employed/Sole trader
Or
are you: --
Unemployed(with income) Unemployed (without income)
Homemaker Sudent Retired
Your
occupation:
Time
in current employment:
years
months
Please
give us your employer's (or if self employed, your accountant's) name, address
and telephone number
Name:
Address:
Postcode:
Contact
name:
Telephone
number (including STD code);
Ext.:
Employment
details Applicant 2:
Are
you employed by:
-- Public corporation Armed Forces
Local/Central government Private sector self-employed/Partner
Self-employed/Sole trader
Or
are you:
-- Unemployed(with income) Unemployed
(without income) Homemaker Sudent Retired
Your
occupation:
Time
in current employment:
years
months
Please
give us your employer's (or if self employed, your accountant's) name, address
and telephone number
Name:
Address:
Postcode:
Contact
name:
Telephone
number (including STD code):
Ext.:
Income
and expenditure details:
Applicant
1: Earnings
after Tax:
Other
income:
Total
monthly income:
Applicant
2: Earnings
after tax:
Other
income:
Total
monthly income:
Financial
details Applicant 1:
Do
your currently have a bank account with:
Neither Halifax Royal Bank of Scotland
Do
you have any of the following cards:
None Cheque MasterCard Visa
Amex/Diners Store
Monthly
expenditure both applicants:
Mortgage or rent:
Council Tax:
Endowment premium:
Other credit:
Loans to be consolidated (repaid):
Fixed
monthly expenditure:
Bank
Account Number:
Bank
Sort code:
Other
Details:
Where
did you find us?:
Data Protection Notice
Declaration
By
clicking submit you confirm that you have read and accept the Data Protection
Notice and the Declaration above.