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1. Your Loan Details
Edit
Loan Amount:
£
Repaid over:
3 Months
6 Months
9 Months
12 Months
18 Months
24 Months
36 Months
Loan Purpose:
Please Select
Short Term Cash
Pay Bills
Home Improvements
Car Loan
Debt Consolidation
Other
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2. Your Personal Details
Edit
Title:
Mr
Mrs
Miss
Ms
First Name:
Surname:
Gender:
--Select--
Male
Female
Marital Status:
Please select
Single
Married
Separated
Divorced
Widowed
Living with Partner
Date of Birth:
Day
1
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31
Month
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12
Year
1915
1916
1917
1918
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1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Email Address:
Home Number:
Mobile Number:
Work Phone Number:
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3. Your Address Details
Edit
Search Address:
Address Line 1:
Address Line 2:
Town:
Post Code:
Residential status:
--Select--
Homeowner
Tenant
Council Tenant
Living With Parents
Other
Time at Address:
Years
0
1
2
3
4
5
6
7
8
9
10
Months
0
1
2
3
4
5
6
7
8
9
10
11
Owner
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4. Your Employment Details
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Employment Status:
--Select--
Full Time
Part Time
Temporary Employed
Self Employed
Unemployed
Retired
Student
Time with Employer:
Years
0
1
2
3
4
5
Months
0
1
2
3
4
5
6
7
8
9
10
11
Employer's Name:
Position at Work:
Payment Frequency:
--Select--
Last Working day of Month
Specific Day of Month
Last Monday of Month
Last Tuesday of Month
Last Wednesday of Month
Last Thursday of Month
Last Friday of Month
Weekly
Fortnightly
Semi Monthly
Employer's Industry:
--Select--
Accountancy
Administration Secretarial
Advertising Media
Business Consultancy
Call Centre Operations
Cleaning Services
Computer Services
Construction
Driver
Education
Electricity Gas Eater
Finance
Health
Hotels Restaurants
Insurance
Labour
Legal Services
Leisure Culture
Manager Mid Level
Manager Senior Level
Manufacturing
Military
Mining Quarrying
Professional
Public Administration
Publishing
Real Estate Property
Research Development
Retail
Sales and Customer Service
Skilled Trade
Telecoms Internet
Transportation
Other
Your Next Pay Day:
Following Pay Day:
Net Monthly Income:
£
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5. Your Expense Details
Edit
Monthly Housing Expense:
£
Monthly Expense on Credit Cards/Loans:
£
Monthly Expense on Food:
£
Monthly Expense on Utilities:
£
Monthly Expense on Transportation:
£
Other Monthly Expenses:
£
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6. Your Bank Details
Edit
Bank Name:
Bank Sort Code:
Bank Account Number:
Bank Debit Card Type:
--Select--
Switch Maestro
Visa Debit
Visa Electron
MasterCard Debit
Visa Delta
No Debit Card
I agree to the
terms and conditions
and
privacy policy
, which explains how my personal information will be used, this includes being sent to T Dot UK Limited, who will assist me in finding financial assistance. I acknowledge that a lender may conduct a credit check with a credit reference agency and I confirm all information I have provided is accurate and I have considered my potential future financial situation to determine my ability to repay.
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