Loan Application Form

Please answer these simple questions, so we can check your eligibility for financing your vehicle. This will not affect your credit score. Rep APR 19.9%

Company

Step 1/8

What type of Driving Licence do you have?

By starting your quote you're agreeing to our privacy Notice

Full UK

Provisional UK

CBT

European

International

No Licence

type

Full UK Provisional UK CBT A2 European International No Licence

Are You An Existing Customer?

Yes

Existing Customer

Yes No

Step 2/8

Which best describes you?

Married

Single

Cohabiting

Divorced

Separated

Widowed

Civil Partnership

Marital Status

Married Single Cohabiting Divorced Separated Widowed Civil Partnership

Step 3/8

What is your date of birth?

Date of Birth *

What is your place of birth?

Great Britain

Europe

Non-Europe

Place of Birth

Great Britain Europe Non-Europe

Step 4/8

Employment details

Full-time

Part-time

Self-employed

Disability

Retired

Sub-contractor

Agency Worker

Homemaker

Not Employed

Armed Forces

Student

Family Carer

Employment Status

Full-time Part-time Self-employed Disability Retired Sub-contractor Agency worker Homemaker Not Employed Armed Forces Student Family Carer

Job Title *

Employers Name *

Employers Town *

How long have you worked at this place?

Years *

Months

Monthly Income after Tax *

Step 5/8

What are your home address details?

Address *

Type of Owner

Private Tenant

Home Owner

Council Tenant

Living with Parents

type

Private Tenant Home Owner Council Tenant Living with Parents

How long have you lived at this address?

Years *

Months *

Step 6/8

How much do you want to borrow?

Loan Amount *

£10000

Step 7/8

What are your contact details?

Title

First Name

Last Name

Email Address

Phone Number

Step 8/8

Thank you! That is all the details we need from you for now.

By submitting your details you wont affect your credit score and you agree to the following terms:

I consent to my personal data being processed in accordance with the

agreement

privacy Notice *

I understand that the personal information Marsh Finance has collected from me will be shared with fraud prevention agencies who will use it to prevent fraud and money-laundering and to verify my identity. If fraud is detected, I could be refused certain services, finance or employment. Further details of how my information will be used by us and these fraud prevention agencies, and my data protection rights, can be found here in the

agreement

Fair Processing Notice *

I am happy for Marsh Finance to share my information with, and obtain information from, credit reference agencies, for use in credit decisions. I consent to my personal information being used in this way as explained in the

agreement

privacy Notice *

By completing this application, no finance agreement is being entered into. We will send you details of the decision of your finance application and should you be approved for finance, the details of your finance agreement will be confirmed by Marsh Finance.

01706 648882

enquiries@marshfinance.co.uk

Loan Application Form

What type of Driving Licence do you have?

Are You An Existing Customer?

Which best describes you?

What is your date of birth?

What is your place of birth?

Employment details

What are your home address details?

How much do you want to borrow?

What are your contact details?

Thank you! That is all the details we need from you for now.

01706 648882

enquiries@marshfinance.co.uk

Crossfield Mill, Crawford St, Rochdale, OL16 5RS