PERSONAL CREDIT APPLICATION – ALLIED VEHICLE CONTRACTS
Is this a Joint Application? Applicant Details Title / 1st Name Middle Initial / Name Surname Current Address (If less than 60 months at current address, list previous address below.) Post Code Time at Address Main Phone No Alt Phone No Fax No Email Address Mobile Bank Details Bank Name Branch Account Name Account Number Sort Code Time with Bank Date of Birth Number of Dependants Residential Status Marital Status Credit / Store Cards Held Months
(dd/mm/yyyy)
Email Fax
info@avc-contracthire.co.uk 01422 329222
If YES, then each Applicant must complete one of these forms in full. Applicant Details (continued) Employers Name Business Address
Post Code Nature of Business Applicant’s Occupation Employment Start Date Employers Monthly Contribution to Monthly Rental Monthly Income & Expenditure Details Monthly Income after Tax and Deductions Total Current Monthly Expenditure Housing (Mortgage, Rent, etc.) Credit Cards Utilities Insurance Transport / Travel / Fuel Other Loans Telephone / Television Food / Drink / Clothing * Car Loan Other * If applicable, how much of the above Car Loan will be replaced by this proposal? Previous Address
Months
(dd/mm/yyyy)
Post Code
Time at Previous Address
Months
Data Protection – how we’ll use your information
This notice applies to all applicants and (if application is made by a limited company or partnership/unincorporated association) directors and partners. We’ll check your details with credit reference and fraud prevention agencies (“the agencies”) and they’ll record our check and provide us with information about you. We’ll tell the agencies if we think you’ve given false information or suspect fraud. We’ll also give credit reference agencies information about how you manage your account. We and other companies will use this information to assess you and your household for: credit and credit related services; motor, household, credit, life and other insurance proposals and claims; debt tracing and recovery; prevention of fraud and money laundering; statistical analysis about credit, insurance and fraud; and market research. We may also disclose your information to other finance institutions. We may use credit-scoring techniques to help us assess your proposal. I/We agree that Allied Ventura Limited/Allied Vehicle Contracts 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 and any other car data check provider, or its parent or associated or subsidiary company or companies or introducing Dealer/Broker for the purposes of fraud/crime prevention, tracing customers and any other legitimate purpose. I/We also acknowledge that Allied Ventura Limited/Allied Vehicle Contracts. may refuse to enter into this agreement without stating a reason.
Applicant(s) Signature
Date