AIC FINANCIAL / CAR FINANCE SPECIALISTS
1st applicant details Surname Forenames Title Previous surname if changed in last year DOB Marital status (please circle) Home tel. no. Contact/mobile no. Mobile type Current address Mr Mrs Miss Other Joint applicant details Surname Forenames Title Previous surname if changed in last year DOB Current employer Position/occupation Employer address Contract PAYG Telephone no. Time in current job Computerised payslip? Take home pay Yrs Owner Council tenant Parents Mths Yrs Yes £ Mths No Monthly Mr Mrs Miss Other
Married Divorced
Single Common-law
Postcode How long? Occupancy type
Previous address If less than 3 years Postcode How long?
Bank A/C no. Yrs Mths Sort code
Employment details CURRENT EMPLOYER: Occupation Employer address Telephone no. Time in job Computerised payslip? Take home pay Licence Details Licence type If other, please specify Address on licence
Perm/Temp S/Emp F or P time PREVIOUS EMPLOYERS Previous Previous
Yrs YES £
Mths NO Monthly How long? Yrs Mths How long?
Full UK
Provisional UK
Data protection In considering your application we will search your record at the credit reference agency Experian or Equifax. They will add to your record details of our search and your application and this will be seen by other organisations that make searches. We may use credit scoring or other automated decision making systems when assessing your application. We may record calls for training purposes. It is important that you give us accurate information. We will check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud, we will record this. Your record will be shared with other organisations and used by us and them to; help make decisions about credit for you and the members of your household, trace debtors, recover debt, prevent money laundering and fraud. We and the credit reference agencies and fraud prevention agencies will use the records for statistical analysis about credit, insurance and fraud. Fraud prevention agency records will also be shared with other organisations to help make decisions on motor, household, credit, life and insurance proposals and insurance claims for you and your household. If we are unable to accept your application at this time, we may hold your information on file and contact you in the future to reassess your requirement for credit. We may pass this onto other companies both inside and outside our company group, who will also search your record at the credit reference agencies. A record of this search will also be kept and seen by other organisations that make searches.
Customer declaration The above information is correct and hereby authorise you to make any enquiries you deem necessary in connection with this application
Signature (1st applicant) Signature (joint applicant)
Date Date