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In association with Next Loans. Next Loans are regulated and authorised by the FSA (314893) Financial Services Authority. www.nextloans.co.uk




Applicant 1:
Title:
First Name:
Last Name:
Status:
Date of Birth:
Address:
Postal Town:
Postal Code:
Time at Address:
Telephone:
Email:
Mobile:
Previous Address (if less than 3 years):

Applicant 2 (If Applicable):
Title:
First Name:
Last Name:
Status:
Date of Birth:


Loan Details:
Loan Amount:
Terms (Years):
Property:
Self Certified:
Type:
Comments:

Employment Details:
Employers Name:
Employers Address:
Postal Code:
Occupation:
Time Employed (Years):
Gross Pay Per Annum:
Self Employed:


Applicant 2 Employment
Details (If Applicable):
Employers Name:
Occupation:
Gross Pay Per Annum:
Self Employed:

Required for ALL Applications:
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Defaults:
Arrears:
Been Declined a Loan in the Last 3 months?
Can we run a credit check on your behalf:
Where did you hear about us:


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I/We agree that you or any lender to whom you submit this application, may use and disclose my data as described in the pages entitled Data Protection and that these pages have been read and understood.*

Copyright 2007 © Blue Pearl Finance Ltd. Blue Square House, 272 Bath Street, Glasgow G2 4JR. Phone: 0843 116 3344
&Debt Counsellors. Consumer Credit Licence Number 608220.

YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER LOAN SECURED ON IT. THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. REPAYING DEBT OVER A LONGER PERIOD MAY INCREASE THE TOTAL AMOUNT TO BE PAID.

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