Loans Warehouse Unsecured Portal

	Loan Details

Purpose of Loan

Amount Required
	Main Applicant	Joint Applicant

Title

Surname

Forename

Date of Birth

Marital Status

Number of Dependants

Home Phone inc STD

Mobile No.
	Address Details

Time at Address

House Number or Name

Street

Town

County

Postcode

Residential Status
	Previous Address Details (If less than 3 years)

Time at Address

House Number or Name

Street

Town

County

Postcode
	Employment Details	Joint Applicant Employment Details

Occupation

Time in Job

Employment Status

Annual Income
	Property Details

House Value

Residence Type

Mortgage Balance

Mortgage Payment

Time at Bank

By selecting to "submit", you undertake that you: • Are authorised to act for the applicant(s) in this finance application • Have obtained consent from the applicant(s) for Loans Warehouse carrying out searches at the credit reference agencies to verify any information and assess the enquiry • Have confirmed the Data Protection Statement below with the applicants • Are acting as a data processor on our behalf and will use the facility strictly in accordance with the Data Protection Act 1998 • Will not use any credit search information for any other company, or disclose it to any third parties, including the applicants • Acknowledge that the output of use is not binding for either the applicant or Loans Warehouse • Will use the facility in manner compliant with relevant laws and regulations •Acknowledge that any misuse will result in restriction/prohibition of use Data Protection Statement Information held about you by the Credit Reference Agencies may already be linked to records relating to one or more of your financial partners. For the purpose of this application you may be treated as financially linked and your application will be assessed with reference to any associated records. If you are a joint applicant or if you have told us of some other financial association with another person, you must be sure that you are entitled to: (a) Disclose information about your joint applicant and anyone referred to by you; and (b) Authorise us to search, link or record information at Credit Reference Agencies about you and anyone referred to by you. An association between joint applicants and between you and anyone you tell us is your financial partner will be created at Credit Reference Agencies. This will link your financial records, each of which will be taken into account in all future applications by either or both of you. This will continue until one of you successfully files a disassociation at Credit Reference Agencies. We will use credit scoring or other automated decision-making systems when assessing your application. It is important that you give us accurate information. If you are unhappy with the decision you may, within 21 days of receiving notification, write to us to ask us to reconsider the decision or take a new decision on a non-automated basis. 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 to help them: help make decisions about credit for you and members of your household; trace debtors; recover debt; prevent money laundering and fraud. We, the credit reference agencies and fraud prevention agencies will also use your record for statistical analysis about credit and about insurance and fraud. Fraud prevention agency records will also be shared with other organisations to help make decisions on motor, household, credit, life and other insurance proposals and insurance claims, for you and members of your household. Loans Warehouse may pass your details to any other company in any corporate group of which we are a member, to any company, business or intermediary associated with us and to any other person acting on behalf for any purpose connected with the group's business. We or any of those identified above may contact you by post, email or telephone to tell you about other products and services which may be of interest to you. You have the right at any time to ask us to stop contacting you or passing your details to others for these purposes. You may write to us at Loans Warehouse, 101-105 Smug Oak Business Centre, Lye Lane, Bricket Wood, Herts AL2 3UG if you want us to stop. Please contact us on 01923 678870 if you want details of those credit reference agencies and fraud prevention agencies from whom we obtain and whom we pass information about you. You have a legal right to these details. You have the right to receive a copy of the information we hold about you if you apply to us in writing. A fee will be payable.

	I agree