Approach Vauxhall | Vauxhall Finance

Finance Application Form
THE APPLICANT
Title:*
First Name(s):*
Surname:*
Email:*
Marital Status:*
Date of Birth:*
Address:*
Postcode:*
Telephone Number:*
Mobile Number:

ACCOMMODATION
Occupancy Type:*
Time at Current Address:*
Previous Address:
Postcode:
Time at Previous Address:

EMPLOYMENT/INCOME
Take Home Pay:*
Frequency:*
Current Employer:*
Occupation:*
Employer's Address:*
Telephone Number:*
Time at Current Employer:*
Previous Employer:
Previous Occupation:
Previous Employer's Address:
Time at Previous Employer:

FINANCE DETAILS
Finance Regarding:*
Term of Finance:*
Payment Protection:*
Bank Name:*
Period With Bank:*
Deposit:*
Contact Branch:*
Have you ever had any problems relating to not getting finance?*
Yes No
Data Protection Notice 1998 In considering your application we will search your record at a credit reference agency. They will add to your record details of our search and your application and this will be seen by other organisations carrying out later searches. 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. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless you furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you apply to us in writing. We may pass on your details to other companies to send information about the product. I Agree


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