How much would you like to borrow?
You will be paying back
at
per week over
weeks.
Note:
The above statement is based on the representative example below and is not final
Representative Loan Example: £200 loan repayable over 25 weeks. 25 Weekly payments of £13.60. Total amount of credit £340. Rate of interest 238.19% per annum (Fixed). Representative 926% APR Warning: Late repayment can cause you serious money problems. For help, go to moneyadviceservice.org.uk
Compare the price of home collected and other cash loans available in your area at
www.lenderscompared.org.uk
Under Credit Referencing Agency Information Notice (CRAIN) you have the right to see how we will use your information about your application and consult a Credit Reference Agency. You have the right to object to Credit Reference agencies using your personal information, however if you do we will not be able to continue with your application.
Please click
here
to review the document.
Tell us about yourself!
Title
Mr
Mrs
Miss
Ms
Mx
Sir
Dr
Rev
Other
First Name
Last Name
Gender
Male
Female
Other
Email Address
Telephone Mobile
Telephone Home
Date Of Birth
Marital Status
Please Select
Single
Living Together (Cohabiting)
Common Law
Married
Separated
Divorced
Widowed
Other
Monthly Income
Residential Status
Please Select
Owner
Tenant
Rent
Student
Living With Parents
Living With Family
Living With Friends
Joint Owner
Council Tenant
Unknown
Other
Homeowner With Mortgage
Homeowner without Mortgage
Private Tenant
Housing Association
House Share
Employment Status
Please Select
Unemployed
Self-employed
On Benefits
Job Seekers
Temporary
Part Time
Full Time
Contract
Student
Retired
Armed Forces
Home Maker
Single Parent
Disabled
Other
Unknown
Employer Name
Do you have a DRO / IVA?
Please Select
Yes
No
Do you have active CCJs?
Please Select
Yes
No
Are you seeking DRO / IVA?
Please Select
Yes
No
Do you receive any of the following?
Select all
Unselect all
Personal Independence Payment
Disability Living Allowance
Carers Allowance
Preferred Payment Day
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
National Insurance Number
Reason for a loan?
Loan Purpose
Other
Subsistence
Purchase
Where do you live?
Postcode
Flat
House Number
House Name
Street
Town
County
How long have you lived at this address?
Years at Address
Months at Address
How many dependants live at this address?
What was your previous address?
Previous Postcode
Previous Flat
Previous House Number
Previous House name
Previous Street
Previous Town
Previous County
For how long did you live at this address?
Previous Years at Address
Previous Months at Address
How would you like to receive your funds?
Cash
Bank Transfer
Account Holder Name
Account Number
Account Holder Sortcode
How would you like to repay?
Cash
Card
Referred by?
How did you hear about us?
Please Select
Leaflet
Poster
Facebook
Instagram
Blog
Twitter
TV Advert
Google Search
Web Advert
Friend
Referral
Word Of Mouth
Agent
If by an agent, whom?
Stay in the loop?
By ticking the boxes below you consent for us to use information we hold about you, including details of transactions and to contact you with offers about other products:
TO RECEIVE OFFERS, INFORMATION AND NEWS, DETAILS ABOUT NEW SERVICES OR PROMOTIONS I AGREE THAT HOME CREDIT LTD MAY CONTACT ME:
You can change or withdraw your preferences at any time by telephoning us on 01512614479 emailing us at
[email protected]
or writing to us at The Manor House Dorset DT94QU. Your preferences will be updated on our customer database by our administration team.
via Sms
via Phone
via Post
via Email
I confirm that I have photographic identification at my address
I give permission to search my records with a credit reference agency who will record details of the search
I give permission to the company to call with me at my home if necessary to discuss my application, gather documentation and to discuss my account
We protect all the information you give us under the Data Protection Act, and we are full members of the UK Consumer Credit Association. You can view our full
terms & conditions
as well as our
privacy notice
here on our website.
I Agree to the Responsible Lending policies
Next Step
You must confirm you have identification at your address
You must accept the responsible lending policy
You must accept the terms and conditions
You must accept the permission to call