Loan Details
Personal Details
Residential Status
Employment Details
You should only declare income against this field if you receive additional income to what you have already declared
Affordability
Please only include the portion of shared expenses you have to pay monthly.
Food, Drink, Pet Food, Cleaning Products, Toiletries, Medicines & Prescriptions, Meals & Snacks.
Train Fare, Bus Tickets, Vehicle Excise Duty, Road Tax, Car Insurance, Breakdown Cover, Taxis, Parking, Ferry Tickets, Bike Hire, Cycle to Work Scheme etc.
Phone (landline/mobile), Internet, Television costs (TV licence, TV packages) etc.
Credit cards, store cards, loans, hire purchase, PCP, county court judgements, payday loans, overdraft charges, instalment loans, court fines etc
Any regular monthly bills that are not included in the above
Is there any dependant who is financially reliant on you, either in whole or in part?
How many people are financially reliant on you, either in whole or in part?
Bank Details
Further Assessment
Are you currently suffering from a gambling, alcohol or drug addiction?
Are you expecting your income to go down between now and {{ lastDayOfLoan }}?
  • By how much (£)?
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