Personal Application | Britannia Leasing

Please ensure that you have read and agreed to the Customer Declaration and Data Protection Act notice before you click submit, please try and complete all the questions as this will help speed up your application.

Personal Details

Title: *

Surname: *

First Name(s): *

Marital Status: *

Number of Dependents: *

Home Tel: *

Date of birth: *

format: dd/mm/yyyy

Mobile: *

Work Tel:

E-mail address: *

Address History for Last 5 years

Current address: *

Post Code : *

Property Status: *

Time at address: *

Previous address:

Previous Post code:

Time at previous address:

Previous address status:

Employment History for the last 3 years

Employer's name: *

Current Occupation: *

Employers address: *

Postcode: *

Time with current employer: *

Employer's tel:: *

Previous employer:

(if with current employer for less than 3 years)

Previous occupation:

Employers previous address:

Postcode:

Time with previous employer :

Previous employer's tel:

Bank Details

Bank: *

Branch: *

Sort Code: *

Account No: *

Time with Bank: *

Data Protection - How we use your information

This notice applies to all applicants and (if the application is made by a limited company or partnership / unincorporated association) directors and partners.

We'll check your details with credit reference and fraud prevention agencies ("the agencies") and they'll record our check and provide us with information about you. We'll tell the agencies if we think you've given false information or suspect fraud. We'll also give credit reference agencies information about how you manage your account. We and other companies will use this information to assess you and your household for: credit and credit related services; motor, household, credit, life and other insurance proposals and claims; debt tracing and recovery; prevention of fraud and money laundering; statistical analysis about credit, insurance and fraud; and market research.

Your Declaration

I hereby warrant that the information contained in this application is true and accurate and authorise Britannia Leasing Ltd to make all enquiries to verify the information to enable it to consider this application. I understand that the lender reserves the right to decline this application.

Agreement: *

I agree to the terms and conditions.