Personal Finance (Vehicle Solutions) Step 1 of 4 25% Customer detailsTitle* Gender* Name* First Last Email* Phone* Date of birth* Marital Status*SingleMarriedWidowedSeperatedDivorcedNumber of Dependants* CCJ's, Defaults or Arrears in the last 6 years?* Upload required photo here*Accepted file types: jpg, jpeg, pdf, png, gif, Max. file size: 8 MB.Upload a photo of yourself holding your driver's license next to your face. This photo must clearly show both your face and the front of your driver's license. Address historyProperty*OwnerRentedOtherCurrent address* Address line 2 City* County / State / Region* Post Code* Years at address (If less than 3 years please fill out the box below)*Please enter a number from 1 to 15.Previous addressPrevious address* Street address Address line 2 City* Post Code this is required County / State / Region* Years at address (If less than 2 years please fill out the box below)*Please enter a number from 1 to 15.Previous addressPrevious address Street address Address line 2 City Post Code County / State / Region Employment detailsEmployment Status*EmployedSelf EmployedRetiredNot workingStudentOtherEmployers name* Job Title/Occupation* Employer Telephone number* Employers address Street address Address line 2 City County / State / Region Post code* Years and Months at company* We require 3 years of employment history. If you have been at this company for less than 3 years please use below section to complete 3 years of employment history. Previous Occupation Previous Employer Previous Employer Post Code Years and Months at previous employer Previous Occupation Previous Employer Previous Employer Post Code Years and Months at previous employer Bank Name* Account number* Sort code* Bank Address Street address Address line 2 County / State / Region City Post code Time with bank (Years & Months)* AffordabilityYearly income* Consent Agreement* By checking this box I agree to the following:I declare that the information supplied on the credit proposal is true and correct. I authorise the funder to make a credit reference search, which will be recorded by the agency. I am aware that credit scoring may be used in the decision making process. I agree that the funder can, at any time, disclose details about the application, agreement and the conduct of the account to a licensed credit agency, or HP information PLC, or introducing dealer/broker for the purposes of: fraud/crime prevention, tracing customers and any other legitimate purpose. I also acknowledge that the funder may refuse to enter into this agreement without stating a reason. Commission will be included within the financial transaction for which, by completing and signing this form. You are making a formal application for credit and of which details can be supplied upon request. Should you require this information please submit your request either in writing, by email or in person allowing 14 days for a response. I understand and agree that any personal details contained within this credit application may be passed on to any third party as part of the process and that the details provided will not be used for any direct marketing purposes.Initial disclosure agreement & Opt in.* By checking this box I agree to the following:I confirm that I have read and understood the opt-in & initial disclosure documents ( full details can be found in the footer of our website). I also agree to share my personal information and to be contacted by CS Vehicle Solutions Ltd to discuss my enquiry. Promotions & Exclusive discounts. By checking this box I agree to the following:To receive exclusive promotions and discounts via email from CS Vehicle Solutions Ltd. This information will only be used internally and will not be shared with any third parties. You can unsubscribe at any time
