Consumer & Sole Trader Application Form

TITLE: (*)

FIRST NAME: (*)

SURNAME: (*)

ADDRESS: (*)

TIME AT ADDRESS: (*)

PRESENT TENURE: (*)

PREVIOUS ADDRESS:


TIME AT PREVIOUS ADDRESS:

PREVIOUS TENURE:

DATE OF BIRTH: (*)

EMAIL ADDRESS: (*)

MOBILE PHONE NUMBER: (*)

MARITAL STATUS: (*)

NI NUMBER:

HOME PHONE NUMBER:

WORK PHONE NUMBER:

 


EMPLOYMENT: (*)

OCCUPATION:

EMPLOYER'S NAME:

EMPLOYER'S PHONE NUMBER:

EMPLOYER'S TRADING ADDRESS:

TIME IN CURRENT EMPLOYMENT:

 


BANK NAME:

ACCOUNT NAME:

TIME WITH BANK:

SORT CODE:

ACCOUNT NUMBER:

ANNUAL INCOME:

 


VEHICLE MAKE:

VEHICLE MODEL:

ANNUAL MILEAGE:

CONTRACT TERM:

COLOUR PREFERENCE - Not Guaranteed on Short Term:

PRICE PER MONTH or BUDGET:

 


The following declaration is required under the Data Protection Act 1984/1988 and GDPR Compliance before any credit application can be processed that might require searches of partners/directors/sole traders/individuals/financial associations. I can confirm that the information I have provided is true and complete. I confirm that I give express permission to Cocoon Vehicles Ltd to conduct personal searches or to provide third party finance houses or credit reference agencies this information for the specific purpose of ascertaining credit worthiness.

I accept the above declaration (*)

SIGNATURE: (*)

 


All fields marked with (*) are REQUIRED fields and must be filled in to successfully send the application