Limited Company
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Partnership
Sole Trader
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Legal Name
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Trading as
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email
No. of Employees
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No. of Years Trading
Yrs.
mths.
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Bank Sort Code
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Director
Partner
Sole Trader
Mothers Maiden Name
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Mr.
Mrs.
Ms.
Dr.
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Yrs.
mths.
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Home Owner
Tenant
Living with Parents
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Place of Birth
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As per Driving Licence/Passport
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(w)
(h)
(m)
email
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No. of dependent children
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Director
Partner
Sole Trader
Mothers Maiden Name
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Mr.
Mrs.
Ms.
Dr.
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Yrs.
mths.
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Home Owner
Tenant
Living with Parents
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Place of Birth
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As per Driving Licence/Passport
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(w)
(h)
(m)
email
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No. of dependent children
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Warranty: I/We make this
application in the course of my/our business/trade/profession.
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Data Protection and
Consents. During the course of this application the information
that you provide will be forwarded to one or more financial institution(s),
being members of the Irish Finance Houses Association, and used
for the purpose of offering you a product or quote.
When considering a request, proposal or application for credit from you,
a credit search may be made with one or more credit reference agencies,
including the Irish Credit Bureau (ICB), which will record the making
of such search. Furthermore details of any agreement you enter into,
and how you conduct same, will be given to credit reference agencies
including the ICB. A search may be carried out to verify your identity.
Credit scoring and other automated decision-making systems may be used.
I confirm my consent to process this application and that the details
recorded are correct. I acknowledge that the financial institutions and/or
the ICB and other credit reference agencies are permitted to disclose
any material misstatement of fact contained in this proposal to its members
and relevant bodies. I consent to any such application information being
processed, recorded and retained by the ICB and other credit reference
agencies.
Where the applicant is a limited company or a partnership I confirm that
it’s directors/partners identified above have given their consent
to a
credit search being made as detailed above.
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To digitally sign this form,tick
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Enter your name here
Date
and click on
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