Date: 03/09/10

PROPOSAL FORM - SOLE TRADER

Lomeshaye Business Village - Turner Road - Nelson - Lancashire - BB9 7DR
Tel:   0845 230 44 66       Fax:   0845 230 44 77

Email:   sales@efllimited.com
BUSINESS DETAILS
Forenames:   Date of Birth:   dd/mm/yy
Surname:   Marital Status:  
Trading Name:   Year Established  
Trading Address:   Nature of Business:  
Postcode:   Tel No:  
Email:   Fax No:  
HOME ADDRESS DETAILS
Address:  
Postcode:  
Telephone No:  
Property Status:  
Time at address:
  Years     Months
Previous Address:  (If less than 5years)
Postcode:  
BANK DETAILS
Bank Name:  
Address:  
Postcode:  
Account Name:  
Account Number:
Sort Code:
- -
PREVIOUS EMPLOYMENT DETAILS (If less than 2 years trading)
Occupation:  
Employer:  
Address:  
Postcode:  
Employed:
  Years     Months
DATA PROTECTION NOTIFICATION
  1. So that we may assess your application for finance, you agree that we may search the files of any licensed credit reference agency who will keep a record of that search.
  2. If the funder enters into this agreement with you, they will disclose information about you and the conduct of your account at any time to any licensed credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and tracing orders.
  3. They may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency and our parent, associated and subsidiary companies and their respective agents and contractors.
  4. I confirm that the information above is true and accurate:
NOTE: We also require 'Proof Of Identity' in the form of a copy driving licence in your current home address (both photocard and counterpart are required if this is a new style licence), or a copy passport and two utility bills dated within the last 90 days.