Apply

Please complete the information below to submit your details for the underwriting process. If you work only part time, please be sure to let us know. Your application will be acknowledged and you will be kept informed as your application progresses through the system. If you would like any help or advice with this, please call us on 084 50 57 57 50 and we will assist in any way we can.

If you would prefer to download a copy of the form, print it and fill it in by hand, please click on the link. You can then return it by post, fax or scanned to email.


Click here to download the finance application form

Please provide a password for your account

When you apply, the system will save you as a user. You will then be able to login with your email address to view your account activity.

If you already have an account, please login here before filling in the application.

Password: Please choose a password for your new account

Full Name

First Name: Last Name:  
Date of Birth: Marital Status:  
Home Tel No: Mob Tel No: Email:

Full Address

Address Line 1: Address Line 2: Town/City:
County: Country: Postcode:
Time At Address: Type:

Previous Address

Please note: For your application to be accepted we will require 3 years of accomodation history.

Address Line 1: Address Line 2: Town/City:
Postcode: Time At Address: Type:

Bank Details

Bank Name Address Line 1: Address Line 2:
Town/City: Postcode:
Name On Account: Account Number: Sort Code:
Years Held: Notes:

Employer

Please note: For your application to be accepted we will require 3 years of employment history.

Name Address Line 1: Address Line 2:
Town/City: Postcode: Work Tel:
Occupation: Years Employed:
If less than 3 years- Previous Employers:

*Please note we will need the full details as requested above.

Vehicle

Manufacturer: Model: Spec:
Annual Milage: Initial Deposit: £ Balance Of Rentals:
Payment per month: £ Final Payment: £ Contract Hire

Credit Cards

CardLimitPayments
MasterCard£ £
Amex£ £
Visa£ £
Other£ £

Monthly Income

Net Salary: £ Other Income: £ Partners Salary: £
Pension: £ Other: £

Monthly Outgoings

Mortgage/Rent: £ Other Loans: £ Utility Bills: £
Credit Cards: £ Other expenses: £ Car Payment: £

Your Declaration

I hereby warrant that the information contained in this application is true and accurate and authorize the lender 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.

We also understand that we accept by signing the details above I/ we are committing to ordering the vehicle as per quotation. If you choose to cancel this vehicle at any point you may have to pay a cancellation fee of up to 10% of the value of vehicle. Some funders may impose fees for breaking terms and conditions; you will be notified by Affinity Vehicle Lease Limited if this applies to you.

 

* Required I/We confirm under the Data Protection Act that I/We wish to proceed.

Have you have had any financial problems in the past 5 years (Missed payments, CCJ's,Debt managment plan exc) ?


*Required

Please give details:



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