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1. Loan Detail

Repayment Period       Loan Amount (£)    

2. Your Contact Details

Title
First Name
Last Name
Date of Birth
Mobile Phone
Contact Email Address
Home Phone(10-11 digits)
Work Phone
Residential Status
Time at Address
Postcode(e.g. NW11 7RN)
County
House Number/Name

3.Your income & payday details

Employment Type
Company Name
Time with Employer
Paid by Direct Deposit
Payday Frequency
Monthly Pay (£)
Guarantor Available
Debit Card Type


Your Next Pay Date


Following Pay Date


Bank Account Number

Bank Sort Code (eg.601203)


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of a credit reference agency may be checked. I also agree to be informed via electronic means of selected products and services available from FlexCredit and its carefully chosen marketing partners.

Representative APR 278% Representative Example: Borrow £500 over 12 months. 12 monthly repayments of £79.09. Interest rate p.a. – 140% (fixed). Total amount repayable - £949.01. Interest - £449.01.


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