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Personal Details

Title *
First Name*
Last Name*
Date Of Birth
Employment Status
Home Tel Number *
Mobile Tel Number
Email Address

Loan Details

I Confirm that I am a homeowner:

Address *
Town *
County *
Post Code *
House Value
- Time At Address: *
- Years
- Months
Previous Address:
Town
County
Post Code
Loan Amount Required *
Loan Purpose
Where did you hear about us? *

*If time at address is less than three years, please provide previous address.

By providing The Personal Loan Company with the information set out left I agree:

(a) that The Personal Loan Company may contact me via these means of communication in connection with my application;

(b) that The Personal Loan Company may not contact me via these means for marketing purposes, for both its products and those of Leasedirect Finance Ltd UNLESS I tick the boxes below.

(c) that The Personal Loan Company will not disclose my personal data to those of Leasedirect Finance Ltd UNLESS I have ticked the box below.

Before your enquiry can be progressed we will need to take further details and perform a search with a credit reference agency that will make a record of the search. Your Personal Loan Company Consultant will discuss this with you when they call you back.

The Personal Loan Company May Contact Me:
- by Mail
- by Telephone
- by Email
Leasedirect Finance Ltd may contact me:
- by Mail
- by Telephone
- by Email

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Your home may be at risk if you do not keep up repayments on a mortgage or any other debts secured on it

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The Personal Loan Company is a division of Leasedirect Finance Ltd. Reg No. 2029122. Terms and Conditions