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This is the amount you wish to borrow. You are applying for a short term loan. This is not appropriate for longer term borrowing or if you are in financial difficulty. If accepted, the total amount payable (including charges, fees and interest) will be repayable in a short period of time. If you do not pay on time, it could have serious financial consequences including additional fees, charges and interest. It may also impact on your credit rating.

Your Details

Your Details

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Used to confirm your loan
Your Address Details

Your Address Details

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Your Employment Details

Your Employment Details

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Your Finance Details

Your Finance Details

Your monthly rent or mortgage payments
Monthly credit card, loan payments etc.
Total of other monthly expenses
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you've been accepted

As an additional security check, we require online payment to commence on the date shown below for this service to proceed we need to verify your identity. For security reasons, the card must be registered to the account address.

• Name:
• Monthly cost: £
• First collection date:
• Your bank account number:
• Your sort code number:
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