CONTACT DETAILS

Full name

Mobile Phone

Email

FINANCE DETAILS

Is the finance for personal or business?

How much do you want to borrow?

How many years do you want to repay the finance?

What will you use the money for e.g. car, equipment, machinery etc

INCOME DETAILS

What do you do for work e.g. builder, salesperson, doctor etc

Employment Status e.g. full time, self employed, director etc

How long have you worked there e.g. 2 years 4 months

How much do you earn per year after tax?

BUSINESS DETAILS

Business name (if applicable)

Year established (if applicable)

Annual turnover (if applicable)

Anything else?