Business Proposal Form

Company Details

Company Name:

Company Registration Number:

VAT Registration Number:

Contact Name:

Address:

Post Code:

Property Type:

Website Address:

Telephone Number:

Email Address:

Authorised Signatory:

Nature of Business:

Date Incorporated/Founded:

Company Fleet Size:

Grey Fleet Size:

Bank Details

Bank Name:

Branch Name:

Name of Account:

Sort Code:

Account Number:

Years with Bank:

Bank Address:

Bank Post Code:

Director/Partner Personal Details.

	Director 1	Director 2	Director 3
Title	Title, Director 1:	Title, Director 2:	Title, Director 3:
Full Name	Full Name, Director 1:	Full Name, Director 2:	Full Name, Director 3:
Address	Address, Director 1:	Address, Director 2:	Address, Director 3:
Post Code	Post Code, Director 1:	Post Code, Director 2:	Post Code, Director 3:
Time at Address	Time at Address, Director 1:	Time at Address, Director 2:	Time at Address, Director 3:
Property Type	Property Type, Director 1:	Property Type, Director 2:	Property Type, Director 3:
Property Status	Property Status, Director 1:	Property Status, Director 2:	Property Status, Director 3:
Marital Status	Marital Status, Director 1:	Marital Status, Director 2:	Marital Status, Director 3:
Date of Birth	Date of Birth, Director 1:	Date of Birth, Director 2:	Date of Birth, Director 3:
No. of Dependants	No. of Dependants, Director 1:	No. of Dependants, Director 2:	No. of Dependants, Director 3:
Tel. No.	Tel. No., Director 1:	Tel. No., Director 2:	Tel. No., Director 3:
Mobile No.	Mobile No., Director 1:	Mobile No., Director 2:	Mobile No., Director 3:
Email Address	Email Address, Director 1:	Email Address, Director 2:	Email Address, Director 3:

If less than 3 years at current address, please provide previous address

	Director 1	Director 2	Director 3
Address	Address, Director 1:	Address, Director 2:	Address, Director 3:
Post Code	Post Code, Director 1:	Post Code, Director 2:	Post Code, Director 3:
Time at Address	Time at Address, Director 1:	Time at Address, Director 2:	Time at Address, Director 3:

Declaration:

I/We declare that the information supplied on the credit proposal is true and correct. I/We authorise the funder to make a credit reference search, which will be recorded by the agency. I/We are aware that credit scoring may be used in the decision making process. I/We agree that the funder can, at any time, disclose details about the application, agreement and the conduct of the account to a licenced credit agency, or HP Information PLC or introducing dealer/broker for the purposes of fraud/crime prevention tracing customers and any other legitimate purpose. I/We also acknowledge that the funder may refuse to enter into this agreement without stating a reason. I/We understand and agree that any personal details within this credit application may be passed to a third party as part of the credit process and that the details provided will not be used for any direct marketing purposes.

Name of Person Completing the Form:

Title:

Date: