Retailer number

Easy Five Step Credit Application

Product Details Product Term Deferral period

ID (Record reference details here) Proof of Signature

Proof of Address

1 Personal Details 3 Bank Details

Title Gender Sort code
Forename Account number
Surname Time at bank Years Months
House number / name Repayment method Direct Debit Other
Postcode Number of Credit Cards
Street Cheque card held Yes No
Town Bank / Building Society name
County 4 Goods
Time at Address Years
Years Months
Months
Goods purchased
Date of Birth
Cash price
Other Initials Suffix
Deposit
Home telephone
Tick here if Payment Protection Insurance not required
Mobile telephone
5 Employment details
Previous address details (if less than 3 years at current address)
House number / name Employment status Employed / Self employed / Retired / Benefits

Postcode Employers name

Street Telephone number

Town Job Title
County Time with Employer Years Months
Time at address Years Months Self Employed / Retired / Benefits (record reference details here)

2 Marital status
Residential status Owner / Tenant / Living with parents/Other Employer’s address details
Number of dependants Building number / name
E-Mail address Postcode
Association (financial link to 3rd party) Street
Town
Alias (previous/other name) County
USE OF YOUR INFORMATION
In considering your application we will search your record at credit reference agencies. They will add to your record details of our search and your application and this will be seen by
other organisations that make searches. Information held about you by the credit reference agencies may already be linked to records relating to one or more other persons. For the
purposes of this application you may be treated as financially linked and your application will be assessed with reference to any “associated” records. If you are a joint applicant or if
you have told us of some other financial association with another person, you must be sure that you are entitled to: disclose information about your joint applicant and anyone referred to by
you. authorise us to search, link or record information at the credit reference agencies about you and anyone referred to by you. An “association” between joint applicants and between you
and anyone you tell us is your financial partner will be created at the credit reference agencies. This will link your financial records, each of which will be taken into account in all future
applications by either or both of you. This will continue until one of you successfully files a disassociation at the credit reference agencies. We will use a credit scoring or other automated
decision making system when assessing your application. We will also add to your record with the credit reference agencies details of your agreement with us, the payments you make under
it, any default of failure to keep to its terms and if you give us false or inaccurate information and we suspect fraud, we will record this. These records will be shared with other organisations
and used by us and them to: help make decisions about credit and credit related services such as insurance for you and persons with whom you are financially linked; trace debtors, recover
debt, prevent money laundering and fraud, and to manage your accounts. For these purposes we or they may make further searches. Although these searches will be added to your record,
they will not be shared with others. We and the credit reference agencies and fraud prevention agencies will also use the records for statistical analysis about credit and about insurance and
fraud. We may also use information about you to carry out market research. Fraud prevention agencies records will also be shared with other organisations to help make decisions on motor,
household, credit, life and other insurance proposals and insurance claims, for you and persons with whom you are financially linked.
PLEASE TELEPHONE US ON FREEPHONE 0800 9708101 IF YOU WANT TO HAVE DETAILS OF THOSE CREDIT REFERENCE AND FRAUD PREVENTION AGENCIES FROM WHOM
WE OBTAIN AND TO WHOM WE PASS INFORMATION ABOUT YOU. YOU HAVE A LEGAL RIGHT TO THESE DETAILS. YOU HAVE A RIGHT TO RECEIVE A COPY OF THE
INFORMATION WE HOLD ABOUT YOU IF YOU APPLY TO US IN WRITING. A FEE WILL BE PAYABLE. Calls to Clydesdale Financial Services may be monitored for staff training
purposes.

IMPORTANT — USE OF YOUR INFORMATION

WE MAY SEND YOU INFORMATION ABOUT PRODUCTS OF OURS AND OTHERS WHICH MAY BE OF INTEREST TO YOU. WE MAY PASS YOUR DETAILS TO OTHER
SELECTED BUSINESSES TO SEND YOU INFORMATION ABOUT THEIR PRODUCTS. THIS INFORMATION MAY BE PRESENTED TO YOU BY MAIL, E-MAIL OR TELEPHONE.
YOU HAVE A RIGHT AT ANY TIME TO STOP US FROM CONTACTING YOU OR GIVING YOUR DETAILS TO OTHERS FOR THESE PURPOSES. IF YOU WISH US TO STOP, PLEASE
TICK THE BOX ON THE AGREEMENT