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0116 402 6500

Mon - Fri: 8:30am - 6:00pm

1 Personal Details
2 Employment Details
3 Finance Details
4 Order Confirmation

Personal Details

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Title:*

First Name:*

Middle Names:

Last Name:*

Mobile Telephone:*

Landline Telephone:

Email Address:*

Date of Birth:*

Marital Status:*

Number of Dependants:*

Nationality:*

Current Address Details

Please enter your address details for the last 5 years.

Previous Address {{ index }} Details

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Address Line 1:*

Address Line 2:

City/Town:*

Postcode:*

Number of Adults Living at this Address:*

Residential Status:*

Date Moved In:*

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Employment {{ index + 1 }} Details

Please enter employment details for the past 5 years.

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Job Title:*

Employment Status:*

Employer:*

Employer's Telephone Number:*

Nature of Business:*

Address Line 1:*

Address Line 2:

City/Town:*

Postcode:*

Start Date:*

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Income Details

Please enter your details below for your contribution.

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Gross Annual Salary:*

Net Monthly Pay:*

Regular Overtime:

Net Car Allowance:

Partner's Income:

Other Income:

Other Income Sources:

Expenditure Details

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Mortgage/Rent per month:*

Other Loans per month:

Utility Bills per month:*

Credit Cards per month:

Current Car Payments per month:

Do You have a Student Loan?:*

Other Expenses per month:

Does this application replace an existing commitment?:*

How do you rate your credit history?:*

Have you previously been refused credit?:*

Do you see your circumstances changing in the near future?:*

Give details of the changes you expect:

Finance Details

Please enter your bank details below.

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Bank Name*:

Name on Account*:

Account Number*:

Sort Code*:

Time with Bank:*

Years

Additional Information

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Terms & Conditions

Before submitting this vehicle finance application, please ensure you have read and understand the points below to ensure that this product is right for you.

As part of your vehicle finance application your data will be shared with one or more carefully selected funding employments so that they can complete the necessary credit reference and fraud prevention checks. These checks may be recorded on your credit history, details of which can be accessed via a number of credit check entities. Making a number of credit searches in short space of time can impact your ability to obtain credit.

Limited personal information will be shared with the supplying dealership so that they can process your vehicle order and deliver your new vehicle.

You understand that the lender reserves the right to decline this application.

Please Note: Prices may change at any time and are subject to availability.

I confirm that I am the applicant or that I have the relevant authorisation to act on behalf of the applicant. I also confirm that all information contained in this application is true and accurate and authorise Pink Vehicle Leasing, a trading style of TM Ltd, to make all necessary enquiries to verify the Information provided and to enable it to consider this application.

I agree to the Terms & Conditions and declare all information provided is true and accurate.

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