Business Loans & Funding Help - Pre-Application Form

BUSINESS FUNDING - PRE-APPLICATION FORM
About You

N.B: All information is kept private and confidential.
Name*

First NameLast Name
Email*
D.O.B*
(DD/MM/YYYY)
National Insurance Number
Ethnicity*
Mobile Number*
Additional Phone Number
Home OwnerPrivate RenterLiving With ParentsCouncil
Your Home Address*
Please include Town and Postcode
How long have you lived at the property?*
Year(s)/Month(s)
Business Details
Business Name*
YesNo
Sector/Industry*
Start-up (Trading Less Than 2 Years)Existing Business (Trading More Than 2 Years)
YesNo
Business Address*
Please include Town and Postcode
Last year's Net Profit (if applicable)
Annual Turnover (if applicable)
Business Email
Website
YesNo
Company Registration Number (if applicable)
V.A.T. Number (if registered with HMRC)
YesNo
Number of Employees
YesNo
YesNo
If you've answered yes, please fill out provide us with the following:
Business Bank Name
Account Number
Sort Code
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Employment
YesNo
Full TimePart TimeNot Applicable
Residency
YesNo
YesNo
If yes, when does your residency or visa expire?
DD/MM/YYYY
Finance
YesNo
YesNo
How much do you require? (N.B. The maximum amount a start-up can apply for is £10k)*
YesNo
If yes, please give details:
YesNo
If yes, please give details
YesNo
If yes, please give details
YesNo
N.B. A personal credit report is essential for your application, if you do not have one to hand, you may access it from Equifax or Experian.
Director's Form - Declaration
Please State any Existing Business Loans
This form was filled in by:*
Word of MouthGoogle (or any other Search Engine)Social MediaThrough Mavis AmankwahOther
If other, please specify how you've heard of us:
Declaration
I understand
I agree to the use of my personal data for the loan application. All information provided is up-to-date and accurate. I understand the information supplied may be used to run identity and credit checks on the applicant and loan guarantors. I also acknowledge Mavis Amankwah and Co. will do their utmost to protect my personal information.
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BUSINESS FUNDING - PRE-APPLICATION FORM

About You

Business Details

Employment

Residency

Finance

Director's Form - Declaration

Declaration