Business Loan Info Form R01H

Business Loan Enquiry Form
Referred by
Your Limited Company Name *
as shown in the Companies House
Business ANNUAL Turnover?*
Loan amount required?*
Purpose of Loan*

Purchase of StockPurchase of Equipment/MachineryPaying off other debtsGrowth / ExpansionHiring New EmployeeMarketing
How many Directors in the Limited Company?*

Director 1
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Your Mobile Number*
Please enter a valid phone number.
Your Email Address*
Your Nationality *
Are you a home owner or tenant?*
Your Residential Address*

Street Address

Street Address Line 2

CityCounty

Post Code
How many years how you been living at your CURRENT address?*
Previous Address if you lived LESS than 3 years at current address*

Street Address

Street Address Line 2

CityState / Province

Post Code
How many years how you been living at your PREVIOUS address?*

Director 2
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Your Mobile Number*
Please enter a valid phone number.
Your Email Address*
Nationality *
Are you a home owner or tenant?*
Your Residential Address*

Street Address

Street Address Line 2

CityCounty

Post Code
How many years how you been living at your CURRENT address?*
Previous Address if you lived LESS than 3 years at current address*

Street Address

Street Address Line 2

CityState / Province

Post Code
How many years how you been living at your PREVIOUS address?*

Director 3
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Your Mobile Number*
Please enter a valid phone number.
Your Email Address*
Nationality *
Are you a home owner or tenant?*
Your Residential Address*

Street Address

Street Address Line 2

CityCounty

Post Code
How many years how you been living at your CURRENT address?*
Previous Address if you lived LESS than 3 years at current address*

Street Address

Street Address Line 2

CityState / Province

Post Code
How many years how you been living at your PREVIOUS address?*

Director 4
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Your Mobile Number*
Please enter a valid phone number.
Your Email Address*
Nationality *
Are you a home owner or tenant?*
Your Residential Address*

Street Address

Street Address Line 2

CityCounty

Post Code
How many years how you been living at your CURRENT address?*
Previous Address if you lived LESS than 3 years at current address*

Street Address

Street Address Line 2

CityState / Province

Post Code
How many years how you been living at your PREVIOUS address?*

Please type the letter into below box*
Should be Empty: