Proposal Form - Business Details

Company Details

Please enter your details below.
Company Name(s)
Trading Name (if applicable)
Type of Business
Company Reg Number
Company VAT Number (if applicable)
Date Established

DayMonthYear
Annual Turnover
Nature of Business
Total Fleet Size
Car Make
Car Model
Contact Details

Please enter your details below.
First Name
Last Name
Email Address

Confirmation Email
Phone Number
Please enter a valid UK mobile number
Do You Have A Full Driving License or Provisional
Company Address

Please enter your details below.
Company Address Line 1
Company Address Line 2
Company City/Town
Company Postcode
Length of Time at Company Address
Number of Years
Trading Address

Please enter your details below.
Trading Address Line 1
Trading Address Line 2
Trading City/Town
Trading Postcode
Length of Time at Trading Address
Number of Years
Property Type

Director 1 Details

Please enter the director's details below.
How many directors does the company have?
First Name(s)
Surname
Date of Birth

DayMonthYear
Nationality
Gender
Marital Status
Ownership (Percentage of Shares Owned)
Are There Any Additional Shareholders Over 25%?
Phone Number
Please enter a valid UK mobile number
Email Address (Must Contain Name of Director)
Director 1 Current Address Details

Please enter the director's address details for the last 5 years.
Today (HIDDEN)

DayMonthYear
Date
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Total Days: Address 1 (HIDDEN)
Director 1 Previous Address 1

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 1 (HIDDEN)
Director 1 Previous Address 2

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 2 (HIDDEN)
Director 1 Previous Address 3

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 3 (HIDDEN)
Director 1 Previous Address 4

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 4 (HIDDEN)

Director 2 Details

Please enter a director's details below.
First Name(s)
Surname
Date of Birth

DayMonthYear
Date
Nationality
Gender
Marital Status
Ownership (Percentage of Shares Owned)
Are There Any Additional Shareholders Over 25%?
Phone Number
Please enter a valid UK mobile number
Email Address (Must Contain Name of Director)
Director 2 Current Address Details

Please enter the director's address details for the last 5 years.
Today (HIDDEN)

DayMonthYear
Date
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address 1 (HIDDEN)
Director 2 Previous Address 1

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 1 (HIDDEN)
Director 2 Previous Address 2

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 2 (HIDDEN)
Director 2 Previous Address 3

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 3 (HIDDEN)
Director 2 Previous Address 4

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 4 (HIDDEN)

Director 3 Details

Please enter a director's details below.
First Name(s)
Surname
Date of Birth

DayMonthYear
Date
Nationality
Gender
Marital Status
Ownership (Percentage of Shares Owned)
Are There Any Additional Shareholders Over 25%?
Phone Number
Please enter a valid UK mobile number
Email Address (Must Contain Name of Director)
Director 3 Current Address Details

Please enter the director's address details for the last 5 years.
Today (HIDDEN)

DayMonthYear
Date
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address 1 (HIDDEN)
Director 3 Previous Address 1

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 1 (HIDDEN)
Director 3 Previous Address 2

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 2 (HIDDEN)
Director 3 Previous Address 3

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 3 (HIDDEN)
Director 3 Previous Address 4

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 4 (HIDDEN)

Director 4 Details

Please enter a director's details below.
First Name(s)
Surname
Date of Birth

DayMonthYear
Date
Nationality
Gender
Marital Status
Ownership (Percentage of Shares Owned)
Are There Any Additional Shareholders Over 25%?
Phone Number
Please enter a valid UK mobile number
Email Address (Must Contain Name of Director)
Director 4 Current Address Details

Please enter the director's address details for the last 5 years.
Today (HIDDEN)

DayMonthYear
Date
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address 1 (HIDDEN)
Director 4 Previous Address 1

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 1 (HIDDEN)
Director 4 Previous Address 2

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 2 (HIDDEN)
Director 4 Previous Address 3

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 3 (HIDDEN)
Director 4 Previous Address 4

Please enter the director's address details for the last 5 years.
Address Line 1
Address Line 2
City/Town
Postcode
Number of Adults Living at This Address
Number of Dependants Living at This Address
Residential Status
Date Moved In

DayMonthYear
Date
Total Days: Address + Previous Address 4 (HIDDEN)

Finance Details

Please enter your bank details below.
Bank Name
Name on Account
Account Number
Sort Code
Time with Bank
Number of Years

Who Is Your Dedicated Sales Consultant Looking After You?
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.

The vehicle product you are applying for is a Business Contract Hire agreement. This is a rental agreement and not a purchase agreement, there is no option to own the vehicle at any time.

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 VIP Gateway Limited to make all necessary enquiries to verify the Information provided and to enable it to consider this application.

By ticking this box you are acknowledging the following: You confirm that you understand the quote and the associated costs and that there isn't anything that we should account for that could affect your understanding. You are not aware of any reason why your circumstances may change affecting your ability to repay. You confirm your consent that as your Credit Broker we will receive commissions as disclosed from the Finance Company and 3rd Parties. Prior to application for Credit, You are consenting to your details being passed to 3rd party credit reference agency to conduct a credit search and you have permission from all named parties on the credit application. If you have any questions, please speak to your Leasing Consultant before proceeding with the credit application. You have a Full UK Driving License.

You have read and understand our initial disclosure document, fair processing notice and terms and conditions.

You confirm that you have read and understood our Initial Disclosure Document, Fair Processing Notice and Terms and Conditions.
Should be Empty:

Company Details

Contact Details

Company Address

Trading Address

Director 1 Details

Director 1 Current Address Details

Director 1 Previous Address 1

Director 1 Previous Address 2

Director 1 Previous Address 3

Director 1 Previous Address 4

Director 2 Details

Director 2 Current Address Details

Director 2 Previous Address 1

Director 2 Previous Address 2

Director 2 Previous Address 3

Director 2 Previous Address 4

Director 3 Details

Director 3 Current Address Details

Director 3 Previous Address 1

Director 3 Previous Address 2

Director 3 Previous Address 3

Director 3 Previous Address 4

Director 4 Details

Director 4 Current Address Details

Director 4 Previous Address 1

Director 4 Previous Address 2

Director 4 Previous Address 3

Director 4 Previous Address 4

Finance Details