Point of Sale Finance Application Form

Company Name

1. Name: (required)
2. Type: (required)

Trading Names (Where different from Company Name)

1. Trading names:

Principal Place of Business (Where different from your Consumer Credit License, explain below)

1. Place of business:

Address of Registered Office

1. Address: (required)
2. Company Registration Number: (required)
3. Main Telephone Number: (required)
4. Fax Number: (required)
5. Website Address (including all trading website addresses): (required)

1. Business trading commencement date (DD/MM/YYYY): / / (required)

Associated Businesses

If you have any associated business, please provide names and address below.

1. 1
2. 2
3. Any additional details

Financial Information

1. Total sales turnover of previous financial year: (required)
2. Predicted total sales turnover of this financial year: (required)
3. Total credit sales turnover last year: (required)
4. Predicted total credit sales turnover of this year: (required)

5. What dates mark the start and end of your company's financial year (DD/MM/YYYY)?

   Start date: / / (required)
6. End date: / / (required)
7. List the companies who have previously provided your company with lending services:
8. How much business do you expect to write using credit terms in the next year with Global Asset Finance Ltd.: (required)
   
9. Number of branches:
10. Number of sales people:

Branch Details

Regulatory Information

1. Do you have a consumer credit licence? Please select Yes No (required)
2. Company name as on the Consumer Credit Licence: (required)
3. Consumer Credit Licence Number: (required)
4. Valid from: / / (required)
5. Expires: / / (required)
6. Confirmation that your license contains category 'C': Please select Yes No (required)
7. Is your licence is subject to any restrictions or have you been in correspondence with the OFT regarding any aspect of your CCA activities? If yes, please provide details.
8. Are you registered with the Information Commissioner's Office? Please select Yes No (required)
9. If yes, what is your Data Protection Register reference number?
10. Have any issues been raised by the Information Commissioner?

1. I hereby confirm that the people stated above have consented to conducting company and personal credit searches with Credit Reference Agencies and that the details relating to this proposal above are full and correct to the best of our knowledge.
2. I agree to the following Terms & Conditions