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Abbreviated Questionnaire - Financial Information


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ERROR REFERENCE SOURCE NOT FOUND ABBREVIATED QUESTIONNAIRE FINANCIAL INFORMATION

ABBREVIATED QUESTIONNAIRE

FINANCIAL INFORMATION


Please use BLOCK CAPITALS. All information provided will be treated in the strictest confidence, held and used in accordance with the Data Protection Act 1998. You must inform your spouse/partner, family and co-residents that their details have been provided as part of the vetting process.


Applicant

Surname:

     

Forename(s):

     

Any previous surname(s):

     

Date of birth:

     

Address:

     


Read the following instructions carefully.






All questions relate to applicants and, if applicable, THEIR SPOUSE OR PARTNER.


Unless otherwise stated, complete these questions in respect of the last six years.


Questiofs

Yes/No

Show full information in respect of all questions

Failure to do so, could delay your application

Have you had a loan arrangement

terminated by a bank/building society/

finance house?

Yes: No:

     

Have you had a credit/charge card

withdrawn?

Yes: No:

     

Have you defaulted on any credit card

payment or loan repayment?

Yes: No:

     

Have you ever been registered

bankrupt?

Yes: No:

     

If ‘Yes’, have your bankruptcy debts

been discharged?*

Yes: No:

     

Have you had any court action taken

against you for any debt?

Yes: No:

     

Have you been party to a voluntary

agreement register with the County

Court?

Yes: No:

     

Has a County Court/Tribunal judgement been made against you?

Yes: No:

     

If ‘Yes’, has this cleared?

Yes: No:

     

Have you had repossession

proceedings commenced against you?

Yes: No:

     

*If applicable, please provide a Certificate of Satisfaction.


Declaration

You must complete this declaration in addition to any other declaration you may sign as part of the vetting process:


I consent to the information contained in this questionnaire being submitted for checking against the records of the Police and Credit Reference Agencies. I understand that the information I have provided as part of the vetting process will be treated in the strictest confidence.


I confirm that my spouse/partner has been informed that his/her details have been provided as part of the vetting process.


I declare that the information provided is true and complete to the best of my knowledge and belief.


I undertake to notify any significant changes or additions in the information I have provided on this form.


I understand that if I have knowingly made a false statement or deliberate omission in the information provided in this form, my application may be rejected.


Signature:

Date:      






Continuation sheet




Per 67.

Page 3 of 4

Error: Reference source not found

(Revised 1.2.07)



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