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Loan Amount (£)

Length of loan

Title

MrMissMrsMs

First name

Last name

Email address

Mobile phone number

Home phone number

Work phone number

Date of birth

Number of Dependants

None123+

House Number

House Name (optional)

Street

Town/City

County

Postcode

Time at Address (Years)

Time at Address (Months)

Employment Industry

Employers Name

Time at employment (Years)

Time at employment (Months)

Monthly Take Home Pay (£)

Next Pay Date

Paydate After Next

Account Number

Sort Code

Rental/Mortgage Payments (£)

Transport (£)

Food (£)

Existing Loan Payments (£)

Other Expenses (£)

Utilities/Bills (£)

Do you want to save money on your utility bills?

YesNo

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* Which explains how my personal information may be used, including being passed to our panel of lenders and credit brokers. I confirm that I have provided accurate financial information and considered potential future income and outgoings in determining my ability to repay. I also understand that a lender may conduct a credit check with a credit reference agency.

Rates from 45.3% APR to 1575% APR Minimum Loan Term is 1 months - Maximum Loan Term is 60 months. Representative Example: Borrow £1000 for 24 months. Annual interest rate 70% (fixed). 24 equal instalments of £77.48. Total amount to repay £1,859.52. Representative 97% APR (variable). *Subject to application being approved by the lender. Not all lenders are able to provide up to £10,000. Loanski.co.uk is a trading style of ZR FINANCE LTD and is a free to use credit broking website. ZR FINANCE LTD is authorised and regulated by the Financial Conduct Authority as a credit broker not a lender, firm reference number 834092 and is registered with the Information Commissioner’s Office number ZA319345. ZR FINANCE LTD is registered at 15 Conway Crescent, Macclesfield, SK10 2RU. Company Number 11213186.

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