Swift Money® - Application Form

Loan Amount (£)

Loan Duration

Title

First Name

Last Name

Home Phone

Please enter with no spaces

Mobile Phone

Please start with 07

Date of Birth

Marital status

Dependants

Loan Purpose

Enter Postcode

Enter postcode & click "find address".

County

Employment Status

Employment Industry

How Do You Get Paid?

Work Phone Number

We will not contact your employer

Length of Employment

Monthly Income (£)

How Often Do You Get Paid

Next Pay Date

Following Pay Date

Employer Name

Card Type

Account number

Your loan will be deposited here

Sort Code

Rental/Mortgage Payments (£)

Existing Loan Payments (£)

Other Expenses (£)

Utilities/Bills (£)

Transport (£)

Food (£)

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