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Title

First name

Last name

Date of birth

Marital status

Page 1 of 4

Employment status

Employment start date

Monthly income

Monthly fixed bills

Page 2 of 4

Postcode

Flat/Unit number

Building number/name

Street

Town/City

Page 3 of 4

Email address

Telephone number

Soft search consent
I give my explicit consent to run the soft search engine with my details. I understand this search will leave no footprint in my credit report
Yes, I give my consent for this

*By completing this form you are granting us permission to make a soft credit check on your behalf with the lender Pay4later Limited trading as AfforditNow. We will receive no payment of fees in respect of this credit check, nor if applicable any subsequent loan.

Weight to Go Limited trading as Healthier Weight is authorised by the Financial conduct Authority as a credit broker.

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