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First name

Last name

Date of birth

Marital status

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Employment status

Employment start date

Monthly income

Monthly fixed bills

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Flat/Unit number

Building number/name



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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0800 313 4618 
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