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Office Address: Cary Chambers, 1 Palk Street, Torquay, Devon, TQ2 5EL. Tel: 0844 856 74 95. Email: info@financetracker.tv
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Prepaid Card Introduction Form

PERSONAL DETAILS:
Compulsory Questions Marked With *
Applicant 1
 *
Full Name
 *
Data of Birth
 *
   
Present Address
 *
Post Code
 *
How Long at Address
 * Years / Months
 
 If under 3 years at present address, please give full details of previous address
Previous Address
Previous Post Code
How Long at Previous Address
 Years / Months
Home Telephone
 *
Mobile Telephone
Work Telephone
 *
Your Email
 * Default Email Address info@financetracker.net
Add to Mailing List
 Yes
Your Nationality
 *
Are You On The Electoral Role
 *

Prepaid MasterCard:
 *
BarclayCard Transaction ID:
 If you paid by debit/credit card then enter the BarclayCard reference

EMPLOYMENT DETAILS: Applicant 1
  
Are you Employed or Self Employed
 *
How Long For
 * Years / Months
What is your Occupation
 *
How Much do you Earn GROSS P/A £
 *
Can you Prove this Income
 * ( pay-slips / P60 / Certified or Chartered Accounts
Have you received Benefits in last 12 months
 * ( Includes Housing Benefit or DSS Assistance

ADVERSE CREDIT DETAILS:  
PLEASE LIST ANY DEFAULTS / CCJ's / RENT~MORT. ARREARS / IVA's / BANKRUPTCY's BELOW
Type
Date
Registered
Amount £
Paid Y / N
If Paid,
Date Sat.

Satisfaction
Certificate
Lender
Explanation

PERSONAL DOCUMENTS:
 
PLEASE SELECT WHICH DOCUMENTS YOU HAVE OR CAN GET
Passport EU ID Card
Benefits Book Armed Forces ID Card
UK PhotoCard Driving Licence (full or prov.) Police Warrant ID Card
Construction Industry Photo Registration Card P60
P45 Residency Permit from Home Office to EU Nationals
NHS Card Inland Revenue Tax Notification
Bank or Building Society Statement Utility Bill
Council Tax Bill Mortgage Statement
TV Licence Bill Council or Housing Association Rent Bill
Council or Housing Association Tenancy Agreement Private Sector Tenancy Agreement
Insurance Documentation Letter from Solicitor
Letter from Doctor Letter from Dentist
Letter from Ministry of Religion Letter from Educational Institution
Letter from Employer or Job Agency Letter from Social Worker or Hostel Manager
Application Registration Card (ARC) Issues by Home Office to Asylum Seekers

DECLARATION:
To enable us to help find a suitable Prepaid MasterCard for your financial enquiry, it is necessary to have your permission to forward your submitted details to a third party. This is an advisory service and Introduction to a Prepaid MasterCard Company. The fee of £19.95 is guaranteed to be refunded in full if you cannot obtain a Prepaid MasterCard through our guidance.
DO YOU AGREE TO THESE TERMS (Y/N)  :-     ( COMPULSORY )
 
 IF YOU DO NOT AGREE TO THE ABOVE THEN PLEASE DO NOT SUBMIT THIS FORM