Bank Account Introduction Form
PERSONAL DETAILS:
Compulsory Questions Marked With *
Status
 *
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 address response@financetracker.net
Your Nationality
 *
Add to Mailing List
 Yes

BANK ACCOUNT:  
Account Type
 *
BarclayCard Transaction ID:
 If you paid by debit/credit card then enter the worldpay reference

EMPLOYMENT DETAILS:
  
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:  
Do you have any Current Arrears
 *   If Yes Months       For a Total of  £
If YES, Highest Arrears in Last 12 Months
 Months     For a Total of  £
Do you have any CCJ's
 *    If Yes, For a Total of £
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.
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:
IS IT OK TO COMPLETE A CREDIT SEARCH :- ( COMPULSORY )
To enable us to help find a suitable Bank for your financial enquiry, it is necessary to have your permission to forward your submitted details to a third party, eg. National Broker. Due to the Money Laundering Act, we cannot arrange the bank Account on your behalf. This service is an Introduction only.
DO YOU AGREE TO THESE TERMS (Y/N)  :-     ( COMPULSORY )
 
 IF YOU DO NOT AGREE TO THE ABOVE THEN PLEASE DO NOT SUBMIT THIS FORM