Loan Application Form

Ansar Interest Free Loan

PLEASE NOTE: * You must complete all the questions accurately. * IF ANY OF THE QUESTIONS ARE NOT APPLICABLE THEN SIMPLY INSERT THE NUMBER ZERO AND MOVE ON. * Details will be required for the following areas, Please have all the details to hand before you start your application: PERSONAL DETAILS, EMPLOYMENT DETAILS, GUARANTOR DETAILS, REASON FOR YOUR APPLICATION, YOUR FINANCIAL DETAILS, INCOME AND EXPENSES DETAILS * You will be required to upload proof of your income, expenses and any other relevant details. * If you leave any of the sections blank, the application will not allow you to move forward * You will be required to complete and submit the form at one time, there is no option to save at the moment.

Please be as detailed as possible and provide evidence

Ansar is committed to promote fairness, diversity and to eleminate descrimination.

To assist Ansar with this commitment please complete this section, this data will not be shared with any third party organisation and will not be used to make a decision.

IMPORTANT NOTES & CHECK LIST

  • About You
  • About Loan
  • Fairness
  • Declare

PERSONAL DETAILS

Title:

First Name:

Last Name:

Date of Birth:

Gender:

NI Number:

Nationality:

Marital Status:

No. of Dependent Children:

Address:

Duration at Address:

Are You?

Email Address:

Mobile Number:

Home Number:

Previous Address (If less than 3 years):

EMPLOYMENT DETAILS (if applicable)

Occupation:

Are You?

Employer/Company Name:

Address:

Time with Employer:

Phone Number:

Previous Occupation:

Were you

Employer/Company Name:

Address:

Phone Number:

LOAN SECURED by a Guarantor

The guarantor must have a British passport, Have the ability to maintain the installments (working Full Time), Applicant and Guarantor cannot live at the same address and cannot be dependent upon each other.

Guarantor’s Name:

Occupation:

Address:

Mobile Number:

Email Address:

LOAN REQUEST

Amount Required:

Reason For Your Application

FINANCIAL DETAILS

Do You Have Any CCJs?

Have You Ever Been Declared Bankrupt?

If yes, please give details:

Net Income (£ per Month) : Salary/Wages - if not applicable place 0

Net Income (£ per Month) : Partner’s Income - if not applicable place 0

Net Income (£ per Month) : Job Seekers Allowance - if not applicable place 0

Net Income (£ per Month) : Child Benefit - if not applicable place 0

Net Income (£ per Month) : Tax Credits - if not applicable place 0

Net Income (£ per Month) : Housing Benefit - if not applicable place 0

Net Income (£ per Month) : Council Tax Benefit - if not applicable place 0

Net Income (£ per Month) : Income Support - if not applicable place 0

Net Income (£ per Month) : Disability Living Allowance - if not applicable place 0

Net Income (£ per Month) : Pension Credit - if not applicable place 0

Net Income (£ per Month) : Private Pension - if not applicable place 0

Others (please specify)

Net Total Income Per Month - if not applicable place 0

Please upload proof for the following 1. Proof of Identity - Original valid passport and/or visa (if photocopy, please ensure it is a certified/attested copy). 2. Proof of Address - Two out of the following: Current original utility bills showing your name & address (mobile phone bills are NOT acceptable), council tax bill or mortgage statement issued within the last three months, valid UK photocard driving license showing personal details and a clear photograph. 3. Proof of Income - The last three months wage slips, letter of reference from employer or latest accounts (for self-employed). 4. The last three months bank statements from all accounts. 5. Recent proof of all debt in applicant’s name (if applicable). 6. Any other relevant documents to support the reason for your loan.

Upload proof of any income

Expense (£ Per Month): Rent/Mortgage (even if on benefits) - if not applicable place 0

Expense (£ Per Month): Council Tax (even if on benefits)- if not applicable place 0

Expense (£ Per Month): Electricity, Gas, Water - if not applicable place 0

Expense (£ Per Month): Telephone/Internet - if not applicable place 0

Expense (£ Per Month): Mobile Phone(s) - if not applicable place 0

Expense (£ Per Month): TV License - if not applicable place 0

Expense (£ Per Month): Groceries - if not applicable place 0

Expense (£ Per Month): Clothing - if not applicable place 0

Expense (£ Per Month): Travel & Petrol - if not applicable place 0

Expense (£ Per Month): Car Tax, Insurance, Maintainance - if not applicable place 0

Expense (£ Per Month): Childcare - if not applicable place 0

Expense (£ Per Month): Saving/Investments - if not applicable place 0

Expense (£ Per Month): Pension - if not applicable place 0

Expense (£ Per Month): Home Insurance - if not applicable place 0

Expense (£ Per Month): Credit Cards - if not applicable place 0

Expense (£ Per Month): Hire Purchase - if not applicable place 0

Expense (£ Per Month): Catalogues, - if not applicable place 0

Expense (£ Per Month): Other Loans - if not applicable place 0

Others (please specify)

TOTAL EXPENDITURE (£ Per Month): - if not applicable place 0

Upload Proof of any expenses

Do you have any savings or investments (i.e. cash, saving accounts, gold, properties, etc...)? - if not applicable place 0

If yes, please give details in the box below including value:

Value (£) - if not applicable place 0

Equal Opportunities Section

Age

How would you describe your ethnic or cultural origin?

If other Please specify

Do you have a disability?

How would you describe your religion or belief?

GUARANTOR

1. A Guarantor is a minimum security required in order to process your application successfully. 2. Any person over the age of 18 with sufficient regular income to cover the repayments is suitable to act as a guarantor unless they are already a borrower or a guarantor. 3. Any person acting as a guarantor for another Borrower is not eligible to apply for a loan until the borrower has fully repaid the loan to Ansar. 4. Proof of earnings of the guarantor will be required prior to signing the “Guarantee Agreement”.

PERSONAL DATA AND INFORMATION DATA PROTECTION ACT 1984 1. Information will be held by Ansar on computer and will be used only for the purposes of our business as registered under the Act. 2. The borrower may request in writing for a copy of details held about them by Ansar on computer. A fee is payable for this. 3. The information supplied in this application form may be used by Ansar for assessing your application for credit by a process known as Credit Scoring through Credit Reference Agencies. (The Agency may make a record for future references) 4. This information and information relating to your agreements will be held by Ansar in its computer records. 5. If we do not receive full repayment or satisfactory proposals within 28 days of a formal demand, legal action will be taken to recover outstanding debt and we may disclose this fact to Credit Reference Agencies.

CHECK LIST

Please tick to confirm:

DECLARATION (tick to agree)

After you submit this application form, The loan panel will consider your application. IF ACCEPTED If it is conditionally accepted you will be asked to provide the following documents and a fee of £30. The Application fee is payable when you submit any documents even if it is prior to us requesting them and does not guarantee a Loan.