Broker Partners

If the applying Owners, Directors or Partners detailed above have at any time: -been convicted of a criminal offence -had a county court judgement -entered an arrangement with creditors -been subject to a receiving order -been a director of a company subject to a winding up order Please provide further details in the space provided.

I/We certify that the information in this form is correct and accurate to the best of my/our knowledge and belief. I/We understand that credit searches may be carried out against our persons and business and hereby give consent. Use of Your Information We may search your record at a credit reference agency. They may add to your record details of our search and your enquiry and this will be seen by other organisations carrying out later searches. It is important that you give us accurate information. We may check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud we will record this. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless you furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you wish to apply to us in writing.