CGN Loan Application Form – (CGN) Capital Growth Network Ltd

CGN Loans New Customer Application form

Please ensure that ALL fields are complete before submitting your application.
We strive to respond to clients within 15 minutes, however during busy periods response times may take between 1-24 hours.

Personal Details

Title: *

First Name: *

Surname: *

Date of Birth: *

NI. Number: *

Your Gender:

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Contact Information

Current Address: *

Have you lived at this address for more than 3 years? Yes No

Do you plan to move within the next 12 months? Yes No

Telephone 1: *

Telephone 2:

Email Address: *

Where did you hear about Capital Growth Network?

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Employment & Marital Status

What is your employment status?

What is your marital status?

Do you have any children?

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Loan Details

Please specify what the loan will be used for:

How much would you like to borrow?

Loan Amount (£)

Total Monthly Income: (GBP)

Total Monthly Expenditure: (GBP)

Preferred repayment method:

How often can you afford to make repayments?

How much can you afford to pay back in each instalment? (GBP)

Please provide details of any other loans you have taken in the past 12 months:

Name of Bank:

Name on Account:

Sort Code:

Account Number:

If this is a Building Society or Credit union, please provide the account reference number:

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Finish Application

Declaration

I understand that:

It is an offence to knowingly or recklessly give any false or misleading information to (CGN) Capital Growth Network.
If I give false or misleading information, I might be prosecuted.
(CGN) Capital Growth Network will not accept this form if any of the financial information on this form have been amended or unanswered.
I am responsible for all of the information given on this form including information about other people.
CGN credit cannot be used to make investments or for any form of gambling.

I can confirm that:

I confirm that I do not suffer from any illnesses that may prohibit my ability to make informed decisions concerning or understanding the terms and conditions that apply to accepting and repaying a loan.
The information I have given is true and correct.
I will provide any further information that (CGN) Capital Growth Network requests.

Finish Application and Submit

Application Progress

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