Finance Application Bike Details Make/Model Bike Price (£) New or Used? newused Contact Details Full Name Date of Birth Home Phone Number Mobile Phone Number Daytime Phone Number E-Mail Status -- select Marital Status --MarriedLiving with PartnerSingleDivorcedSeparated Accommodation Details -- select your Accommodation Details --Home OwnerTenantLiving with ParentsMarried QuartersOther Licence -- select the License type --Full BikeCBT PassFull CarProvisional Address History (Last 3 years) Current Address House number/name Road Town Postcode Years at Address 012345678910+ Months at Address 01234567891011 Previous Address House number/name Road Town Postcode Years at Address 0123+ Months at Address 01234567891011 Older Address House number/name Road Town Postcode Years at Address 0123+ Months at Address 01234567891011 Occupation (Last 3 years of employment needed) Current Employer Employment Status EmployedSelf EmployedHM ForcesRetired Occupation Employer's Name Years in Employment 012345678910+ Months in Employment 01234567891011 Work Address Work Phone No. Previous Employer Employment Status EmployedSelf EmployedHM ForcesRetired Occupation Employer's Name Years in Employment 0123+ Months in Employment 01234567891011 Work Address Work Phone No. Older Employer Employment Status EmployedSelf EmployedHM ForcesRetired Occupation Employer's Name Years in Employment 0123+ Months in Employment 01234567891011 Work Address Work Phone No. Finance Amount Required Loan Required (£) Deposit (£) Gross Annual Income (£) Send Information In considering your enquiry Bikerloans (Ingram Finance) or its 3rd party organisations will 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. I agree to these Terms & Conditions.