Ray Indicative Personal Loan Rates To apply please complete the application form below Please fill in the Personal Application Form below Title ..Please SelectMrMrsMissMsDrProfOther Invalid Input Full Name(*) Invalid Input Email Address(*) Invalid Input Telephone Number Invalid Input Mobile Number(*) Invalid Input Date Of Birth(*) Invalid Input Marital Status Please select: MarriedLiving with partnerSingleDivorcedWidowed Invalid Input Occupation Invalid Input Business / Practice Name(*) Invalid Input Business Address(*) Invalid Input Time with Company Invalid Input Home Address(*) Invalid Input Owner / Tenant(*) ..Please SelectOwner with mortgageOwner with no mortgageTenantLiving with parentsLiving with partnerOther Invalid Input Date Moved In(*) Invalid Input Previous Address (If Less Than 3 Years) (Please include date moved in) Invalid Input Value Of Home Invalid Input Outstanding Mortgage Invalid Input Monthly Mortgage/Rent Payment Invalid Input Total Value Of Other Properties Invalid Input Total Value Of Other Mortgages Invalid Input Monthly Payments On Other Mortgages Invalid Input Net Rental Rec'd On Other Properties Invalid Input Your Gross Annual Income Invalid Input Your Net Monthly Income Invalid Input Do You Have A Partner Spouse? ..Please SelectYesNo Invalid Input Partner's/Spouse's Gross Annual Income Invalid Input Number Of Dependants Invalid Input Total Other Household Income Invalid Input Name Of Bank(*) Invalid Input Bank Account Number(*) Invalid Input Bank Account Sort Code(*) Invalid Input Total Outstanding Personal Loans Invalid Input Total Outstanding On Credit Cards Invalid Input Total Outstanding On HP Invalid Input Current Overdraft Amount Invalid Input Term Of Agreement(*) ..Please Select6 Months12 Months24 Months36 Months48 Months60 Months Invalid Input Value Of Loan(*) Invalid Input Please attach a bank statement Invalid Input If you do not have your statement to hand, please email to This email address is being protected from spambots. You need JavaScript enabled to view it. as soon as possible. Tell Us More About Your Requirements(*) Reason for loan Invalid Input Have You Missed Any Payments In The Last 12 Months?(*) ..Please SelectYesNo Invalid Input Do You Have Any CCJ's Or Are You Currently Bankrupt?(*) ..Please SelectYesNo Invalid Input Please Tick To Confirm You Have Read The Statement Below And Agree To Our Terms And Conditions Invalid Input I / We authorise Medifinance Ltd and / or any of its preferred lenders to search at a credit reference agency and obtain financial or other information at my / our home address. (*) Invalid Input
