If you have chosen 'other' or would like to give us more information so that we better understand the reason for the loan, please use this text box.

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Please complete at least one of Flat Number, Street Number or Building Name below.

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Please complete at least one of Flat Number, Street Number or Building Name below.

Leave as 0 if unemployed or retired.

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Please provide details of the bank account you want us to pay your loan into. We will verify that your account is active as your loan repayments will be taken from this account by Direct Debit.

Tell us how much you spend on the following expenses every month

Your share only, excluding any partner contribution or housing benefit.

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