Personal Loan Application Form
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1
2
3
4Personal loan application form
(
Available to French residents only)
Applicant 1
Applicant 2
Applicant Details
Title
Mr
Mr
Mrs
Mrs
Miss
Miss
Full Name
Maiden Name
(if applicable)
Date of Birth
/
/
/
/
Address
Post code
Current residential status
Owner
Owner
Tenant
Tenant
Other (please specify)
Other (please specify)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
How long have you resided at
this address?
/
/
/
/
E-mail address
Telephone Number(s)
(landline and mobile)
Place & Date of Birth
(town & country)
Nationality
Marital status
Number of dependents
Britline Account Number
Keep up to date with CA Britline products and services
I/we accept to receive commercial messages and offers by: Text
E-mail
Telephone
I/we do not accept to receive commercial messages and offers:
Signature(s):
1/4
Caisse Régionale de Crédit Agricole Mutuel de Normandie - Head Office: 15,esplanade Brillaud-de-Laujardière, CS 25014 ,14050 CAEN
CEDEX 4.Cooperative company with variable capital, registered as a credit company - 478 834 930 RCS Caen - Insurance brokerage
company registered under matricule Nr 07 022 868.
Inter-European VAT number: FR 83 478 834 930. Crédit Agricole Britline is a member of the Guaranteed Fund for deposits,the Guarantee
of Investors warranties, and Guaranteed Fund for investors. Crédit Agricole Britline is controlled by L’Autorité de Contrôle Prudentiel et de
Résolution: 61 rue Taitbout – 75436 Paris Cedex 09
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Parent category: Financial