Personal Loan Application Form (Page 2 of 4) in pdf

Personal Loan Application Form Page 2

Personal loan application form

(

Available to French residents only)

Employment & Financial Details

Applicant 1

Applicant 2

Occupation

Status

Employed

Self-employed

Retired

Other (please specify)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Type of Contract

Full time

Part time

Temporary

Permanent

Start Date

Monthly Net Salary

€

Other Monthly Income

€

Monthly Family Allowance

€

Outgoing Rent/Mortage

€

Payments

Other Charges

€

(i.e. maintenance, credit card

balances etc)

Other Loan Repayments

€

22/4

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

Personal Loan Application Form Page 2