Car Loan Application Form (Page 5 of 6) in pdf

Car Loan Application Form Page 5

Car loan application form

(

Available to French residents only)

Car Insurance/continued

Will the vehicle used for private & pleasure or business use?

How many months within the last 18 months have you been Insured?

How many claims have you made in the last 3 years? (including no blame)

What is the renewal date of your current insurance contract?

What was your no claims bonus or CRM at your last renewal date?

How long have you owned your previous vehicle?

Why type of cover would you like?

Third party

Fully Comprehensive

Who was your previous car insurance provider?

How would you like to pay for your car insurance?

Monthly

Annually

5/6

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

Car Loan Application Form Page 5