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Online Credit Card Application

* Indicates a required field

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Personal details:

Personal details:

*Are you currently resident in the UK?:
*Date of birth: This is split into three boxes: please enter the date in the first in the format "DD", month in the second in the format "MM" and year in the last in the format "YYYY"
/ /
*Gender:
*Home telephone:This is split into two separate boxes. The first is for your home telephone area code and the second for your home phone number
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Address:

Address:

*Time at current address:
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Your employment:

Your employment:

(if self-employed, state name of business, if retired state previous employment details)

*Work telephone number:This is split into two separate boxes. The first is for your work telephone area code and the second for your home phone number
Time in current employment:
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Your bank details:

Your bank details:

Your bank details may be used to confirm your identity and for fraud prevention purposes.
IMPORTANT: This is not a Direct Debit instruction. You will be able to set up a Direct Debit when you receive your card.

Sort code: This is split into threee text boxes. Please insert 2 digits in each box
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Time with bank:

 

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