Personal Application Form -

Thank you for choosing ecofleet

As the next strep of your buying experience, please complete the simple on-line application form below and submit.

The information supplied below will be confidential and not shared with any organisation except for our funding partners to which the application is made.

This is in line with our compliance to all aspects of the Data Protection Act (DPA). We are registered with the Information Commissioner’s Office; registration number PZ2853571

Personal Application Form

Personal Information

Your Full Name *

Marital Status *

Contact Numbers *

No Of Dependents

Email *

Nationality *

Date Of Birth *

UK Passport Held ?

Address (5 Year History Required)

Current Address

Full Address

Post Code

Time at Address

Living Status

Previous Address (If Applicable)

Full Address (copy)

Post Code (copy)

Time at Address

Living Status

Employment Details (5 Years History Required)

Current Employment

Business Name *

Time with Employer *

Full Address *

Job Title *

Post Code *

Previous Employment (If less than 5 years)

Business Name (copy) *

Time with Employer (copy) *

Full Address (copy) *

Job Title (copy) *

Post Code (copy) *

Bank Details

Bank Name *

Account Name *

Bank Address

Account Number *

Post Code *

Sort Code *

Vehicle Information

Make and Model

Length Of Contract *

With Maintenance ? *

Annual Mileage *

Optional Extras (inc. met paint)

Initial Payment (Months)

Payment PM + VAT *

Additional Information

Preferred Deliver Date

Please Note :

I wish to proceed with the displayed figures. I agree to the Quotation Terms, Terms & Conditions, Cancellation Rights and Privacy Policy.
I agree to my details being submitted to credit reference agencies for the purpose of credit and identity checking

Additional Information

In placing an order and completing and submitting your application to ecofleet UK Ltd you acknowledge that you have read ,understood and agree to our Terms & Conditions , the Quotation Terms, Cancellation Rights and Privacy Policy and that you are agreeing to us submitting your details to our funding partners.

We will submit your information (in the case of a Limited Company / partnership any registered Directors/ Partners) to credit reference agencies to check your credit status and identity. A record of this search will be recorded and can be seen by other companies if they carry out a similar credit search. By continuing with your application you agree to your information being used in this way.

As an authorized FCA agent we will pay due regards to your interests and treat you fairly. We will attempt to communicate all information to you in a way that is clear, fair and not miss-leading.

You should not commit to a finance agreement unless you are confident that you can afford the payments for the whole of the term of the agreement.

We have taken reasonable care to organise and control our affairs responsibly and effectively. Your data protection is of utmost importance to us. We are members of the Information Commissioner's Office - ICO

If you any questions or need assistance in completing this form, then call us on 08000 502 500

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