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1 Your loan

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Loan amount*

Over a period of*

What's the reason for your loan? *

2 About you

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First Name*


Date of Birth*

Email Address*

Mobile Phone Number*

Home Phone Number*

Daytime Phone Number*

Marital Status*

Number of Dependants*

Do you have a Debit Card?*

3 Your Address

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Home Status*

Years at Address*

House Name/Number*





4 Your employment

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Employment Status*

Employers Name*

Your Employment Industry*

Time in Current Job*

How often do you get paid?*

How do you get paid?*

Next Pay Date*

Following Pay Date*

Monthly Take Home Pay*

5 Your monthly outgoings

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Monthly Mortgage / Rent*

Monthly Loan Repayments*

Monthly Utility Bills*

Monthly Transport Costs*

Monthly Food Costs*

Other Monthly Expenses*

6 Verification

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Bank Sort Code* (Format: 123456)

Bank Account Number* (Format: 12345678)

Do you have a pension?*

Rates from 43.1% APR to 1333% APR. Minimum Loan Length is 1 month. Maximum Loan Length is 36 months. Representative Example: £1,200 borrowed for up to 75 days. Total amount repayable is: £1506. Interest charged is 0.34% per day, amounting to £306, annual interest rate of 124% (variable). Representative APR: 49.7% (variable). *Subject to application being approved by the lender. Not all lenders are able to provide up to £5000
Warning: Late repayment can cause you serious money problems. For help, go to moneyadviceservice.org.uk.A payday loan offers a short term financial solution and should not be used as a long term solution.We are an Introducer Appointed Representative of T.UK, who are a credit broker not a lender. My Quick Loan does not provide any loan or consumer Credit products directly. My Quick Loan is a registered trading style of My Club Partnership Ltd, which is an Introducer Appointed Representative of T.UK and is entered on the financial services register under the reference number 688026 is authorised and regulated by the Financial Conduct Authority and is entered on the Financial Services Register under reference number: 831013. My Club Partnership Ltd is registered in England and Wales (Company number: 11547109), Registered Office, 61 Hulley Road, Macclesfield, SK10 2SD. Our website is completely free for you to use but we may receive a commission or fee from some of the companies we feature or introduce you to. *Subject to lenders requirements and approval *Subject to lenders requirements and approval. ^Some lenders can pay out the same day, this depends on the lender and your bank