EXAMPLE BANK APPLICATION FORM
1 Name and Address Details
Title.
Mr
Mrs
Miss
Ms
Other Title
Please enter you FULL NAME and address in the spaces provided below.
2 Personal Details
Are you:
Single
Married
Widow/Widower
Divorced
Separated
Date of Birth:
DD/MM/YYYY
Home telephone no.
Business telephone no.
Occupation of partner.
Partner's Gross Annual Income.
3 Employment Details
Are you:
Full-time employee
Part-time employee
Self-employed
Student
Housewife/Husband
Unemployed
Retired
Your occupation.
Employer (if self-employed, name of business) :
Years in present employment
Gross Annual Income
4 Residential Details
I am :
Owner/occupier
Renting
Living with parents
Other
Estimated value of property (if owned):
Mortgage outstanding:
If you have moved in the last 3 years, please state your previous address:
5 Current Bank/Building Society Details
Name:
Sort code:
Branch Address:
How long have you held this account?
years
Account number:
6 Financial Commitments
Other cards held (Please tick all that apply):
Trustcard
Access
American Express
Diners Club
Mastercard
VISA
Other
Store card (name):
Mortgage/Rent per month:
Credit card/Store card (per month):
Loans (per month):
Hire Purchase repayments (per month):
Other commitments (per month):
7 Additional Cardholder
If you wish "our bank" to issue a second card on your Card Account for use by another person (e.g. your spouse), please ask that person to complete this section.
Title.
Mr
Mrs
Miss
Ms
Other Title
First names:
Surname:
Signature of Additional Cardholder.
8 Small Print goes here...
Applicant's signature:
Date of signature.


This survey was created byKeyPoint