Proposal Form, New Customers

Dealers

Proposal Form
Submit Online Proposal

New Proposals Form

Step 1 of 3 - Personal Details

Choose if you are a Dealer or a Customer*
Are you and Existing customer:*
Dealer Name*
Title
First Name*
Surname*
Email:*
Address:*
Time at address
Previous address (if less than 3 years at current address)
Date of Birth*
DD slash MM slash YYYY
Residential Status
Gender*
Place of birth
Telephone (Home)
Mobile:
Marital Status
Identification Type
Identification Number
Maiden Name:

Vehicle Make:*
Vehicle model:
Specification:
Registration Year:
Registration Number:*
Vehicle is
Price:
Deposit Amount:
Trade in Amount:
Settlement Figure:
Loan Amount:
GMFV (Only applicable if PCP):
Loan Terms:
Extra Information / Additional Notes
Warning, if you do not meet the repayments on your credit agreement, your account will go into arrears. This may affect your credit rating, (which may limit your ability to access credit in the future).

Finance is arranged by First Auto Finance Ireland Limited, the exclusive intermediary for Close Brothers Limited, trading as Close Brothers Motor Finance. Close Brothers Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority in the United Kingdom and is regulated by the Central Bank of Ireland for conduct of business rules. Registered Address: 10 Crown Place, London, United Kingdom EC2A 4FT. Registered at Companies House Number 195626.

By submitting this form, you confirm that you are the applicant, and consent to the details of your finance application being passed to Close Brothers Limited and their Intermediary First Auto Finance Ireland Limited.

In considering whether to enter into this agreement, we may use your personal data for making a credit check on you. We may carry out a search with a credit reference agency who will keep a record of our enquiry against your name. We may search your personal records at credit reference agencies which may be linked to your spouse/partner or other persons with whom you are linked financially ('associated records') and you may be assessed with reference to 'associated records'.
The information you provide will be transferred to and stored on a secure server in the European Economic Area (“EEA”) or in the UK (in the event that the UK is not a member of the EEA.) You can find further information about how and why we use your personal data and the rights that you have in relation to it, including details of the Credit Reference Agencies from whom we obtain, and to whom we pass information about you at https://www.closemotorfinance.co.uk/roi-privacy-policy.

NOTICE: Under the Credit Reporting Act 2014 lenders are required to provide personal and credit information for credit application and credit agreements of €500 and above to the Central Credit Register. This information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements.
The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information, including on how your data is processed, see www.centralcreditregister.ie
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First Auto Finance Ireland Ltd is the exclusive intermediary for Close Brothers Motor Finance in the Republic of Ireland.
First Auto Finance Ireland Ltd is a subsidiary of Finance Ireland Limited. See About Us or visit www.financeireland.ie

Tel: +353 (0) 1 639 1333

New Proposals Form

Step 1 of 3 - Personal Details

First Auto Finance Ireland Ltd.