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The information that you provide on this proposal form will be forwarded to one or more financial institutions, being members of the Irish Finance Houses Association, and will be used by them for the purposes of assessing the suitability for you of their finance products, potentially offering you a product or a quote. As part of this process, credit searches will be made with one or more credit reference agencies, including the Irish Credit Bureau (ICB), which will make a record of the search. Details of any agreement you enter into, and your conduct of that agreement, may be shared with the credit reference agencies, ICB and their members. Searches may also be carried out to verify your identity, and you may be contacted directly (including by telephone) for the purposes of verifying the information on this form. Credit scoring and other automated decision-making process may be used.

By signing this proposal form, I certify that all information provided on this form is complete and accurate, and I consent to the use and disclosure of this information for the purposes set out above. I acknowledge that the recipients of this information are authorised to contact me and to disclose any material misstatements of fact on this proposal to their members and other relevant bodies. Where the applicant is a limited company or a partnership, I/we confirm that its directors/partners identified above have given their consent to a credit search being made as detailed above.

Where this application has been completed by a motor dealer or third party on behalf of the applicant for finance, the supplier or third party, by submitting this form, is certifying that:

  1. all information provided on this form is complete and accurate and has been provided to it and confirmed by the applicant for finance;
  2. it has informed the applicant of, and obtained the applicants consent to, the disclosure of the applicant’s information to one or more financial institutions, as set out above, and for the purposes set out above, including making direct contact with the applicant; and
  3. it has been authorised to complete and submit this application form on the applicant’s behalf and as the applicant’s agent.

N.B. the applicant will be required to provide the financial institution with evidence of identity and current permanent address in compliance with the provisions of the Criminal Justice Act, (Money Laundering and Terrorist Financing) 2010

NOTICE: Under the Credit Reporting Act 2013 lenders are required to provide personal and credit information for credit applications 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.