Full Application

Application type

Are you a

Section A (for introducer use only)

Level of advice

Introducer's details (customer facing)

Are you

Please confirm if you are part of a

Network/Club details

If you are directly authorised, you must provide details of your mortgage club. If you are an appointed representative, you must provide details of your network.

Fees

Are you charging the applicant(s) an introducer fee?

*Introducer fee will be deducted from the finance amount and will be paid upon completion.

Identification (for introducer only)

The applicant(s) was interviewed face to face

We require the applicant(s) to provide evidence of identity at the time of application. We will endeavour to carry out these checks electronically. However, if we are unable to do this, we will need physical proof of identification.

Photocopy documents must be certified with the words ‘True copy of the original’ and clearly show the certifying person’s full name, and the name of the organisation they represent (if any), together with a signature and date. Documents containing a photograph should also be certified with the words ‘True likeness’.

IF FOR ANY REASON WE REQUIRE FURTHER DOCUMENTATION, WE WILL LET YOU KNOW.

Broker Declaration (for introducer only)

By submitting this application form to you, I:

  • Confirm that I am acting on behalf of the applicant(s) and have their permission to access their information and to supply it to you with this application, and at any time during the life of the finance. I confirm that to the best of my knowledge and belief, the information contained in this application is true, accurate and complete.
  • Confirm that should any of the information provided in this form change, I will inform you as soon as reasonably practicable.
  • Confirm that I have read your ‘Anti money laundering guidelines’ (available at www.offa.co.uk) and:
    • Original, hard-copy identification documents have been seen by myself and I was able to verify that such documents were originals;
    • Any associated photographs bore a good likeness to the individual;
    • Copies of the identification documents have been retained on my file.
  • Note that you may use information that you may already hold about the applicant(s) in assessing this application including details about other properties which are financed to you where they are the customer or guarantor. I am aware, have made the applicant(s) aware and they agree that as part of this application you may provide to me, on their behalf, details of those properties to confirm that the information you hold about those is complete and accurate.
  • Confirm that, if I send this form to you by email or have requested that you provide me with information by email I have made the applicant(s) aware of this, that email is not a secure medium and the content may be intercepted before it reaches the intended recipient.
  • Confirm that I understand that Nubnk Ltd t/a Offa does not offer product advice or recommendations. Whilst Nubnk Ltd t/a Offa may ask questions to narrow down the selection of products that we provide details on, the applicant will need to make his/her own choice about whether the product meets their needs.

Credit Decisions and Fraud Prevention Agencies

I note that:

  • The personal information you collect from me will be shared with fraud prevention agencies who will use it to prevent fraud and money laundering and to verify the identity of the applicant and any guarantor (applicant). If fraud is detected, I or the applicant(s) could be refused certain services, finance or employment. Further details of how my and their information will be used by you and these fraud prevention agencies, and my and their data protection rights, can be found by contacting the Data Protection Officer at Nubnk Ltd t/a Offa.
  • You will also supply the applicant’s personal information to credit reference agencies (CRAs) in order to process their application and they will give you information about the applicant(s), such as about their financial history. You do this to assess creditworthiness and product suitability, check their identity, manage their account, trace and recover debts and prevent criminal activity.
  • You will also continue to exchange information about the applicant(s) with CRAs on an ongoing basis, including about their settled accounts and any debts not fully repaid on time. CRAs will share their information with other organisations. Their data will also be linked to the data of their spouse, any joint applicants or other financial associates.
  • The identities of the CRAs, and the ways in which they use and share personal information, are explained in more detail at equifax.co.uk/crain, www.experian.co.uk/crain or www.callcredit.co.uk/crain.
  • The details entered must be accurate and true to the best of my knowledge. If you suspect my or the applicant’s involvement in fraudulent activity you will take appropriate action against me and/or the applicant(s).

Privacy notice – Obligations regarding Customers

  • I note that how you, credit reference and fraud prevention agencies use customer information is set out in more detail in your Privacy Notice. You are providing this to me as the applicant(s) representative and, in order to allow you to lawfully progress their application, you require confirmation that I, as the applicant(s) representative, have provided a copy of the Privacy Notice to each of the applicants ahead of any processing of their application.
  • Accordingly, I confirm that I have provided each applicant with a copy of the Privacy Notice.

Privacy notice – Introducer's personal information

I Note that:

  • More information about how you and fraud prevention agencies use information you hold about finance intermediaries is contained in your Privacy Notice.
  • You may contact me about products and services offered by Offa by post, electronic mail, telephone and any other online or interactive media. If I do not wish to receive these then I can send an email to enquiries@offa.co.uk with the subject line of ‘Unsubscribe’ from the above email address or, in relation to electronic mail, click the ‘unsubscribe’ link in any communication that we send to you.

Section B (for limited company applications only)

Company details

Company type

Accountant details

Credit history

Has the company ever been refused a mortgage on the property to be mortgaged, or any other property

Has the company ever had a judgment for debt recorded against it?

Has the company ever failed to keep up payments under any present or previous mortgage/loan/rental agreement?

Section C

Personal details - Applicant/Guarantor 1

Current resident in the UK?

If less than 3 years, please provide details in ‘Additional Information’ section

Personal details - Applicant/Guarantor 2

Current resident in the UK?

If less than 3 years, please provide details in ‘Additional information’ section

Personal details - Applicant/Guarantor 3

Current resident in the UK?

If less than 3 years, please provide details in ‘Additional information’ section

Personal details - Applicant/Guarantor 4

Current resident in the UK?

If less than 3 years. please provide details in ‘Additional information’ section

Section D - Employed income details

It is important that you complete all relevant sections for each applicant to provide full details of their income (e.g. where one applicant is both employed and self-employed, each individual section must be completed).

We require a minimum of 12 months employment history (employed), or 36 months (self-employed).

Please provide details of previous employment in the ‘Additional information’ section at the end of this form.

Current employment - Applicant 1

If less than 12 months, please provide further details in ‘Additional information’ section

Current employment - Applicant 2

If less than 12 months, please provide further details in ‘Additional information’ section

Current employment - Applicant 3

If less than 12 months, please provide further details in ‘Additional information’ section

Current employment - Applicant 4

If less than 12 months, please provide further details in ‘Additional information’ section

Section E - Self-employed income details

Self-employed or company directors with more than 25% shareholding

Self-employment - Applicant 1

Self-employment type

Any other annual income?

Self-employment - Applicant 2

Self-employment type

Any other annual income?

Accountant details - Applicant 1

Accountant details - Applicant 2

Self-employment - Applicant 3

Self-employment type

Any other annual income?

Self-employment - Applicant 4

Self-employment type

Any other annual income?

Accountant details - Applicant 3

Accountant details - Applicant 4