Application Form - Get A Flexible Repayment Loan Direct Into Your Bank Account Today

Applying for an instalment payday loan (Representative 1307% APR) is simple and straightforward. The online application form takes a few minutes to complete and you will then receive an online decision in principle.

We will contact you by email/sms or phone call to update you on the progress of your application and to let you know if we need any further information from you.

Your Personal Details

Title

Mr Mrs Miss Ms

First Name

Surname

Date of Birth

Home Phone

Mobile Phone

Email Address

Confirm Email

Marital Status

No. of dependents

Current Address Details

Postcode

House/Flat No. or Name

Address Line 2

Address Line 3

Town/City

County

Residential Status

Moved In

Loan Details

Loan Amount

When Are You Paid?

Your Next Pay Date

Your Following Pay Date

How long do you want to borrow for?

4 months 6 months

Budget Details

You should only include expenses you are responsible for, so, for example if you share a house and you pay half the rent, use the amount you pay. Only include the full household expenses if you are responsible for paying these.

Monthly take-home salary

This is the amount you receive in your bank account after tax, national insurance and any pension contributions have been deducted. If you have been furloughed you must input the amount of the furlough pay you receive in your bank account

Monthly rent/mortgage

Enter the monthly amount you pay towards your mortgage, rent or board payment.

Monthly credit payments

Enter the monthly amount you pay towards credit cards, store cards/catalogues and budget accounts, personal or secured personal loans, debt collection, home credit, car finance, hire purchase (HP), payday loans, instalment loans, mail orders and overdraft charges.

Monthly utility payments

Including gas / electric / water rates / oil / coal / council tax. Enter the monthly amount you pay towards these bills.

Monthly travel payments

Any / all Travel (Bus / Car / Taxi) – enter the monthly amount you spend on public transport (work, school, shopping etc) and include any CAR EXPENSES - including vehicle tax, fuel (petrol, diesel, oil etc), MOT and car maintenance, breakdown or recovery, parking charges or tolls.

Monthly food & clothing

Enter the monthly amount you spend on food, cleaning and toiletries, newspapers and magazines, cigarettes, tobacco, alcohol, laundry and dry cleaning, clothing and footwear, nappies and baby items, pet food and meals at work.

Other monthly payments

Enter the monthly amount you pay towards any of the following: insurances (buildings, contents, life, car, health, pet etc), personal pension (non – workplace), health (including dentist, glasses and prescriptions), house maintenance, hairdressing, and other appliance rental, lottery, hobbies / leisure / sport, gifts, vet bills.

Debit Card Details

Name on card

Card Number

Card Expiry Date (mmyy)

Card Security Code

Bank Details

Bank Name

Account Type

Account Name

Account Number

Sort Code

Time at bank

Do you receive your salary directly into your bank account?

Yes No

Employment Details

Employment Status

Current Employment Length

Employment Industry

Job Title

Employer's Phone Number

Employer Address

Postcode

Employer's Name

Address Line 1

Address Line 2

Address Line 3

Town

County

Here at Cash4unow we take your privacy seriously and will only use the personal information you provide to manage your account, and to provide the products and services you have requested from us. This includes sharing data with credit reference agencies (CRAs) and fraud prevention agencies (FPAs) to make lending decisions and to help prevent fraud and money laundering.

To learn more about the data we collect click here and how it may be used click here. The CRAS have produced a standard Credit Reference Agency Information Notice (CRAIN) which sets out how data will be processed by the three CRAs - TransUnion, Experian and Equifax.

For links to CRAIN click here

I have read and agree to the terms and conditions and privacy policy, including acknowledging that Cash4unow will perform credit and verification checks with CRAs and FPAs to make lending decisions and for the prevention of fraud and money laundering

If we are unable to offer you a loan at this time, and you give your consent here, we will pass the application details you have provided to us to Nouveau Finance Ltd and/or Loan Machine Ltd, trusted third party introducers who may contact you by post, email, sms and automated message in order to facilitate other loan options for you. You can learn more about the information we pass on and the introducers we use click here. If you consent to us passing your details on for this purpose please tick this box.

Please tick this box to confirm that you have either:

Borrowed from us before and are aware that if your loan was repaid after the 21/01/2021 that you have had the opportunity to access a summary of the cost of your previous borrowing; or
Not borrowed from us previously or you repaid your last loan prior to 20/01/2021

If you want to access this summary again now, or you are not sure whether you have had a loan with us before, please click here to access your My Account area

From time to time we would like to contact you about other services we may provide. If you consent to CASH4UNOW.CO.UK contacting you for this purpose please tell us how you would like us to contact you (you can select one or more than one method) Please tick the boxes against the method or methods you would like us to use:

SMS Message

Phone