Telephone: 02380 242 171
This application form is for customers who have received a quote from the Lombard Marine team. If you have not already obtained a quote please visit our request a quote form. Please note, all fields are required unless stated.
Your information: We are Lombard North Central plc, a member of The Royal Bank of Scotland Group. We are committed to protecting your privacy during your visits to the Lombard website and recognise our responsibility to keep the information you provide to us confidential at all times. The information you supply on this form will be used for the purpose of providing you with the service you have requested. By supplying your address, email address or telephone number you are giving your consent for us to contact you in connection with your request. See our Privacy Statement
First name
Last name
Please enter your date of birth
House name / number of your current address
Street of your current address
Town of your current address
County of your current address
Full postcode of your current address
Current address ownership --- Please select --- Owner Tenant Living with parents
Value of your property £
Your mortgage amount outstanding £
Length at this address (years)
House name / number of your previous address
Street of your previous address
Town of your previous address
County of your previous address
Full postcode of your previous address
Home telephone number
Daytime telephone number
Contact email address (optional)
Your marital status --- Please select --- Married/Civil Partnership Single Divorced/Dissolved Separated Widowed
Are you applying for finance with a joint applicant?
Joint applicant's first name
Joint applicant's last name
Joint applicant's date of birth
Does the joint applicant live at your current address?
House name / number of the joint applicant's current address
Street of the joint applicant's current address
Town of the joint applicant's current address
County of the joint applicant's current address
Full postcode of the joint applicant's current address
Joint applicant's property ownership --- Please select --- Owner Tenant Living with parents
Value of the joint applicant's property £
Joint applicant's mortgage amount outstanding £
Length at their current address (years)
House name / number of the joint applicant's previous address
Street of the joint applicant's previous address
Town of the joint applicant's previous address
County of the joint applicant's previous address
Full postcode of the joint applicant's previous address
Please note: If you are self employed or a director / shareholder of a limited company, we will need visibility of the full accounts for the business.
Your current occupation
Name of your current employer
Building name / number of your current employer
Street of your current employer
Town of your current employer
County of your current employer
Full postcode of your current employer
Length of current employment (years)
Your previous occupation
Name of your previous employer
House name / number of your previous employer
Street of your previous employer
Town of your previous employer
County of your previous employer
Full postcode of your previous employer
Length of previous employment (years)
Please note: If the joint applicant is self employed or a director / shareholder of a limited company, we will need visibility of the full accounts for the business.
Joint applicant's current occupation
Name of joint applicant's current employer
Building name / number of joint applicant's current employer
Street of joint applicant's current employer
Town of joint applicant's current employer
County of joint applicant's current employer
Full postcode of joint applicant's current employer
Length of joint applicant's current employment (years)
Joint applicant's previous occupation
Name of joint applicant's previous employer
Building name / number of joint applicant's previous employer
Street of joint applicant's previous employer
Town of joint applicant's previous employer
County of joint applicant's previous employer
Full postcode of joint applicant's previous employer
Length of joint applicant's previous employment (years)
Vessel manufacturer and model
Year vessel was built
Location where the vessel will be kept
Vendor / broker name
Purchase price £
Loan amount required (min £25,000) £
Repayment period (years)
Your gross annual income £
Your monthly rent / mortgage £
Total other monthly outgoings £
Joint applicant's gross annual income £
Joint applicant's monthly rent / mortgage £
Joint applicant's total other monthly outgoings £
Your bank name --- Please select --- RBS NatWest Coutts & Co Drummonds Adam & Company Child & Co Ulster Bank Barclays HSBC Lloyds TSB Halifax Bank of Scotland Other
Your bank sort code
Your bank account number
Joint applicant's bank name --- Please select --- RBS NatWest Coutts & Co Drummonds Adam & Company Child & Co Ulster Bank Barclays HSBC Lloyds TSB Halifax Bank of Scotland Other
Joint applicant's bank sort code
Joint applicant's bank account number
Any additional comments (optional)
We may obtain information about you from credit reference agencies and Group records to check your credit status and identity. The agencies will record our enquiries which may be seen by other companies who make their own credit enquiries. We may use credit scoring. At the credit reference agencies your information may already be linked to anyone with whom you have a joint account or similar financial association. If this is a joint application and such a link does not already exist then one may be created now. These links will remain until you file a 'notice of disassociation' at the credit reference agencies. However, for this application you will be treated as financially independent of any person, (except for another party to this application). By submitting this application you declare that you believe your associate's finances will not affect our decision and agree that we may check your declaration. We may decline this application if we find that your declaration is inaccurate.
Please tick this box to indicate your agreement with the above conditions and proceed with your application.
