Mortgage Details
Application Form
Mortgage Requested
Personal Details
Date of Birth
Employment Status
Job Title
Monthly Basic Income
Additional Income
Employers Address
Time in Employment
Marital Status
First Applicant
Date of Birth
Employment Status
Job Title
Monthly Basic Income
Additional Income
Employers Address
Time in Employment
Marital Status
Second Applicant
No. of children
Age of child 1
Age of child 5
Age of child 2
Age of child 6
Age of child 3
Age of child 7
Age of child 4
Age of child 8
Page 1 of 5
IP V13.0 06.18
Address Details
Contact Details
Current Mortgage Details
Security Address
Time at Address
Present Value
Purchased from Council
Living Rooms
Property Sub Type
Parking spaces
Purchase Price
Purchase Date
Council Discount
Home Number
Work Number
Mobile Number
Email Address
First Applicant
Second Applicant
First Mortgage
Second Mortgage
Page 2 of 5
IP V13.0 06.18
Property Type
Mortgage Account No.
Account No.
I/we confirm that the information given is accurate and that you, or any lender to whom you submit this application, may use and disclose my data as
prescribed overleaf.
I/we confirm receipt of, and that I/we have read, the Use of Your Personal Information and Complaints sheets accompanying this form (Pages 4 &
I/we confirm that we have received advice from a Central Trust sales advisor/the broker regarding the suitability of this mortgage meeting our personal
I/we understand that the broker will be paid a commission in recognition of the work undertaken in preparing my/our mortgage application, this is in
addition to any broker fee that may be charged. Where Central Trust has provided the advice an application fee will apply.
I/we confirm that we are aware that Central Trust are not authorised to offer life, health or payment protection insurance to customers and do not insist
on a customer effecting any such policy in conjunction with mortgages offered by or through Central Trust, but do recommend that all customers seek
advice from a suitably qualified adviser to make sure they are adequately protected.
Lastly, we confirm we have received and read the Central Trust Tariff of Fees and Charges.
Disclosure and use of your information
Customer Signature(s)
Page 3 of 5
IP V13.0 06.18
You may be eligible for additional borrowing in the future. To be informed about additional
borrowing and for other products and/or services you may also find beneficial, please tick below.
please tick below
Text / SMS
How would you prefer to be contacted?
Please tick the relevant box below:
I/We would like to pay the fees outlined in the mortgage illustration I/we have been provided with in advance of the
mortgage application completing
I/We would like to add the fees outlined in the mortgage illustration I/we have been provided with to the mortgage
amount requested, and understand the additional interest costs over the mortgage term in doing so
No Thank You
You may withdraw your consent or update your preferences by contacting us at marketing@centraltrust.co.uk or calling us on 01923 280322.
We will use any information you provide to us, or that we obtain or generate relating to you in connection with our dealings with you in
accordance with the Data Protection Act. When we process your personal data we do so with a view to entering into the loan contract, to
fulfil a contract we have with you, when it is our legal duty to do so or when you have given us consent.
Contact may be made with you by telephone (calls may be recorded for training, compliance and evidential purposes), post, email or SMS
messaging to help service your account. We may do this ourselves or we may ask someone else to do it for us and we may pass
information about you and your account to anyone who services your account and to anyone we ask to help us to enforce this agreement.
Before we provide services, goods or financing to you, we undertake checks for the purposes of preventing fraud and money laundering, and to verify your
identity. These checks require us to process personal data about you. The personal data you have provided, we have collected from you, or we have received
from third parties will be used to prevent fraud and money laundering, and to verify your identity. Details of the personal information that will be processed may
include name, date of birth, address, contact details, financial information, employment details and device identifiers including IP address.
We and fraud prevention agencies may also enable law enforcement agencies to access and use your personal data to detect, investigate and prevent crime. We
process your personal data on the basis that we have a legitimate interest in preventing fraud and money laundering, and to verify identity, in order to protect our
business and to comply with laws that apply to us. Such processing is also a contractual requirement of the services or financing you have requested. Fraud
prevention agencies can hold your personal data for different periods of time, and if you are considered to pose a fraud or money laundering risk, your data can be
held for up to six years.
Consequences of processing
If we, or a fraud prevention agency, determine that you pose a fraud or money laundering risk, we may refuse to provide the services and financing you have
requested or we may stop providing existing services to you. A record of any fraud or money laundering risk will be retained by the fraud prevention agencies, and
may result in others refusing to provide services, financing or employment to you. If you have any questions about this, please contact us on 01923 280322.
Use Of Your Personal Information
This document explains how we will use and safeguard your personal
information when you transact with us.
Page 4 of 5
IP V13.0 06.18
Data transfers
Whenever fraud prevention agencies transfer your personal data outside of the European Economic Area, they impose contractual obligations on the recipients
of that data to protect your personal data to the standard required in the European Economic Area. They may also require the recipient to subscribe to
‘international frameworks’ intended to enable secure data sharing.
Your rights
Your personal data is protected by legal rights, which include your rights to:
object to our processing of your personal data;
request that your personal data is erased or corrected;
request to restrict our processing of your personal data;
request data portability (this is where we provide you with a copy of your personal data in an electronic format);
request access to your personal data.
For more information or to exercise your data protection rights, please contact us using the contact details in the complaints section overleaf.
You also have the right to complain to the Information Commissioner’s Office (ICO) which regulates the processing of personal data. The ICO deals with
concerns raised by members of the public about the way in which organisations look after personal information. If you need to raise a concern, you can do so by
using the following link:
Credit Reference Agencies
In order to process your application we will supply your personal information to credit reference agencies (CRAs) and they will give us information about you,
such as about your financial history. We do this to assess creditworthiness and product suitability, check your identity, manage your account, trace and recover
debts and prevent criminal activity.
We will also continue to exchange information about you with CRAs on an ongoing basis, including about your settled accounts and any debts not fully repaid
on time. CRAs will share your information with other organisations. Your data will also be linked to the data of your spouse, any joint applicants or other financial
The identities of the CRAs, and the ways in which they use and share personal information, are explained in more detail at:
For further information on how we will use and process your personal data, please visit our privacy policy.
You should find your dealings with us to be prompt, efficient and friendly. Our aim is to provide you with a world class, professional and confidential service. If you
have a complaint about any aspect of the service you have received our staff will be happy to help resolve your concerns.
Please bring your concerns to our attention as soon as possible the sooner we know about it the sooner that we can resolve it. We have a formal complaints
procedure to ensure that your complaint is handled quickly, fairly and efficiently; a leaflet is available on request.
For further information or to make a complaint, please contact our Compliance Team:
Compliance Team - Central Trust Limited
Cassiobury House
11-19 Station Road
WD17 1AP
01923 280434
Central Trust Limited is Authorised and Regulated by the Financial Conduct Authority under number 739724. Central Trust Limited is a company registered in
England and Wales, Company Number 07020381, Registered Office St Crispin’s House, Duke Street, Norwich NR3 1PD.
Page 5 of 5
IP V13.0 06.18