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Anagen Hair Extensions

Loan Application

    Personal details:

    Please ensure all mandatory fields marked with an asterisk (*) are populated.

    Title:

    First Name*:

    Surname*:

    Date of Birth* (dd/mm/yyyy)

    Country of Birth

    Marital Status:

    Number of Children:

    Years on Island:

    Contact Details:

    Mobile Number*:

    Home Number:

    Work Number

    Email*:

    Home

    Residential Status:

    Current Address

    Address Line 1:

    Address Line 2:

    Parish:

    Postcode:

    Years at Address:

    Months at Address:

    Previous Address (if less than 3 years at Current Address)

    Address Line 1:

    Address Line 2:

    Parish:

    Postcode:

    Years at Previous Address:

    Months at Previous Address:

    Work

    Current Employer

    Employer:

    Occupation:

    Address Line 1:

    Address Line 2:

    Postcode:

    Years at Current Employer:

    Months at Current Employer:

    Previous Employer (if less than 3 years at Current Employer)

    Employer:

    Occupation:

    Employer Address Line 1:

    Employer Address Line 2:

    Employer Postcode:

    Years at Previous Employer:

    Months at Previous Employer:

    Your Loan Enquiry

    Amount:

    Preferred Term (Months):

    Reason for loan:

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    The loan amount will be paid direct to Anagen once approved

    Privacy Policy

    At Tupper Loans we take the importance of protecting your personal information seriously and are committed to processing it responsibly in compliance with applicable data protection laws

    'Whatever your financial needs may be, everyone can benefit from TLC'