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Partner Application Form - Business Details
Partner / registered name
*
Trading name / names
*
Type of company
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LTD
PLC
LLP
Partnership
Sole Trader
VAT No:
Years trading
*
Company registration number
*
Website
*
Facebook page
Twitter page
LinkedIn page
Registered Office Details
Street Address
*
Address Line 2
City/Town
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County
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Postcode
*
Is registered office the same as operations centre
*
Yes
No
Operations Address
Street Address
*
Address Line 2
City/Town
*
County
*
Postcode
*
Contact Details
Main Contact
Title
*
Mr
Mrs
Ms
Dr
First Name
*
Last Name
*
Email:
*
Mobile Number:
*
Landline:
*
Position Held
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Accounts Contact
Title
*
Mr
Mrs
Ms
Dr
First Name
*
Last Name
*
Email:
*
Landline:
*
Mobile Number:
*
Complaints Contact:
Title
*
Mr
Mrs
Ms
Dr
First Name
*
Last Name
*
Email:
*
Landline:
*
Mobile Number:
*
Products & Services
Which of these best describes your business
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Consumer Goods
Home Improvment Prodcuts & Services
Training Course Provider
Cosmetic/Medical Procedures
Other Services
Description of goods/service that you wish to offer on finance
*
Brief description of products/services offered to your customers
*
Brief description of training offered
Please advise who your key training providers are
Do you carry out your own training?
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Yes
No
Products & Services (continued)
Please describe the courses offered
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Classroom Based
Practical Learning
Distance Learning
Mixture
Brief description of procedures offered to customers
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Do you offer installation?
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Yes
No
Are goods delivered?
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Yes
No
Average Delivery Time (Days)
*
Length of average course (M)
*
How many procedures are usually required to complete treatment
*
Number of training courses sold per year
*
Which countries are goods manufactured in
*
+
-
Please advise how installation is carried out
*
Do you carry out your own installation?
*
Yes
No
Please describe your typical customer demographic
*
Do you offer customers any incentive e.g. cashback, discount, free gifts
*
Are you currently regulated by the Financial Conduct Authority (FCA)?
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Yes
No
If regulated, please confirm your FCA status?
*
Authorised (full permissions)
Authorised (limited permissions)
Appointed representative
Interim permission
Please provide Firm Reference Number (FRN) if regulated by the FCA:
*
About Your Business
Turnover (per annum) (£)
*
Estimated finance (per annum) (£)
*
🛈
What % of your business is online sales
*
Average sale value (£)
*
Service price range
*
£250 - £500
£501- £1,000
£1001 - £1,500
£1,501 - £2,000
£2,001 - £3,000
£3,001 - £4,000
£4,001 - £5,000
£5,000K +
Product price range
*
£1,501 - £2,000
£2,001 - £3,000
£3,001 - £4,000
£4,001 - £5,000
£5,001- £7,500
£7,501 - £10,000
£10K +
Price range of treatment
*
£501- £1,000
£1001 - £1,500
£1,501 - £2,000
£2,001 - £3,000
£3,001 - £4,000
£4,001 - £5,000
£5,000K +
Price range of courses
*
£250 - £500
£501- £1,000
£1001 - £1,500
£1,501 - £2,000
£2,001 - £3,000
£3,001 - £4,000
£4,001 - £5,000
£5,000K +
Have you offered finance previously?
*
Yes
No
If answered yes, who was your previous finance provider
What type of finance are you considering offering
*
Interest Free
Low Rate Finance
Classic Finance
Please advise how you go about generating new business
*
Local advertising
Word of mouth
Sales to existing customers
Telesales
Broker relationships
SEO
PPC
Other
Other
Director background information
*
🛈
Please provide information regarding what warranties and/ or guaranties are provided?
*
🛈
Documentation
2 years Company Accounts
*
Copy Of Blank Cheque
or
Paying in slip
or
bank statement
*
Data Protection SAQ
*
Complaints Policy
*
Terms & Conditions
*
Privacy Policy
Industry Certification
Guarantee / Warranty Info
Copy of Sales Process
Copy of Sales Forecast
Director / Shareholder Authority to Search
To be Completed & signed by the principals of the company.
As part of our due diligence process we are required to undertake certain Know Your Customer (KYC) checks on the principals of the company. For Limited companies these include any members of the current board of Directors and/or any individual with a shareholding greater than 25%.
For any relevant individuals permanently residing outside of the UK, proof of ID will also be required in addition to your authority. In this instance, please kindly provide a valid form of Photographic ID (Passport, Driving Licence or National ID Card) and proof of address (recent utility bill or bank statement from the last 3 months).
"We confirm that in applying to offer Omni Capital Retail Finance products through the above named retailer, the principals of the company, give their consent to your making such searches and enquiries about them from time to time as you may consider appropriate".
Number of Directors
*
First Name
*
Last Name
*
Date of Birth
*
+
Address
*
I give Omni Capital Retail Finance Limited permission to carry out a search against me with a Credit Reference Agency and perform such KYC/AML checks as required.
*
clear
First Name
*
Last Name
*
Date of Birth
*
+
Address
*
I give Omni Capital Retail Finance Limited permission to carry out a search against me with a Credit Reference Agency and perform such KYC/AML checks as required.
*
clear
First Name
*
Last Name
*
Date of Birth
*
+
Address
*
I give Omni Capital Retail Finance Limited permission to carry out a search against me with a Credit Reference Agency and perform such KYC/AML checks as required.
*
clear
First Name
*
Last Name
*
Date of Birth
*
+
Address
*
I give Omni Capital Retail Finance Limited permission to carry out a search against me with a Credit Reference Agency and perform such KYC/AML checks as required.
*
clear
First Name
*
Last Name
*
Date of Birth
*
+
Address
*
I give Omni Capital Retail Finance Limited permission to carry out a search against me with a Credit Reference Agency and perform such KYC/AML checks as required.
*
clear
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Omni Capital Retail Finance Limited
sales@ocrf.co.uk | www.omnicapitalretailfinance.co.uk
Authorised and Regulated by the Financial Conduct Authority
Operations Centre
Oak House, Reeds Crescent, Watford, Herts, WD24 4QP
Tel: 0333 240 8318