Register - Contact Us - Black Book Finance

CONTACT US / INTERMEDIARY REGISTRATION

Black Book-registered introducers gain unrestricted access to all available products and services, and will swiftly receive key updates on products, services and developments within the finance industry.
Complete the form below to register with Black Book today.
Your Name*
First Middle Last
Previous full name (*If Applicable)
Residential Address*
Street Address Line 2 City County Post Code Country
Time at this address*
Previous Residential Address
Street Address Line 2 City County Post Code Country
We need your address history for the last 5 years. Please add any other previous addresses below...
Previous Residential Address (*If Applicable)
Street Address Line 2 City County Post Code Country
Previous Residential Address (*If Applicable)
Street Address Line 2 City County Post Code Country
Previous Residential Address (*If Applicable)
Street Address Line 2 City County Post Code Country
Date of Birth*
Nationality*
If non-EU, Work Permit Number
FCA Number (*If Applicable)
If FCA Registered, do you have sufficient PI cover to meet FCA regulations?*
If you are Appointed Representative, of which Network are you a member?
Company Name (If applicable)
How (or from whom) did you hear about Black Book Finance?
Please confirm how you typically source/obtain your clients/propects*
Have you (or any company of which you were a director) ever been removed from any lender's panel?*
Please provide details
Have any complaints ever been made and/or upheld against you personally, or against any Company where you were a Director?*
Please provide details
Any other details of which Black Book Finance should be made aware of before accepting your introductions?
Company Information (*If Applicable)
Company Name*
Company Address*
Street Address Line 2 City County Post Code Country
FCA Number (*If Applicable)
Company Phone*
Email*
Website Address
Other Trading Name/s (*If Applicable)
Terms & Conditions*
- I have read and agree to the T&Cs and in particular to the data protection clause stating that Black Book Finance Ltd (BBF) will become the Data Controller responsible for client data received for the purpose of pursuing a loan application under the terms of this agreement. By ticking and accepting BBF’s T&Cs you are confirming and consenting that you have your clients’ consent to permit BBF to use your clients data, and give permission for BBF to carry out an online Identification check on yourself and your company. You understand that this in no way affects your own responsibilities as an Intermediary under DPA and GDPR.

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Telephone: 0800 651 6511

Email: enquiries@blackbookfinance.co.uk

Head Office: 1 Broadfields Parade, Glengall Road, Edgware , Middlesex HA8 8TD

CONTACT US / INTERMEDIARY REGISTRATION

Company Information (*If Applicable)