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"Dear visitor","First names &nbsp;*","Last Name &nbsp;*","Email Address *","Work Phone"," &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Applicant 1 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Applicant 2",
"Dates of Birth &nbsp;*","items marked * are required"," Title &nbsp;*","Mobile","Is this a Joint Application ?","Note: Loans for married clients MUST be in Joint names","Maiden name<br>"," Home Phone","Preferred Telephone","LOAN REQUIRED &#163;<br>","Repayment Term (years)","PURPOSE<br>","Occupation","Employment status - choose category","Length of service with current employer - months","Industry /Nature of Business","Employers name","Employers address including Postcode","Gross Monthly Income &#163;",
"Number of dependents","Age of dependents","Marital status","Outstanding Mortgage &#163;","","Name of mortgage lender","Address &nbsp;*","Postcode &nbsp;*","Time at address *","If less than 3 years enter previous addresses including postcode/s - to cover past 3 years *","Year &amp; month purchased","Purchase Price &#163;","Monthly payments &#163;","Current value &#163;","How long held mortgage ","Property type","No. of bedrooms","If Flat - state No. of floors in block &amp; on which floor","Is there a second charge on property ?",
"If there is a second charge please state lender; current balance &amp; monthly repayment","Declaration ","Please read the following statement and signify your acceptance of the terms by clicking the &quot;accept&quot; option at the bottom"," I confirm that as fas as I know, all the statements made in connection with this proposal are true and complete and I have not concealed any important fact. I realise that failure to disclose relevant facts may harm my application. <br>I agree to inform you in writing of any change in circumstance affecting the statements I have made in this proposal.<br>The Data Protection Act 1998 consents to the seeking and processing of any information from third parties directly concerned with the underwriting and administration of the loans applied for.<br>I understand that such information provided by me may be held on computer or otherwise and will be used for the purposes of administering the loan, and will be made available to others for underwriting purposes (including fraud investigations).<br><br>In submitting this application we authorise you to carry out any credit reference searches you see fit to progress any application.",
"Name","Address","Postcode","Sort Code","Account name","Account number","Bank details","Please indicate most convenient day of month for collection","Direct Debit Guarantee<br><br>Please print off and keep in a safe place.<br><br>This guarantee is offered by all banks and building societies that take part in the scheme. The efficiency and security of the scheme is monitored and protected by your own bank or building society.<br>If the amounts to be paid or the payment dates change, the companies with whom we deal will notify you 10 working days in advance of your account being debited or s otherwise agreed.<br>If an error is made by the companies with whom we deal or &nbsp;bank or building society, you are guaranteed a full and immediate refund from your branch of the amount paid.<br>You can cancel a direct debit at any time by writing to your bank or building society. Please also send a copy of your letter to the company who issue your insurance policy.",
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if(this.v3q){h='<textarea '+s+' wrap="soft" tabindex='+this.tab+' cols='+(this.v2d/10)+' rows='+(this.v2e/22)+' maxlength='+this.v3r+q6v(this.vm)+' onkeypress="return q_OnKeyPress(event, '+this.index+');" onfocus="q_OnFocus(event, '+this.index+');" onchange="q_OnChange(event, '+this.index+');" onkeyup="return q_OnKeyRelease(event, '+this.index+')";>'+this.data+'</textarea>';}else{var mc='';if(this.v3r>0)mc='maxlength='+this.v3r;h='<input '+s+' size='+q71(this.font,this.v2d)+' tabindex='+this.tab+' type="'+(this.v3s==1?'password':'text')+'" value="'+this.data+'" '+mc+q6v(this.vm)+' onkeypress="return q_OnKeyPress(event, '+this.index+');" onfocus="q_OnFocus(event, '+this.index+');" onchange="q_OnChange(event, '+this.index+');" onkeyup="return q_OnKeyRelease(event, '+this.index+')";>';
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c+=td+'<img src="'+q29[0].src+'" width=2 height='+this.v2e+'></td>';c+=td+'<img src="'+q29[this.v4h].src+'" width='+parseInt((this.v2e-2)*5/6)+' height='+(this.v2e-2)+' name="i_'+i+'_bu" galleryimg=no class=st_p></td>';}else{var d=this.v5b("da",1,31,this.data.getDate(),false,em);var m;if(this.v4e&2){var m=td+'<select tabindex='+this.tab+' size=1 id=i_'+i+'_mo style="height: '+q2h(this.v2e)+'px; width: '+(this.v2e*5/2)+'px; background-color: #'+this.v2s(this.vl)+'; color: #'+this.v2c+'; '+q6u(this.font)+'"'+q6v(this.vm)+' onchange="return q_OnChange(event, '+i+');" onfocus="q_OnFocus(event, '+i+');">';
if(this.v46=="")m+='<option value="-1" selected>&nbsp;</option>';for(var j=1;j<=12;j++){m+='<option value="'+j+'"';if(!em&&j==(this.data.getMonth()+1))m+=' selected ';m+='>'+this.v4m[j-1]+'</option>';}m+="</select>";}else{m=this.v5b("mo",1,12,this.data.getMonth()+1,false,em);}if(this.v4c&1)c+=d+m;else c+=m+d;if(this.v4c&2)c+=this.v5b("ye",this.v4f,this.v4g,this.data.getFullYear(),false,em);}}if((this.input&3)==3)c+=td+'<img src="'+q29[0].src+'" width='+this.v2e+' height='+this.v2e+'></td>';if(this.input&1)
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this.v65=a[n+13];this.v66=a[n+14];this.v67=(a[n+15]>0);this.v68=(a[n+16]>0);this.v69=a[n+17];this.v6a=a[n+18];this.v6b=a[n+19];this.v24=a[n+20];this.v6c=this.v64.length;this.v6d=this.v6b.length;if(this.v5r){this.v6e=this.v6c;this.v6f=this.v6d;}else{this.v6e=this.v6d;this.v6f=this.v6c;}if(!this.v60)for(var i=0;i<this.v6c;i++)this.v64[i]=q1e[this.v64[i]];if(!this.v67)for(var i=0;i<this.v6d;i++)this.v6b[i]=q1e[this.v6b[i]];this.v6g=-1;this.v6h=-1;this.v52=-1;this.v53=-1;this.checked=new Array(this.v6f);
for(var i=0;i<this.v6f;i++){this.checked[i]=new Array(this.v6e);for(var j=0;j<this.v6e;j++)this.checked[i][j]=false;}this.vt=null;this.v2l=qcm;this.v18=qcn;this.v19=qco;this.vh=qcp;this.vi=qcq;this.v12=qcr;this.v10=qcs;this.v30=qct;this.v33=qcu;this.v34=qcv;this.v32=qd0;this.v35=qd1;this.OnMouseDown=qd2;this.OnMouseMove=qd3;this.OnMouseUp=qd4;this.v59=qd5;this.v6i=qd6;}function qcm(){var p,v6j="";for(var i=0;i<this.v6c;i++){v6j=v6j+'<td width='+this.v5u[i]+' height='+this.v66+' '+q70(this.v62)+' style="background-color: #'+this.v5s+'; color: #'+this.v2c+'; '+q6u(this.v63)+'; background-image: none">';
if(this.v60)v6j=v6j+'<img src="'+q29[parseInt(this.v64[i])].src+'">';else v6j=v6j+this.v64[i];v6j=v6j+'</td>';}p='<td width='+this.v5v+' height='+this.v66+' style="background-color: #'+this.v5s+'; color: #'+this.v2c+'; '+q6u(this.v63)+'; background-image: none">'+'<img src="'+q29[0].src+'" width=1 height=1></td>';if(this.v61)v6j=v6j+p;else v6j=p+v6j;v6j='<tr height='+this.v66+'>'+v6j+'</tr>';var v6k="";for(var i=0;i<this.v6d;i++){p='<td width='+this.v6l+' height='+this.v65[i]+' '+q70(this.v69)+' style="background-color: #'+this.v5s+'; color: #'+this.v2c+'; '+q6u(this.v6a)+'; background-image: none">';
if(this.v67)p=p+'<img src="'+q29[parseInt(this.v6b[i])].src+'">';else p=p+this.v6b[i];p=p+'</td>';var q="",ch;for(var j=0;j<this.v6c;j++){if(this.v5r)ch=this.checked[i][j];else ch=this.checked[j][i];q=q+'<td width='+this.v5u[j]+' height='+this.v65[i]+' valign="center" align="center" style="background-color: #'+this.v5t+'; background-image: none" id="i_'+this.index+'_chbgr_'+i+'_'+j+'">'+'<img src="'+q29[this.v5q+(ch?1:0)+(this.vm?0:2)].src+'" width='+this.v5p+' height='+this.v5p+' class="st_p" '
+'name=i_'+this.index+'_ima';if(this.v5r)q=q+i+'_'+j;else q=q+j+'_'+i;q=q+'></td>';}if(this.v61)q=q+p;else q=p+q;v6k=v6k+'<tr height='+this.v6m+'>'+q+'</tr>';}var c;if(this.v68)c=v6k+v6j;else c=v6j+v6k;c='<table cellspacing=0 cellpadding=0 border=0>'+c+'</table>';this.v2m(c,false);}function qd2(eX,eY,id){if(this.vn||!this.vm)return true;q63(this.index);this.v31(0);if((id.indexOf("i_"+this.index+"_ima"))==0){var s=id.substring(("i_"+this.index+"_ima").length);s=s.split("_");this.v6g=parseInt(s[0]);
this.v6h=parseInt(s[1]);this.v52=eX;this.v53=eY;this.v3k("i_"+this.index+"_ima"+this.v6g+"_"+this.v6h).src=q29[parseInt(this.v5q)+parseInt(this.checked[this.v6g][this.v6h]?1:0)+2].src;q78(this.index);return false;}return true;}function qd3(eX,eY){var pic=parseInt(this.checked[this.v6g][this.v6h]?1:0);if(Math.abs(eX-this.v52)<this.v5p&&Math.abs(eY-this.v53)<this.v5p)pic+=2;this.v3k("i_"+this.index+"_ima"+this.v6g+"_"+this.v6h).src=q29[parseInt(this.v5q)+pic].src;return false;}function qd4(eX,eY){
var q=this.v6g;var a=this.v6h;if(Math.abs(eX-this.v52)<this.v5p&&Math.abs(eY-this.v53)<this.v5p){if(this.v5o){this.checked[q][a]=true;this.vt=a;this.vj|=16384;for(var i=0;i<this.v6e;i++)if(i!=a&&this.checked[q][i]){this.checked[q][i]=false;this.v6i(q,i);}}else{this.checked[q][a]=!this.checked[q][a];if(this.checked[q][a]){this.vt=a;this.vj|=16384;}}this.v31(1);}this.v6i(q,a);q79(this.index);}function qcp(){if(!this.v2a||!this.vm)return true;for(var i=0;i<this.v6f;i++){var v6n=false;for(var j=0;j<this.v6e;j++)
if(this.checked[i][j])v6n=true;if(!v6n)return false;}return true;}function qcq(){var v6o=0;var d=new Array();if(this.v5o){for(var i=0;i<this.v6f;i++)for(var j=0;j<this.v6e;j++)if(this.checked[i][j])d[v6o++]=this.id+"_"+(i+1)+"|"+(j+1);}else{for(var i=0;i<this.v6f;i++)for(var j=0;j<this.v6e;j++)if(this.checked[i][j])d[v6o++]=this.id+"_"+(i+1)+"_"+(j+1)+"|1";}if(v6o>0)return d;else return null;}function qcr(fn,v){if(this.v5o){for(var i=0;i<this.v6f;i++){if(fn==(this.id+"_"+(i+1))){for(var j=0;j<this.v6e;j++)
{this.checked[i][j]=(v==(j+1));if(this.checked[i][j]&&!q39){this.vt=j;this.vj|=16384;}this.v6i(i,j);}this.v31(1);return true;}}}else{for(var i=0;i<this.v6f;i++)for(var j=0;j<this.v6e;j++)if(fn==(this.id+"_"+(i+1)+"_"+(j+1))){this.checked[i][j]=(v=="1");if(this.checked[i][j]&&!q39){this.vt=j;this.vj|=16384;}this.v6i(i,j);this.v31(1);return true;}}return false;}function qcs(){this.v2v();for(var i=0;i<this.v6f;i++)for(var j=0;j<this.v6e;j++)this.checked[i][j]=false;this.vt=null;this.v59();}function qct(id)
{var c=q5s(id);if(c!=null&&c.type==this.type){for(var i=0;i<this.v6f;i++)for(var j=0;j<this.v6e;j++){this.checked[i][j]=false;if(i<c.v6f&&j<c.v6e){this.checked[i][j]=c.checked[i][j];for(var k=0;k<j;k++)if(this.checked[i][k]){this.checked[i][j]=false;break;}}}this.v59();}}function qcn(e){this.vm=e;this.v59();this.vj|=16;}function qco(s){this.vo=s;if(this.v2f){var c=this.v2s(this.v5t);for(var i=0;i<this.v6d;i++)for(var j=0;j<this.v6c;j++)q1u('i_'+this.index+'_chbgr_'+i+'_'+j,c);}this.vj|=64;}function qcu(q,a)
{if(q<1||a<1||q>this.v6f||a>this.v6e)return null;return this.checked[q-1][a-1];}function qcv(q,a,b){if(q<1||a<1||q>this.v6f||a>this.v6e)return;q--;a--;if(this.v5o){if(b){for(var j=0;j<this.v6e;j++){this.checked[q][j]=(a==j);this.v6i(q,j);}this.vt=a;this.vj|=16384;}}else{this.checked[q][a]=b;if(b){this.vt=a;this.vj|=16384;}this.v6i(q,a);}this.v31(1);}function qd0(){return this.vt;}function qd1(){if(this.vt==null)return null;if(this.v5r){if(this.v60)return null;else return this.v64[this.vt];}else{
if(this.v67)return null;else return this.v6b[this.vt];}}function qd5(){if(this.v2f)for(var q=0;q<this.v6f;q++)for(var a=0;a<this.v6e;a++)this.v3k("i_"+this.index+"_ima"+q+"_"+a).src=q29[parseInt(this.v5q)+(this.checked[q][a]?1:0)+(this.vm?0:2)].src;}function qd6(q,a){if(this.v2f)this.v3k("i_"+this.index+"_ima"+q+"_"+a).src=q29[parseInt(this.v5q)+(this.checked[q][a]?1:0)+(this.vm?0:2)].src;}function q7q(index,a){var n=q83(this,index,a);this.v6p=(a[n]>0);this.vr=(this.v6p)?a[n+1]:q1e[a[n+1]];this.action=a[n+2];
this.v6q=a[n+3];this.v24=a[n+4];this.v2l=qd7;this.v17=qd8;this.v19=qd9;this.v18=qda;this.OnFocus=qdb;if(this.v6p)this.OnMouseDown=qdc;else this.OnChange=qdc;}function qd7(){var h;if(this.v6p)h='<img src="'+q29[this.vr].src+'" width='+this.v2d+' height='+this.v2e+' name="i_'+this.index+'_pc" galleryimg=no class=st_p>';else h='<input type="button" tabindex='+this.tab+' width='+q2e(this.v2d)+' height='+q2d(this.v2e)+' value="'+this.vr+'"'+q6v(this.vm)+' style="width: '+q2e(this.v2d)+'px; height: '+q2d(this.v2e)+'px; background-color: #'+this.v2s(this.vl)+'; color: #'+this.v2c+'; '+q6u(this.font)+'" onclick="return q_OnChange(event, '+this.index+');" onfocus="q_OnFocus(event, '+this.index+');">';
this.v2m(h,true);}function qd8(c){this.vl=c;if(this.v2f){this.v3i(this.v2s(c));if(!this.v6p)this.v3j(0,this.v2s(c));}this.vj|=8;}function qd9(r){this.vo=r;if(this.v2f){this.v3i(this.v2s(this.v2s(this.vl)));if(!this.v6p)this.v3j(0,this.v2s(this.vl));}this.vj|=64;}function qda(r){this.vm=r;if(this.v2f&&!this.v6p)this.v3a(0).disabled=!r;this.vj|=16;}function qdc(t){if(!this.vm)return;this.v31(1);switch(this.action){case 1:if(!this.vn)q5c();break;case 2:if(!this.vn)q5m();break;case 3:q5u(this.v6q);break;
case 4:if(this.v6q=="")q54();else q56(this.v6q);break;case 5:q55();break;case 7:q5t();break;case 8:q54();break;case 9:q53();break;}return true;}function qdb(){this.v31(0);}q4g();