The information that you provide on this proposal form will be forwarded to one or more financial institutions, being members of the Irish Finance Houses Association, and will be used by them for the purposes of assessing the suitability for you of their finance products, potentially offering you a product or a quote. As part of this process, credit searches will be made with one or more credit reference agencies, including the Irish Credit Bureau (ICB), which will make a record of the search. Details of any agreement you enter into, and your conduct of that agreement, may be shared with the credit reference agencies, ICB and their members. Searches may also be carried out to verify your identity, and you may be contacted directly (including by telephone) for the purposes of verifying the information on this form. Credit scoring and other automated decision-making process may be used.

Where this application has been completed by a motor dealer or third party on behalf of the applicant for finance, the supplier or third party, by submitting this form, is certifying that:
all information provided on this form is complete and accurate and has been provided to it and confirmed by the applicant for finance;
- it has informed the applicant of, and obtained the applicants consent to, the disclosure of the applicants information to one or more financial institutions, as set out above, and for the purposes set out above, including making direct contact with the applicant; and
- it has been authorise to complete and submit this application form on the applicants behalf and as the applicants agent.

N.B. the applicant will be required to provide the financial institution with evidence of identity and current permanent address in compliance with the provisions of the Criminal Justice Act, (Money Laundering and Terrorist Financing) 2010

By signing this proposal form, I certify that all information provided on this form is complete and accurate, and I consent to the use and disclosure of this information for the purposes set out above. I acknowledge that the recipients of this information are authorized to contact me and to disclose any material mis-statements of fact on this proposal to their members and other relevant bodies. Where the applicant is a limited company or a partnership, I/we confirm that its directors/partners identified above have given their consent to a credit search being made as detailed above.