First Borrower		Second Borrower
Mr Mrs Ms Sir Lord Lady Prof Dr Honourable Other not listed Please choose	Title	Mr Mrs Ms Sir Lord Lady Prof Dr Honourable Other not listed Please choose
	First name
	Last name
	Date of Birth
	House Name
	House Number
	Street
	Town
	Postcode
Please choose United Kingdom Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland France, Metropolitan France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand (Aotearoa) Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda S. Georgia and S. Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands United States Uruguay USSR (former) Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Yugoslavia (former) Zaire (former) Zambia Zimbabwe Not listed	Country	Please choose United Kingdom Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland France, Metropolitan France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand (Aotearoa) Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda S. Georgia and S. Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands United States Uruguay USSR (former) Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Yugoslavia (former) Zaire (former) Zambia Zimbabwe Not listed
	Address since
	Telephone (business)
	Telephone (Home)
	Mobile phone
	Email
Please choose Married Civil Partnership Single Widowed Divorced	Marital Status	Please choose Married Civil Partnership Single Widowed Divorced
	Employer
	Since
	Position
GBP USD AUD NZD EUR AED HKD KWD MTL QAR SAR SGD ZAR AFN ALL AMD ANG AOA ARS AWG AZN BAM BBD BDT BGN BHD BIF BMD BND BOB BRL BSD BTN BWP BYR BZD CAD CDF CHF CLP CNY COP CRC CUP CVE CYP CZK DJF DKK DOP DZD EEK EGP ERN ETB FJD FKP GEL GGP GHS GIP GMD GNF GTQ GYD HNL HRK HTG HUF IDR ILS IMP INR IQD IRR ISK JEP JMD JOD JPY KES KGS KHR KMF KPW KRW KYD KZT LAK LBP LKR LRD LSL LTL LVL LYD MAD MDL MGA MKD MMK MNT MOP MRO MUR MVR MWK MXN MYR MZN NAD NGN NIO NOK NPR OMR PAB PEN PGK PHP PKR PLN PYG RON RSD RUB RWF SBD SCR SDG SEK SHP SLL SOS SPL SRD STD SVC SYP SZL THB TJS TMM TND TOP TRY TTD TVD TWD TZS UAH UGX USD UYU UZS VEB VEF VND VUV WST XAF XAG XAU XCD XDR XOF XPD XPF XPT YER ZMK ZWD Not Listed	Gross Monthly Income	GBP USD AUD NZD EUR AED HKD KWD MTL QAR SAR SGD ZAR AFN ALL AMD ANG AOA ARS AWG AZN BAM BBD BDT BGN BHD BIF BMD BND BOB BRL BSD BTN BWP BYR BZD CAD CDF CHF CLP CNY COP CRC CUP CVE CYP CZK DJF DKK DOP DZD EEK EGP ERN ETB FJD FKP GEL GGP GHS GIP GMD GNF GTQ GYD HNL HRK HTG HUF IDR ILS IMP INR IQD IRR ISK JEP JMD JOD JPY KES KGS KHR KMF KPW KRW KYD KZT LAK LBP LKR LRD LSL LTL LVL LYD MAD MDL MGA MKD MMK MNT MOP MRO MUR MVR MWK MXN MYR MZN NAD NGN NIO NOK NPR OMR PAB PEN PGK PHP PKR PLN PYG RON RSD RUB RWF SBD SCR SDG SEK SHP SLL SOS SPL SRD STD SVC SYP SZL THB TJS TMM TND TOP TRY TTD TVD TWD TZS UAH UGX USD UYU UZS VEB VEF VND VUV WST XAF XAG XAU XCD XDR XOF XPD XPF XPT YER ZMK ZWD Not Listed
GBP USD AUD NZD EUR AED HKD KWD MTL QAR SAR SGD ZAR AFN ALL AMD ANG AOA ARS AWG AZN BAM BBD BDT BGN BHD BIF BMD BND BOB BRL BSD BTN BWP BYR BZD CAD CDF CHF CLP CNY COP CRC CUP CVE CYP CZK DJF DKK DOP DZD EEK EGP ERN ETB FJD FKP GEL GGP GHS GIP GMD GNF GTQ GYD HNL HRK HTG HUF IDR ILS IMP INR IQD IRR ISK JEP JMD JOD JPY KES KGS KHR KMF KPW KRW KYD KZT LAK LBP LKR LRD LSL LTL LVL LYD MAD MDL MGA MKD MMK MNT MOP MRO MUR MVR MWK MXN MYR MZN NAD NGN NIO NOK NPR OMR PAB PEN PGK PHP PKR PLN PYG RON RSD RUB RWF SBD SCR SDG SEK SHP SLL SOS SPL SRD STD SVC SYP SZL THB TJS TMM TND TOP TRY TTD TVD TWD TZS UAH UGX USD UYU UZS VEB VEF VND VUV WST XAF XAG XAU XCD XDR XOF XPD XPF XPT YER ZMK ZWD Not Listed	Existing Monthly Mortgage / Loan Repayments	GBP USD AUD NZD EUR AED HKD KWD MTL QAR SAR SGD ZAR AFN ALL AMD ANG AOA ARS AWG AZN BAM BBD BDT BGN BHD BIF BMD BND BOB BRL BSD BTN BWP BYR BZD CAD CDF CHF CLP CNY COP CRC CUP CVE CYP CZK DJF DKK DOP DZD EEK EGP ERN ETB FJD FKP GEL GGP GHS GIP GMD GNF GTQ GYD HNL HRK HTG HUF IDR ILS IMP INR IQD IRR ISK JEP JMD JOD JPY KES KGS KHR KMF KPW KRW KYD KZT LAK LBP LKR LRD LSL LTL LVL LYD MAD MDL MGA MKD MMK MNT MOP MRO MUR MVR MWK MXN MYR MZN NAD NGN NIO NOK NPR OMR PAB PEN PGK PHP PKR PLN PYG RON RSD RUB RWF SBD SCR SDG SEK SHP SLL SOS SPL SRD STD SVC SYP SZL THB TJS TMM TND TOP TRY TTD TVD TWD TZS UAH UGX USD UYU UZS VEB VEF VND VUV WST XAF XAG XAU XCD XDR XOF XPD XPF XPT YER ZMK ZWD Not Listed
Loan Required		€
Term Required
Purchase Price Excl. Fees		€
Purpose of Loan		Please choose Principal Residence Secondary Residence Buy-to-Let Home Construction Other
Stage in purchase		Please choose Looking to buy Found house Compromis signed Refinancing Equity release
Have you already contacted a Broker/Lender?		Please choose Neither Lenders Brokers Both
You will need to have a French bank account in order to take a French mortgage. Would you like us to send you the forms to enable you to open a French bank account with HSBC International or Barclays France?		HSBC International Barclays France No Thanks
You can typically save over 4% by purchasing Euros at wholesale rates with no transfer fees and no commission charges. Would you like us to send you the forms to enable you to open a wholesale no fees foreign currency account with First Rate FX?		Yes please No thanks
Please add any other information you consider relevant below

Security code
 

Please type the characters you see in the security image into the box

Click here for a new image

or

Notes

1. Data you provide will be held by Best French Mortgage under the terms of the UK Data Protection Act.
2. The competent legal jurisdiction for our data is the UK.
3. If you believe there is an error in the data we hold please contact us and we will ensure the data is corrected or deleted as appropriate.
4. Mortgage advice offered as a result of your enquiry will be given by our broker partners who are regulated under the terms of the relevant English, French and European legislation and are solely responsible for the advice you receive.
5. Best French Mortgage.com do not carry out credit checking or automated credit checking on clients submitting application forms, however the lender may perform such a check before issuing the final mortgage offer.