This form should only be used if there are no material changes to the finance, e.g. increase in finance, increase in term, change in applicants, change in repayment method or change in product type.

Customer Details

If no, you will need to obtain written consent from all applicants to act on their behalf (emails will suffice), prior to completing and submitting this form.

If yes, please upload confirmation from your customer confirming you have consent to act on their behalf (emails will suffice). Where there is more than one applicant, unless individual consent is received, an applicant may provide consent on behalf of the other applicants, provided they state they have received permission from the other applicants to act on their behalf. (File types accepted - PDF and image files only e.g. JPEG, PNG):

Broker Details

If no, please register first using the link here. You will not be able to submit this form until you are registered on our panel.

Product details

If your client wants to make an Additional Acquisition Payment (AAP), this needs to be completed before a KFI can be produced. Please ask your client to contact our Customer Service team on 0800 0353 253 (International: +44 20 7070 6960. Please be aware this payment must be made from a UK bank account.

The Key Facts Illustration (KFI) will reflect the anticipated account balance at the end of the current fixed-term product (or the latest balance if the account is currently on a variable rate).

Your customer can switch up to 3 months prior to the current fixed-term end date without incurring early redemption charges. The new fixed-term start date can be requested at point of product switch application with our Customer Services team.

This form should only be used if there are no material changes to the finance, e.g. increase in finance, increase in term, change in applicants, change in repayment method or change in product type

The information you provide will only be used for the purpose of contacting the customer to discuss their interest in our products/services as indicated on the form. Gatehouse Bank plc will not keep this information, unless the customer undertakes our services.