SueClydesdale Registration Form

SueClydesdale Registration Form

Thank you for signing the RGL Litigation Management Agreement (LMA).

Please check the information shown below, which has been passed to us by All Square, and insert anything that is missing, or amend if any details are incorrect. Then press the Submit button when you have finished.

It is essential that we have this information as soon as possible, to enable the legal team to decide how best to progress your potential claim. We cannot progress without your responses.

AllSquare Registration – No loan documents

Title * Mr Mrs Miss Ms Dr Other Title

First Name *

Last Name *

Your date of birth

D.O.B. - Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

D.O.B. - Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

D.O.B. - Year 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909

Email *

Enter Email

Confirm Email *

Confirm Email

Daytime telephone (no spaces) *

Mobile number (no spaces)

Your postal address for correspondence *

Name of the claimant/business *

Business address *

Legal form of the business * Sole Trader Partnership Private Limited Company Public Limited Company Unincorporated Association

What is the current status of the business * Trading under same ownership Trading under new ownership Trading in administration or receivership In liquidation Dissolved (struck off) Other What is the current status of the business

If it was a limited company please enter the registration number

What is/was your relationship with the business? * Director and shareholder Shareholder Director Advisor Partner Other What is/was your relationship with the business?

The bank of the claimant/business * Clydesdale Bank Yorkshire Bank Other (please specify) The bank of the claimant/business

Please enter the town or city of your bank branch

What type of borrowing did/does the business have, which is the cause of your complaint? Please select one. *

Fixed Interest Rate, or Structured Rate ‘Tailored Business Loan’ (TBL)
(a Structured Rate Loan carries a variable rate of interest, within a pre-defined range)

Not a TBL, but another type of Fixed Interest Rate Business Loan

Variable Interest Rate Business Loan (including Variable Rate TBLs)

Overdraft

Some other form of business loan (please specify)

Please specify other form of business loan *

Approximate peak total value of all of the TBLs and Fixed Interest Rate loans?

Please enter the value as a number e.g. 100000

Approximate value of any break cost paid?

Please enter the value as a number e.g. 100000

Approximate value of any break cost quoted?

Please enter the value as a number e.g. 75000

How did you hear about RGL? * All Square A All Square B All Square C All Square D All Square E All Square F All Square G Google Someone already registered with sueClydesdale.com Colleague Friend Email SME Alliance TV Coverage Press Advert Press Coverage Other How did you hear about RGL?

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agree to privacy policy *

I hereby agree and consent to the RGL privacy policy *

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