Intermediaries Registration

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Information marked* is required

Your Details	Company/Work Details	Important Information

If you are an individual that wants to be kept up to date with product/ policy information and do not need access to our Application system, please phone the Intermediary Business Centre to provide us with required data for us to communicate with you

The Barclays Group uses and retains details you give about yourself, to manage your registration and Broker / Intermediary relationship with us, for research or analysis and to prevent fraud. These details will be shared with others including fraud prevention agencies for these purposes. For further detail regarding how we will use and share your information, please refer to the Intermediary Applications Terms and Conditions

Your Detail

Is this a New Registration request or a request to Change Existing Data?*

Multiple Companies – If you are completing this form because you are working for multiple companies at the same time, please submit this form and then phone the Intermediary Business Centre to advise us of this submission. Otherwise we will assume this form is a change of company request and treat it as such

If previously registered with Barclays, enter your current Broker Reference if known

Personal Details

Title*

Legal First name*

Preferred Name

Middle Name

Legal Surname*

Gender*

MaleFemale

Date of Birth*

Role*

BrokerAdministrator

Your contact details

Please provide at least one contact phone number*

Contact Landline No.

Contact Mobile No.

Fax

E-mail*

Personal address details

Please provide a full 6 year address history (most recent first) *


Country*

Post Code*

Building Name/No.*
	Address search

First Line of Address*
Second Line of Address

Town*

Date Moved In (month/ year)*
	Date Moved Out cannot before the Date Moved In
Date Moved Out (month/ year)*
If you have not lived at this address for longer than 6 years, please select Add New Address and provide additional addresses
		Add

As part of our on-going fight against mortgage fraud, we'll use your personal information to make checks with fraud-prevention agencies to ensure you have not previously been reported as having involvement in fraudulent activity.

Our organisation may share the information you provide with these agencies. If false or inaccurate information is provided within the panel application, and suspected fraud is identified, we will notify the agencies accordingly. This will also be the case if you are suspected of knowingly submitting fraudulent mortgage applications during your relationship with us. Our organisation and others may also access and use any of this information to prevent fraud.

Please contact us on 0800 400 100 if you want details of the fraud-prevention agencies from whom we obtain and with whom we record information about you. You have a legal right to these details.

By continuing with your registration you are providing your agreement to these checks being undertaken.

THIS SITE IS FOR INTERMEDIARIES USE ONLY AND IS NOT APPROVED FOR USE AS A CUSTOMER ADVERT. ANYONE WHO ISN'T AN INTERMEDIARY SHOULD NOT RELY ON THIS CONTENT.

Barclays Bank UK PLC. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (Financial Services Register number: 759676). Registered in England. Registered number: 9740322. Registered office: 1 Churchill Place, London E14 5HP.

Barclays Bank UK PLC. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (Financial Services Register number: 759676). Buy to Let is not regulated by the Financial Conduct Authority or the Prudential Regulation Authority. Registered in England. Registered number: 9740322. Registered office: 1 Churchill Place, London E14 5HP.

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