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Home Purchase Plan
(Sharia Mortgage)
Basic Referral Form

For your client to benefit from specialist advice from a vetted Sharia Mortgage expert, submit the relevant details in the form below and a Sharia Mortgage specialist familiar to Brilliant Solutions will pick up your referral.

Data is not saved or sent until you submit the form on the last page.

PLEASE COMPLETE AS MUCH INFORMATION AS POSSIBLE. 

Contact Details (Mortgage Professionals Only)

Case Overview

Details of the nature of the transaction

  • About You
  • Transaction

a) Your Details

Full Name of Broker

Brokerage

FCA Number

Your Telephone

Your Email Address

b) Applicant Contact Details

Primary Applicant's Full Name

Applicant's Phone Number

Applicant's Email Address

Best Time to Contact Client

Further Details

Data Sharing In submitting this form you are agreeing that you have permission to share the information in the form with a third-party adviser for these purposes and that the client has consented to receive a call from the allocated adviser. This is in addition to our Data Notice. This 3rd party adviser will be a specialist in this area but will not be part of Brilliant Group. Commission You will receive 25% of the Proc Fee and Client Fee (typically 0.50% and £1,495 respectively). This will be paid to you by Brilliant Solutions but neither Brilliant Solutions nor Brilliant Money is providing this advice service.

Any further details on the above referral?

Data Sharing
In submitting this form you are agreeing that you have permission to share the information in the form with a third-party adviser for these purposes and that the client has consented to receive a call from the allocated adviser. This is in addition to our Data Notice.

Commission
You will receive 25% of the Proc Fee and Client Fee (typically 0.50% and £1,495 respectively). This will be paid to you by Brilliant Solutions but neither Brilliant Solutions nor Brilliant Money is providing this advice service.

Do not send data that breaches GDPR rules without encryption. Data you send, including your own, will be transmitted using email. You agree to this in submitting the form. ​

Contact our team for more information

Contact us on 01792 277555 and speak to our team.
Or simply complete the form below and we'll contact you with more information.





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    If you have any questions just give us as call on 01792 277555 and speak to our team.

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