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Membership Number
Membership No
Name
Full Name
Date of Birth
National Insurance No.
National Insurance Number
Please confirm last 4 digits of your nominated bank account (this is your 8 digit account number and not the long card number)
?
We check these against records we hold for you to ensure funds are only transfered to your bank account.
If you need to update your bank details before making this request, please contact us
Address
Postcode
Phone Number
Contact Tel No.
Email Address
No of children
Number of Children under 16
Youngest DOB
Youngest Childs Date of Birth
Amount
Top up Amount
Purpose of Loan
Purpose for loan
Employment Status
Current Employment Status
- Select -
Employed Full Time
Employed Part Time
Unemployed
Self Employed
Retired
Student
Employer Details
If employed full or part time, please provide details of your employer including telephone number:
Income or Expenditure Changed
Has your income and expenditure has changed recently, since your last application or is it expected to in the near future
?
- Select -
Yes
No
New Income Expenditure
If yes, please provide details
Insolvency
Are you presently entering, or do you have a current Debt Relief Order, Individual Voluntary Arrangement or Debt Management Plan?
- Select -
Yes
No
Additional Information
Please use this section to provide any further details regarding your application for a ‘Top Up Loan’
Declaration
Declaration - Important Please Read in Full
The information I have given is true and accurate, and I will notify West Cheshire Credit Union if any of the
information changes before my loan is assessed for affordability.
I agree to any appropriate credit checks and information vetting being undertaken to assist the West Cheshire Credit Union reach an informed decision regarding this application and understand that this may include employment checks and searches of credit reference agencies.
I declare I am in good health, and I know of no good reason why I would be unable to carry out my usual work or why my benefits or other income may change during the term of the loan.
I understand that I have a responsibility to make all my loan repayments on time and in full and I promise to do so.
I understand that the savings in my share account(s) can be used to pay my loan if I miss a payment.
I am aware that if I fail to meet continual repayments on my loan my details will be used for recovery purposes, which may also involve being passed to the Department of Work and Pensions for reasons to recover outstanding sums via the Eligible Loan Deduction Scheme (money deducted from your benefits)
I confirm that West Cheshire Credit Union can use all the information in this application in the running of my credit union account(s) together with any other checks (including checking with licensed credit reference agencies) for assessing my application to avoid fraud and to recover any outstanding debts.
- Select -
I Agree
I Disagree
I confirm that I have read and agree to West Cheshire Credit Union's
privacy policy