Moneywise | moneywise Membership Application Form

Title *

First Names *

Surname *

Gender

Date of Birth *

Contact phone number (a mobile number if possible) *

Email *

National Insurance Number *

Please confirm how you meet qualification for membership of Moneywise *

Postcode *

Company (if applicable)

Address Line 1 *

Address line 2

Address Line 3

Town

County

Country *

How long have you lived at your current address? (enter number of full years) *

If you have lived at your current address for less than 3 years, please provide details below

Previous address house number or name

Previous address postcode

Previous address 3

Postcode

Please provide details of your employer. If your employer is not on the list below select OTHER and then provide your employers name

If you are unemployed, please provide details of the main benefit you receive

What is your employment status?: *

Employer *

Employer (If you selected OTHER above or main benefit) *

Occupation/Job Title or main benefit if unemployed *

Department

Payroll Number

Based At

Employer Address

Postcode

Telephone (work)

When joining the credit union we ask you to commit to a regular savings amount. This amount can be as little or as much as you like. All we ask is you save regularly.

Please complete this next section considering how much you would like to save and how often. Do not worry, you can always change the amount at anytime by just letting us know.

Regular Savings Amount *

Regular Savings Frequency *

Regular Payment Method *

How would you best describe your household income status? *

When taking requests for new membership we are required to undertake identification checks on all applicants. We do this by using Credit Reference Agencies or asking you to provide supporting documentation. To assist the process please provide your bank account number and sort code. This should be the account you wish to be used for payments to and from the Credit Union.

Proving your identity is simple; we use Credit Reference Agencies online Identification & Verification Services, if it is not possible to verify you in this way we can take copies of original documents, we will advise you if this is the case.

This does not affect your credit rating and is used solely for identification and verification purposes.

Bank sort code *

Bank account number *

Please provide details of a beneficiary. A beneficiary is someone that would inherit your savings with the credit union in the unfortunate event of your death.

Beneficiary Title

Beneficiary First Name

Surname

Beneficiary Address Line 1

Beneficiary Postcode

I hereby apply for membership and agree to abide by the rules of moneywise credit union ltd.

I authorise moneywise to share information as detailed in the moneywise privacy notice.

This includes authorising payroll deduction amounts on my behalf if I have indicated to make deposits into my account by this method.

Important Your Personal Information: Credit decisions and also the prevention of fraud and money laundering.

We may use credit reference and fraud prevention agencies to help us make decisions.

What we do and how both we and credit reference and fraud prevention agencies will use your information is detailed in
A Guide to the use of your personal information by ourselves and at Credit Reference and Fraud Prevention Agencies.

I accept the use of Credit Reference Agencies and declare that the information given by me on this form is true and correct, to the best of my belief. *

I consent to Moneywise Credit Union holding my personal data for the purpose of this application *

I am interested in finding out more about (please tick as applicable)

Credit Union deductions direct from my salary
Borrowing from the credit union
Saving with the credit union
Volunteering with the credit union

Equality and Diversity Monitoring (voluntary declaration)

I confirm I have read the FSCS information and understand how my deposits are protected. *

PLEASE NOTE:
When we confirm your membership , if you are employed by one of our Payroll Deduction Partners we will establish your regular deduction. If you are not saving via payroll deduction we will set up a monthly Direct Debit using the details you have provided on this form.

Please provide the date for your first payment *

Please tell us how you found out about Moneywise *

At Moneywise we never sell your data to third parties. We only share your data under agreements with third parties that provide services to Moneywise in supporting your account. Our privacy policy provides details of how we use your data.

Please tell us your communication preferences.

We may wish to send you details of offers exclusively for Moneywise members. Please indicate your preference below

Accept marketing information from Moneywise *

At times we may need to contact you about your account, how would you prefer we contact you? Please provide your consent by ticking the boxes below. (you must choose at least one)

Please tick all that apply *

Email
Post
SMS
Telephone

Which is your preferred method for communications? *

How often would you like a statement of your account? *

How would you like to receive your statement? *

You can view your balances and make transfers between your account and/or to your personal bank account.

Would you like to use our online access? *

Finally, before you finish, if you have a promotional code please enter it here

When you click the Apply button below, you will be provided with a summary of the options you have selected on the next page. You will be then be able to confirm your application.