Manx Credit Union | Members Loan Application

PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member
you should contact our office 619459 or view our website Manx Credit Union

  In making this application I confirm that I am not in arrears or entered into an arrangement for reduced payments with any other loan provider. *
If you have not ticked the above box this does not mean a loan won't be considered. Please call us on 619459 to arrange for an interview.

If you are undecided as to which loan product is best for you, please have a look at the options on our - website Loans Page Alternatively select "Undecided" in the section below and continue filling in the form. You can then discuss your options with a member of our staff before you sign an agreement.

Please fully complete the form below.

about the loan

Please select which loan product you are applying for

How much are you looking to borrow? *

Term of credit (in months) *

What is the loan for? *

personal details

Membership Number
If you can't remember your membership number or have not yet been allocated one, please telephone our office 619459 or email info@mcu.im

Title *

First Name *

Surname *

Previous surnames (if any)

Date of Birth *

National Insurance Number *

Contact phone number (a mobile number if possible) *

Email *

address details

Postcode *

Company (If applicable)

Address Line 1 *

Address Line 2

line3

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

House Number or Name

Previous Address Postcode

about you

How many individuals aged 14 years and over live in your house? (Please include yourself) *

How many children aged under 14 years live in your house? *

What is your marital status? *

Please tell us about your home *

your income

Monthly total of all wages after tax and any other income *

Please tell us about your main source of income

If you are employed, please provide your employers name and address

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

Name of employer or main benefit *

Employers name and address (if you are unemployed enter N/A) *

  Where i have indicated I am employed, I confirm that I am in a permanent contract and not under notice of redundancy or termination of employment.

your expenditure

Total of all current debts (excluding mortgages)

Monthly payments for existing loans, HP agreements, catalogues etc

DECLARATION

  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 my personal data being held by Manx Credit Union Ltd for the purposes of this application and my membership with the credit union *

To complete your application please ensure your Email address is correct and then select Apply below.