Moneywise | Members Loan Application

PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member please use this link for our new member loan application form.

Please fully complete the form below.

In making this application, I confirm I am not a bankrupt, involved in an Individual Voluntary Arrangement, Debt Relief Order or in agreements with creditors for reduced payments or have plans to be.

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First Name *

Surname *

Date of Birth *

Contact number. (a mobile if possible) *

E-mail *

National Insurance Number *

How much are you looking to borrow? *

Term of credit (in months) *

Repayment frequency *

What is the loan for? *

During our assessment we may need to offer a reduced loan value. This maybe as a result of your credit score or credit history. Please tick the box if you are willing to accept a reduced offer

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

1st line of address

Postcode

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 *

Please tell us your HOUSEHOLD income; include any benefits and pensions you receive as well as well as salary from employment.

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

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?: *

Tick this box if you receive Child Benefit

Employer *

Employer (If you selected OTHER above or main benefit)

Occupation

Department

Employer Address

Based At

Employer Postcode

Payroll number

Employer Phone

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.

Total of all current debts (excluding mortgages)

Monthly payments for existing loans, HP agreements, etc

If your loan is approved the funds are transferred to your nominated bank. Please provide your bank account and sort code that you wish the funds to be transferred to. Please note: we can only transfer funds to a bank account we have previously verified with you. If you are providing a different bank account we will need to verify the account first.

If we are collecting your repayments by Direct Debit we shall use these details to establish the Direct Debit Mandate.

Bank account sort code (112233)

Bank account number

Important Your Personal Information: General Data Protection Regulations, credit decisions and the prevention of fraud and money laundering.

We may use credit reference and fraud prevention agencies to help us make decisions, this is sometimes an automated decision, if you are unhappy with the decision it can be reviewed by a staff member. 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
A copy can be provided by calling our Head Office on 0191 276 7963

Moneywise recognises individual concerns about how your personal or financial information is dealt with by us. Our privacy notice sets out how we deal with this information and how and when it may be shared with others

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 loan application *

If you have a promotional code please enter it here

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

If you want to manage your account online please tick here

How do you wish to receive marketing information detailing exclusive offers from Moneywise?

Email
Text
Telephone Call
Post

Please upload a payslip as proof of income or a benefit letter if in receipt of benefit *

Please provide three months of bank statements in jpeg or pdf format

Other supporting evidence