NFCU | Credit Union Members Loan Application

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PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member
you should contact our Administration Office on 01603 501301 or visit our website at Norfolk First Credit Union

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.

Loan details

How much are you looking to borrow? *

Term of credit (in months) *

Repayment Frequency *

What is the loan for? *

Personal details

Membership Number

Title *

First Name *

Surname *

Date of Birth *

National Insurance Number *

Address details

Postcode *

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

House Number or Name

Previous Address Postcode

Contact phone number (a mobile number if possible) *

Home Telephone No

Email *

about your home

How many people 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

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

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 *

Employer's 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, etc *

declaration

DECLARATION

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

You can call our Administration Office on 01603 501301 for a copy.

By confirming your agreement to proceed you are accepting that we may each use your information in this way.

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.

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