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 West Norwich 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.  

PERSONAL DETAILS

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

YOUR INCOME

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

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

  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.  

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.