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Introduction

PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member
you should contact our Administration Office on 01 7066 01809 or visit our website at BACUP Credit Union Ltd

Please fully complete the form below.

Our loans are only available to individuals who LIVE OR WORK in our common bond with the following postcodes [OL10,OL11,OL12,OL13,OL14,OL16.BB4,BL0, BL9] or you are a member of THE EAST LANCS RAILWAY PRESERVATION SOCIETY.

Please select an option from the list 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 (MM/DD/YY) *

Contact phone number (a mobile number if possible) *

National Insurance Number *

Email *

Address details

Postcode *

Company (If necessary)

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

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

YOUR INCOME

Please tell us your 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 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 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.

Total of all current debts (excluding mortgages) *

Monthly payments for existing loans, HP agreements, etc *

DECLARATION

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

or you can call our Administration Office on 01 7066 01809 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.

  I consent to my personal data being held by BACUP Credit Union Ltd for the purposes of this application and my membership with the credit union. *

Please provide a copy of your latest bank statement. This should be a photograph in jpg or jpeg format or pdf
Uploaded article_form_user_42

Please use this if you need to upload an additional page of your latest bank statement. This should be a photograph in jpg or jpeg format or pdf
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Please use this if you need to upload an additional page of your latest bank statement. This should be a photograph in jpg or jpeg format or pdf
Uploaded article_form_user_51

Please use this if you need to upload an additional page of your latest bank statement. This should be a photograph in jpg or jpeg format or pdf
Uploaded article_form_user_52

Please use this if you need to upload an additional page of your latest bank statement. This should be a photograph in jpg or jpeg format or pdf
Uploaded article_form_user_53

If your loan application is approved, how would you like to receive the funds? *

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

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