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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 01782 615220 or visit our website at Flamesavers Credit Union Ltd

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.

About the loan

Loans are available up to a COMBINED TOTAL OF £20,000

How much are you looking to borrow? *

How long do you want the loan over (months) *

Repayment Frequency

If you have used our calculator to determine the monthly repayment enter it below

How much would you like to pay each month?

What is the loan for? *

PERSONAL DETAILS

Membership Number

Title *

First Name *

Surname *

Date of Birth *

Contact phone number (a mobile number if possible) *

Email (Please provide a personal email where possible) *

National Insurance Number *

What is your marital status? *

Address details

Postcode *

Address Line 1 *

Address Line 2

Address Line 3

Town

County

Country

Company (if applicable)

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

Please tell us about your home *

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 income after tax *

Please tell us about your main source of income. If you are employed by another employer other than the fire service, please provide your other employers name and address. If you are retired and in receipt of a pension plese provide details below.

Name of employer or Pension provider *

Employers or pension providers address *

  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 *

Bank details

Please provide your bank account details. These will be used to transfer your loan funds to if your application is successful.

Account holder name eg..Mr J Smith *

Bank sort code (112233) *

Bank account number *

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.

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

  I declare that the information given by me on this form is true and correct, to the best of my belief. I accept the use of a Credit Reference Agency should this be required. *

  I consent to my personal data being held by Flamesavers Credit Union Ltd for the purposes of this application. *

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