Moneywise | Welcome to the moneywise pay day loan application form

Ended on 18th August 2020

Our pay day loan provides access to up to £300 repayable within two months. The loan is designed for those unexpected problems that cannot wait for pay day. We assess our loans on your credit history, disposable income and employment status. As responsible lenders we will not offer credit if we believe you cannot afford the repayments.

Please 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.

What is the amount of credit? *

Term of credit in months *

Purpose of the loan *

PERSONAL DETAILS

Title *

Gender

First Names *

Surname *

Date of Birth *

National Insurance Number *

Contact phone number (a mobile number if possible) *

E-mail address *

Address Line 1 *

Address Line 2

Address Line 3

Post Code *

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

Previous Address 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

Please tell us about all income into your household.

Total household monthly income *

Please tell us about your main source of income

Please provide your employers name and address

Name of employer *

Employers address *

I confirm that I am in a permanent contract and not under notice of redundancy or termination of employment.

Please provide the total of all outstanding debts (excluding mortgage) *

Please provide the total monthly spend on outstanding debts (excluding mortgage) *

Please detail any County court Judgments you have

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
A copy can be provide 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 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 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 apply for membership of moneywise credit union and agree to abide by the rules of moneywise credit union ltd

We may wish to pass on your details to third parties purely for the benefit of Moneywise members.

If you do not wish to have your details passed in this way please tick the box

New membership applications require us to confirm who you are and where you live.

Proving your identity is simple; if we cannot take copies of proof we use Credit Reference Agencies Service. This does not effect your credit rating and is used soley for verification purposes.

We may ask for further evidence of identity. If this is the case we will contact you

Equality and Diversity Monitoring (voluntary declaration)

Important:
Ended on 18th August 2020

When you click the Apply button below, you will be provided with a summary of the options you have selected on the next page. You will be then be able to confirm your application.