PLEASE NOTE: This is a 'MEMBERS ONLY' application form. If you are not a member
you should contact our Administration Office by emailing creditunion@norwich.gov.uk or visit our website at Wherry Dragon Credit Union Limited

Please fully complete the form below. All fields marked with an asterisk * are required.

  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.  

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

 Income Support
 Carers Allowance
 Child Tax Credits
Bank details

Please provide you bank details. These will be used to transfer loan funds to


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 email our Administration Office on creditunion@norwich.gov.uk for a copy.

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

  I authorise the Credit Union to contact any third party it deems necessary, including but not limited to, employers or credit reference agencies for reports or information. * 
  I consent to my personal data being held by Wherry Dragon Credit Union Limited for the purposes of this application and my membership with the credit union. * 
  I declare that the information I have given is to the best of my knowledge and belief true, accurate and full. * 
  I agree that if I default on repayments, information about my loan may be passed on to the Department for Work and Pensions for their consideration of deductions from the benefits that I am or will become entitled to. * 

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