Moneywise | Sunderland Affordable Credit Membership Application Form

Title *

First Names *

Surname *

Gender

Date of Birth *

Contact phone number (a mobile number if possible) *

Email *

National Insurance Number *

Postcode *

Important:
Ended on 24th July 2021

Company (if applicable)

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

Previous address house number or name

Previous address postcode

Occupation/Job Title

Employer

Department

Payroll Number

Based At

Employer Address

Postcode

Telephone (work)

When joining the credit union we ask you to commit to a regular savings amount. This amount can be as little or as much as you like. All we ask is you save regularly.

Please complete this next section considering how much you would like to save and how often. Do not worry, you can always change the amount at anytime by just letting us know.

Regular Savings Amount *

Regular Savings Frequency *

Regular Payment Method *

How would you best describe your household income status? *

When taking requests for new membership we are required to undertake identification checks on all applicants. We do this by using Credit Reference Agencies or asking you to provide supporting documentation. To assist the process please provide your bank account number and sort code. This should be the account you wish to be used for payments to and from the Credit Union.

Proving your identity is simple; we use Credit Reference Agencies online Identification & Verification Services, if it is not possible to verify you in this way we can take copies of original documents, we will advise you if this is the case.

This does not affect your credit rating and is used solely for identification and verification purposes.

Bank account sort code *

Bank account number *

Please provide details of a beneficiary. A beneficiary is someone that would inherit your savings with the credit union in the unfortunate event of your death.

Beneficiary

Beneficiary address

Beneficiary contact telephone number

I hereby apply for membership and agree to abide by the rules of moneywise credit union ltd.

I authorise moneywise to share information as detailed in the moneywise privacy notice.

This includes authorising payroll deduction amounts on my behalf if I have indicated to make deposits into my account by this method.

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.

I declare that the information given by me on this form is true and correct, to the best of my belief. *

I Consent for Moneywise Credit Union to Store Sensitive Personal Data as Appropriate *

I am interested in finding out more about (please tick as applicable)

Credit Union deductions direct from my salary
Borrowing from the credit union
Saving with the credit union
Volunteering with the credit union

Equality and Diversity Monitoring (voluntary declaration)

I confirm I have read the FSCS information and understand how my deposits are protected. *

PLEASE NOTE:
When we confirm your membership , if you are employed by one of our Payroll Deduction Partners we will establish your regular deduction. If you are not saving via payroll deduction we will set up a monthly Direct Debit using the details you have provided on this form.

Please provide the date for your first payment *

How did you hear about Moneywise Credit Union?

If you want to manage your account online tick here

How do you wish to receive marketing information detailing exclusive offers from Moneywise?

Email
Text
Telephone Call
Post

Finally, before you finish, if you have a promotional code please enter it here

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.

Important:
Ended on 24th July 2021