Adventist | Membership Application

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Adventist Credit Union LTD
c/o Hyland House School
Holcombe Road, Tottenham, London N17 9AD
Mobile: 07930 854 730

To get started please complete the form below.

To become a member of The Adventist Credit Union, you must fall into our ‘common bond’.

This means you must either be a member of The Seventh Day Adventist (SDA) Church or a family member of an SDA member.

Please select the statement that best describes your association with Adventist Credit Union Ltd *

Title *

First Name *

Surname *

Date of Birth *

Home Telephone No.

Mobile Number *

Email *

National insurance number *

Church you attend (if applicable)

Address Line 1 *

Address Line 2

Address Line 3

Town

County

Postcode *

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 of your previous address

Previous Address Line 1

Previous Address Postcode

How long did you live at this address (In full years)

Please tell us your current employment status *

Occupation (if employed)

Employer

Payroll number

Employers address

Postcode

Telephone (work)

What is your employment condition?

Permanent employment
Temporary employment
Contractor

When did your employment start?

Contract End Date (if applicable)

Please tell us about how you intend saving with Adventist Credit Union Ltd.

Regular Savings Amount *

Regular Savings Frequency *

How do you intend saving with the credit union (Standing order / Cash at Head Office etc) *

We need your bank account details for collecting deposits and sending withdrawal or loan requests to. The bank details you provide will also be used for Identification and Verification purposes.

Bank Sort Code

Bank Account Number

Members savings are covered (subject to terms and conditions) by Life savings Insurance at no extra cost. In the event of my death I wish my savings and life insurance to go to the person/s or organisation/s names below providing all outstanding loans and other cost are settled.:

Beneficiary *

Beneficiary Address Line 1 *

Beneficiary postcode *

Beneficiary Contact Number

What is the beneficary relationship to you?

My beneficiary should receive the following monies due *

Important Data Protection Statement:
In accordance with the principles of the Data Protection Act 1998, we will use your personal details for the purpose of managing your accounts with the credit union. Your personal details will be treated confidentially and will only be shared with other agencies for the purposes of debt recovery. Full details of the credit union’s use of members’ personal information can be found in the ACU Policy Document available here

We may at times use your details to keep you informed of services available from the credit union. If you do not wish your details to be used for this purpose, please tick box

In making this application I apply for membership of Adventist Credit Union Ltd and agree to abide by the rules. *

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

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This information will be treated with confidence and will only be used to help the Adventist Credit Union reach all sections of the community.

Are you disabled?

Yes
No

What is your residency type

Ethnicity

Please provide 1 item from each of the following lists to prove identity upon application to be a member. A check will be made to ensure that the documents are current. Your proof of identity is required by law, if you are unable to provide any these; please contact the Credit Union Office for advice. Evidence should be in jpeg or pdf format

To confirm who you are:
Birth Certificate
NI Card
Valid Passport
Driving Licence
Marriage Certificate (all less than 3 months)
Employers ID with photograph
Pension Book
Benefits Letter

Confirm who you are *

To confirm your name and address
Council Tax Bill
Utilities Bill
Bank Statement
Building Society Statement
(all less than three months)
Rent Book
Medical Card
Pension/Benefits Book
Driving Licence
(cannot be used for both ID and to confirm name and address)

Confirm your name and address *

The means of identification must be current and will be used to establish bona fide identity and the residential qualification. The Adventist Credit Union policy on money laundering also requires this information.

Driving license number

Passport number

Your savings with Adventist Credit Union Ltd are protected up to £85,000 by the Financial Services Compensation Scheme. Details of the FSCS can be found here

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

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

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