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RENCAM CREDIT UNION LOAN APPLICATION FORM – Individuals

Please complete this form in capital letters

PLEASE NOTE THAT YOU ARE BORROWING YOUR FELLOW MEMBER’S MONEY – DO NOT APPLY UNLESS YOU COMMIT TO REPAY THEIR TRUST IN YOU!!

Answer every question so that we will be able to fully assess your application and make a decision without undue delay. You must provide us with the following, without which we cannot process your application for all loans above your savings.

  1. Last three months wage slips or other proof of income e.g. accounts or other acceptable proof of income if self - employed
  2. Originals of your last three months bank statements
  3. Current mortgage or rent statement
  4. Signed undertaking by a guarantor who should be a current Credit Union member (and who has sufficient savings), if the loan requested is outside the rules currently 2 times your savings balance.   
A. Credit Union Membership number
Enter number:This has been sent to you via mail
B. Personal Details
Title:
B1.If other, complete this field
Last Name:
First Name:
Current Address::
City/Town:
Post Code:
Home Tel:
Mobile
Email Address:

How long have you lived at this address?

Years:
Months:

(If less than 3 years please provide details of your previous address below)

Previous Address:Provide details of your first previous address
0 /
Previous Address:Provide details of your second previous address
0 /
Previous Address:Provide details of your third previous address
0 /
C. UK residency

My stay in the UK is indefinite :

D. Employment status
Source of income:State source of income

If Employed: How long have you been with your current employer?)

Years:
Months:

Current employer name and address: (This section must be filled if you are currently employed)

Name:
Address:
Postcode:
Telephone Number:

2. Have you ever been declared bankrupt ?

D1More Details:
0 /
F. ABOUT THE LOAN YOU ARE REQUESTING

1. I wish to apply for a loan of

Amount:

2. My Current Credit Union balances are:

Savings:Amount in savings
LoansCurrent loans amounts

3. I want the loan for?

Years:
Months:
Weeks:

4. I will make repayments of the loan plus interest as shown below:

5. Purpose of Loan*: (Please tell us about the purpose of your Loan. Its a regulatory requirement by the FCA)

Select one option*:
E. Bank Details
Credit Union Membership number:
Bank Name:
Account Holder:
Account Number:
Sort Code:

Is this the account already held by the Credit Union?

If NO, will you want it be held as your main accountfor future transactions with the Credit Union?

G. DECLARATION

I declare that the information given above is true and complete to the best of my knowledge. I authorise any enquiries thatRENCAM Credit Union may deem necessary in conjunction with this application. I understand that any informationsupplied by me that is subsequently found to be false may lead to a request for early repayment of the loan and also resultto termination of my membership of RENCAM Credit Union.

Signed:Enter your fullnames
Date
Some Title
Nameyour full name
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