Loan Application Form - The Co-Operative Credit Union
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4Loan Application
Personal Details
Surname (Mr/Mrs/Miss/Ms) …………………………..……………… Membership No ……..……..…
First Name ………………………………….……..….. Middle Name ……………..……………………
Home Address …………………………………………………………………….………………………
……………………………………………………………..…………. Post Code ………………………
Home Tel ……………………………………….. Work Tel ………………….…………………………
Mobile …………………………………………… Email ……..……………….………………………..
Date of Birth ………………………………. (applicants must be 18 yrs or over)
No of dependants. …………………
National Insurance Number __ __ __ __ __ __ __ __ __
Time at current address ………….……… Owner
Tenant
With Parents
Lodger
(if less than 3 years, please provide details of your previous address below)
………………………………………………………………………………………………..………………
If owned, approx value £ ……….……………
If mortgaged, approx mortgage £ …....……………
Mortgage provider ……………………………………………………. Term remaining ………………
Employment Details
Employee/Payroll No …………………..……………… Pension No ………………………………….
Employer ………………………………….……… Dept ……….. ………………………………………
Address: …………………..………………………..…………………………………………………....
….…………………..…………………….…………………………………….Post Code ……………..
(Manchester Sites: Floor ………… Building …………………………………………………………)
Date employment commenced ……………………..………….. Full time/part time …….………….
Loan Details
Loan amount requested £ …………….……… over ….…………… months/4wkly pay periods.
Please indicate type of loan:
Standard
Starter
Purpose of loan ………………………………………………… Estimated total cost £…………….
I wish to continue to save £……………… per month/4 weeks
You must continue to save a minimum of £10 per month/4 weeks in you main share account
whilst repaying your loan. The savings in the share account will not be available for withdrawal
until the loan balance is lower than the savings balance.
Please indicate how you would like to receive the monies
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Co-operative Bank
Account Name ………………………………
Sort Code __ __ __ __ __ __
Account No __ __ __ __ __ __ __ __ __ __
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BACS: Bank/BS ………………………………… Account Name ………….…………………...
Sort Code __ __ __ __ __ __
Account No __ __ __ __ __ __ __ __ __ __
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Parent category: Business