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Loans New Membership & Loan Application Form

Please complete all your details in the form below, and click submit when you have finished.

New Membership & Loan Application Form
* Required Fields
Please indicate how you are eligible for membership at the Credit Union.:  *
Personal Details
Gender:  *
Title:  *
First Name:  *
Surname:  *
Date of birth DD/MM/YY:  *
National Insurance No:  *
No of dependant children, under the age of 18 years of age:  *
Current Address
* Required Fields
Number or house name:  *
Line 2:  *
Town: 
City: 
Postcode:  *
Years at address?  *
Household Status:  *
If Local authority or housing association please state: 
Marital Status:  *
If you have lived at your current address for less than 3 years please give us your previous address below
Previous Address
Number or house name: 
Line 2: 
Town: 
City: 
Postcode: 
Years at address? 
Contact Details
* Required Fields
Home Phone:  *
Mobile Phone:  *
Work Email: 
Personal Email:  *
Employment Details
* Required Fields
Work Email:  *
Employment Status:  *
Occupation: 
Employers Name: 
Address: 
How long have you been working for your current employer? 
Work Telephone: 
Payroll Deduction
* Required Fields
If you work for a participating employer then why not save regularly via payroll deduction. Provide us with your payroll number and the amount you would like to deduct and we will do the rest.
Select your employer:  *
Deduction amount:£  
Payroll Number: 
What is your Monthly Pay Date: 
I authorise Credit Union to arrange deductions from my wages or salary as set out above beginning from the first possible pay day until instructed otherwise. I authorise Credit Union to be notified of my leaving or termination of employment date.
It is important that we make sure we are here for as many people as possible from all different backgrounds. All of your information is kept strictly confidential & will have no bearing on the service from us
Ethnicity:  *
Related to any officer of the credit union? 
Do you consider yourself to have any of the following disabilities?  *
Where did you hear about us?  *
Telephone Banking Member Security code
* Required Fields
Please insert a memorable name of up to 10 characters with a mixture of letters and numbers. This will allow you to access your account by telephone to make enquires and arrange transfers:  *
Click here to view our Member Security code terms and conditions.
Please sign below to confirm you have read and understood the usage of a Members Security Code and that you abide by these terms and conditions.
Signature:  *
Declaration
* Required Fields
I hereby apply for membership of and agree to abide by the rules of the Credit Union ltd. I declare that the information given on this form is true and accurate to the best of my knowledge. I understand that there is an initial £3.00 membership fee & that my main account must hold a minimum of £5.00 at all times. I agree that the personal information on this form, and other information collected and held by the credit union, can be stored on paper or electronically. All information is held in accordance with the principles of the Data Protection Act 1998, and in the strictest confidence.
I have read, understood and downloaded the UK FSCS information sheet and exclusion list. *
I have read, understood and downloaded the PEP (Political Exposed Person) questionnaire.
*
I am currently or in the last 12 month been a PEP or a member of family or an associate of a PEP.:  *
I am a Pep or have been a PEP during the last 12 month:  *
I am an immediate family member or an associate of a PEP or who has been a PEP in the last 12 months.:  *
Please state the description of Function and Level/Seniority as a PEP: 
Signature:  *
Signature: *
By clicking in the signature box above a tick will be inserted which will represent your electronic signature.
If, for any reason, we are unable to verify your identity we will get in touch to arrange for you to provide us with your identity documents to complete the sign up process.
Loan Application Form
* Required Fields
What type of loan are you looking for: 
To view eligibility for loan types click here.
Amount Requested:£   *
Purpose of Loan:  *
Repayments to be made over:  *
Please choose:  *
All loans issued must have a direct payment in place to meet the loan repayments
Please select which payment you will set in place: 
To view Loan Calculator click here.
Income
* Required Fields
                                                                                          Monthly Income
Monthly Wages:£  
Child Benefit:£  
Income Support or
JSA Incapacity:
£  
DLA or PIP:£  
Tax Credits:£  
Pension:£  
Universal Credit:£  
Housing benefit:£  
Other:£  
Details of other income: 
Expenditure
* Required Fields
                                            Monthly Expenditure
Monthly Rent/Mtge:£  
Monthly Other Debts
(e.g. loans/credit cards/payday loans):
£  
Do you have any CCJs, Charging Orders or Default Notices? 
How would you describe your credit rating? 
Data Protection
* Required Fields
I understand that under the Data Protection Acts, 1988 ("the "DPA"), my consent may be required for the Credit Union to process personal data which it may have in it's possession concerning me (including disclosure to third parties). I note that this personal data may include sensitive personal data, such as data about my health, within the meaning of the DPA, the processing of which requires my explicit consent.
For the purpose of assessing my application for membership, assessing any loan applications which I may make to you and generally for administering and monitoring any
1 (i) to you seeking information concerning applications for loans and my credit history from the date of my original consent from any Credit Union and for that purpose you may disclose any relevant information in any loan application which I may make to you or which you may have concerning me to any Credit Union;
(ii) to any Credit Union disclosing information to you concerning applications for loans and my credit history from the date of my original consent with any such Credit Union;
(iii) to you disclosing of any information in any application (including loan applications) or in respect of any account or transaction of mine with the Credit Union from the date of my original consent to officers or employees of the Financial Services Compensation Scheme(FSCS) the purpose of fulfilling our statutory requirements.
(iv) to the processing of any information relating to me, either contained in this form or any other form or application, for the purpose of assessing applications and administering any accounts I maintain with the Credit Union.
Please note that you have the right to access personal data held about you by the credit union and to correct any inaccuracies in such data.
Signature:  *
Credit decisions and the prevention of fraud and money laundering
* Required Fields
We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both we and credit reference agencies will use your information is detailed in the section called: Savings. A Condensed guide to the use of your personal information by ourselves and at the Credit Reference and Fraud Prevention Agencies. If you would like to read the full details of how your data may be used please visit our website at www.londonpluscu.co.uk or phone 020 7471 2620 or ask one of our staff. By confirming your agreement to proceed you are accepting that we may each use your information in this way.
In accordance with the principles of the data protection act 1988, we will use your personal details for the purposes 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 purpose of credit referencing and debt recovery. Please sign to confirm your authority to conduct such searches for the purpose of administering and monitoring this loan request.

Click here to view the full data guide.

Click here to view Credit Reference and Fraud Prevention.
I declare that the information I have given on this form is, to the best of my knowledge and belief, accurate and full information. I understand that the provision of false information is fraud and that the credit union may take appropriate action if I am found to have deliberately provided false or misleading information. I understand that the Credit Union may verify any information given in relation to this loan application and all loans are subject to assessment.
Insert Name: 
Signature: *
By clicking in the signature box above a tick will be inserted which will represent your electronic signature.
Date:  *
You will be given a decision in principle and if successful or should further underwriting be required, you will be asked to submit some of the following documents.
1. Last 3 months of payslips
2. Last 3 months original bank statements
3. Benefit entitlement letter
Thank you for applying for membership and lending facilities with the Credit Union. We will contact you in due course with a decision on your application.
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Contact Us
  • London Plus Credit Union
  • Tel: 0207 471 2620
  • Email:
  • Web: www.londonpluscu.co.uk
  • Address: 274 North End Road, Fulham, London, SW6 1NJ
Opening Hours:
  • mon
  • tue
  • wed
  • thu
  • fri
  • sat
  • 10:00am - 4:00pm
  • Phone & Email (9am - 5pm)
  • 10:00am - 4:00pm
  • Phone & Email (9am - 5pm)
  • 10:00am - 4:00pm
  • 9:30am - 12:30pm
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London Plus Credit Union is authorised by the Prudential Regulation Authority & regulated by the Financial Conduct Authority & the Prudential Regulation Authority. FCA & PRA FRN: 473340