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Savings New Member - Membership Application Form

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

New Member - Membership Application Form Budget
* Required Fields
Please indicate how you are eligible for membership at the Credit Union:  *
Personal Details
4 Digit Member No: 
Title:  *
First Name:  *
Middle Name: 
Surname:  *
Date of birth DD/MM/YY:  *
Gender:  *
National Insurance No:  *
No of dependant children:  *
Current Address
* Required Fields
Number or house name:  *
Line 2:  *
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: 
Years at address? 
Contact Details
* Required Fields
Home Phone:  *
Mobile Phone:  *
Work Email:  *
Personal Email: 
How would you like us to contact you? *

Employment Details
* Required Fields
Employment Status:  *
Employers Name: 
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.: *
Bank details
* Required Fields
We will store these details securely for your convenience should you wish to transfer money from your Credit Union account.
Sort Code:  *
Account Number:  *
* Required Fields
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? 
Where did you hear about us?  *
Do you consider yourself to have any of the following disabilities?  *
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:  *
Donate dividend
* Required Fields
Each year the Credit Union aims to pay a dividend on your savings with us. In these times of low interest rates on savings, we are giving you an easy opportunity to help us to provide an alternative to high interest payday lenders, doorstep lenders and illegal loan sharks who operate in our area. If you donate your dividend back to the Credit Union, we will use your donation to benefit your community
I would like to donate the dividend on my share account to the credit union: *

I would like to donate my dividend to HTB Charity *

Budgeting Needs
* Required Fields
Everyone's budget needs are different therefore, we will need you to complete a personalised budget planner to help us understand your budgeting requirements before we can set anything in place. Please complete the Budget planner here and submit this along with this membership application. We will be in contact soon.
* 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. *
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.
Thank you for applying for membership ‘ with the Credit Union. We will contact you in due course with a decision on your application.
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More Info
Contact Us
  • London Plus Credit Union
  • Tel: 0207 471 2620
  • Email:
  • Web:
  • 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