Loan Application Form

Private and Confidential

Moneyline Yorkshire                                                                      Sheffield Credit Union

 1. Your personal details

Full name ..................................................…………

Address ..................................................................................….....................……………....

Postcode…...…………     Contact telephone number ........................................

Date of birth .....................    NI number .................   

How long have you lived at this address? ...................... ( years/months )

If you have lived at this address for less than 3 years, please give your previous address

Address ..................................................................................….....................……………....

Postcode…...…………    

2. About you

Are you:    Married □  Single □  Separated □  Living with partner □  Widowed □      

Do you:   Own your own home □  Rent your home □  Live with parents □  Other □      

Mortgage details: Amount outstanding £...................     Value of property £......................

Tenant details:    Council tenant □  Housing association □  Private landlord □

Name of landlord .................................................................

3. Your work

Occupation ............................................................................................

Current employer ....................................................................

Address ...................................................................................................................

Are you:    Full time □  Part time □  Unemployed □  Retired □  Housewife □              

State how long employed / unemployed ..................... Years / months

If unemployed please give details of your previous employer

Name ............................................................

Address ..................................................................................................

4. Loan application

I wish to borrow £.......................    for the purpose of ...........................................................

I would repay the loan  Weekly        Monthly        over a period of ................ weeks / months

Repayment method ........................................................................

5. Present banking details

Name of Bank / Building Society ............................................

Branch ................................................

Name of account holder(s) ......................................................

Number of years with this bank .............................

Account number ............................................        Sort code ........./........./.........

6. DISCLOSURE AUTHORITY

 On occasions we may need to contact a third party to check the details you have provided.

We will not do this without your specific authority.

Please indicate below whom we may contact by telephone or in writing for the purposes of credit assessment and fraud prevention.

Employer:r        Bank/Building Society:r        Credit/Store card Co:r        Landlord:r

7. IDENTIFICATION

 We will be unable to process your application without appropriate identification and a fully completed and signed application form.  Acceptable form of identification include driving licence or passport, a bank/building society statement covering the last 2 months evidencing your source of income and a minimum of one utility bill.  We will also consider your application if you have recent salary/wage slips, national insurance card, DSS benefit books, birth and marriage certificates.  These must be originals, dated within the last 3 months, and show your name and address exactly as they appear on this application.  If you have any problems meeting the identification criteria please talk to a member of staff. 

8. DECLARATION and AGREEMENT

 I submit this application for a loan from Moneyline Yorkshire r  Sheffield Credit Union r and confirm that the information I have given is accurate and I do not know of any impending changes to the details given in this application.

Use and Disclosure of information.   We may use credit scoring when considering your application and may search the files of credit reference agencies.  They may keep a record of the search.  We may also carry out identity and anti-fraud checks.  This information will be used by lenders and others in making lending decisions about you and members of your household, for fraud prevention or tracing debtors.  We may give credit reference agencies details of non-payment when we make demands but receive no satisfactory proposals for repayment. 

Data Protection Act 1998.  Your personal information will be treated as confidential and only disclosed  a) at your request  b) to prevent fraud or by order of the Courts.   You are entitled to a copy of the information we hold about you by writing to us and requesting it.  There is a fee for this service.

Please return your completed application to either Moneyline Yorkshire or Sheffield Credit Union at:

6 The Gallery, Castle Market, Sheffield, S1 2AJ

Tel:  (0114) 2760787 E-mail: admin@fisy1.co.uk