test – Dundalk Credit Union

Contact Details

This field is hidden when viewing the form

Hidden

Name(Required)

First Last

Email(Required)

Please enter your personal email address.

Please fill in your Date of Birth(Required)

Phone(Required)

Do you know your membership number?

Yes

No

Please enter your membership number:

Consent(Required)

I agree to the terms and conditions for access to and use of the Credit Union website and web forms.

Please enter your home address(Required)

Address Line 1 Address Line 2 Town County Eircode Country

Years living at this address(Required)

Living Situation(Required)

Home Owner

Tenant

Living with Parents

Other

This field is hidden when viewing the form

Loan Application Details

This field is hidden when viewing the form

Loan Amount

This field is hidden when viewing the form

Loan Term (in Years)

This field is hidden when viewing the form

Loan Rate

This field is hidden when viewing the form

Loan Type

This field is hidden when viewing the form

Preferred Repayment Frequency

Personal Details

Marital Status

Do you have any dependants aged 18 or under?

Yes

No

How many dependants aged 18 or under do you care for?(Required)

Dependant Ages(Required)

Please enter the age for each dependant.

Employment Status

Full Time

Part Time

Self Employed

Retired

Unemployed/ Receiving Disability Allowance

Student

Your Employment Details

Employment Type

Occupation

Employer Name(Required)

Or business name if self employed

Employer Address(Required)

Address Line 1 Address Line 2 Town County Country

Or business address if self employed

Time in current Employment (in years)(Required)

Or time in business if self employed

Your Income

How often are wages paid into your account?

How much are your {:137} wages?

This field is hidden when viewing the form

Monthly Wages

Monthly Income(Required)

After Tax & Deductions

Do you receive any additional income(s)?

No

Yes

Additional Incomes

Please list additional incomes and the monthly amount received from them here. Use the "+" symbol to add more income types.

Income Type

Monthly Amount

This field is hidden when viewing the form

Total Monthly Income

Your Outgoings

Monthly Liabilities

These are fixed payments you make every month such as mortgage, rent, insurance, PCP, loan repayments etc.

Expense Type

Monthly Amount

This field is hidden when viewing the form

Total Monthly Liabilities

This field is hidden when viewing the form

Total Monthly Commitments

Declarations and Consents - please read carefully before submitting

Below, the terms ‘we’ or ‘us’ refer to the Credit Union.
Below is important information relating to your application. Please do not submit an application before reading all the information carefully.

l hereby apply to the Credit Union for a Personal Loan subject to the Loan Terms and Conditions of the Credit Union. By ticking the box I confirm that I have read and understood the terms and Conditions.

Authorisation and Application

Warning: If you do not meet the repayments on your credit agreement, your account will go into arrears. This may affect your credit rating, which may limit your ability to access credit in the future.

I confirm, acknowledge and agree;

That this Application Web Form together with figures quoted in repayment calculators may not be construed as an offer of credit by or on behalf of the Credit Union.
That all statements, information and details given in this application and any documentation provided in support of it are true, accurate and complete and I understand they are subject to verification by the Credit Union.
That the Credit Union may contact my employer to verify my employment details and/or salary information for the purposes of underwriting this application.
That loan approval is subject to the Credit Union’s credit approval process and lending criteria and that the Credit Union reserves the right to restrict, amend, reduce or withdraw any loan offer made.
That the loan will be subject to the rates and interest of the Credit Union and I will pay all fees and charges in connection with the loan as set out in the Credit Agreement that will issue to me on the approval of my application.
That the Credit Union may obtain Repayment Protection Insurance in relation to this credit facility and that availability of such insurance will be subject to a Declaration of Health within the Credit Agreement.
That loan approval may be subject to conditions as specified in the Credit Agreement. This may include that my shares may be held as security against the loan.
That upon execution of the Credit Agreement by the Credit Union and I, we will both be bound by that Credit Agreement.
Pre Existing Condition Limitation – If I have, during the last 6 months, received medical treatment, advice or consultation for an illness, it may affect the insurance benefits payable under the terms of the Credit Union’s Loan Protection Insurance policy. In a case of death within 6 months of the date of this loan due to a pre-existing medical condition, your loan may not be covered by the Credit Union’s policy, in which case your savings, plus any insurance benefit due on these savings, may then be used as security against the value of your outstanding loan.

Consent for Authorisation and Application(Required)

By ticking the box I confirm and acknowledge the above

Data Processing

By ticking the box I consent to the Processing of my data, which may include sensitive data, for the purposes of reviewing this application in accordance with the Privacy Notice

Credit Checks

STATUTORY NOTICE – Central Credit Register (CCR):

Under the Credit Reporting Act 2013 lenders are required to provide personal credit information for credit applications and credit agreements of €500 and above to the Central Credit Register. This Information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements.

The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information please see: www.centralcreditregister.ie

It is a necessary condition of a credit application that satisfactory credit checks and assessments be conducted by the Credit Union. These will include checks with the Central Credit Register and/or the Irish Credit Bureau DAC or other credit reference agencies.(Required)

By ticking the box I authorise the Credit Union to conduct additional credit verifications and assessments as necessary for the purposes of considering my application in accordance with the Credit Checks Notice

This field is hidden when viewing the form

PAYE

This field is hidden when viewing the form

Social Welfare

This field is hidden when viewing the form

Self Employed

This field is hidden when viewing the form

Student

This field is hidden when viewing the form

Retired

This field is hidden when viewing the form

Emp Code