Combined Multi Form – Dundalk Credit Union

Unique ID
How will this be posted to Hive?
- Lead
- Opportunity
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Agent
Triggers additional options for customer service agents
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credit union id(Required)
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Application Details
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Hide Calculator
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Loan Amount from website form
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Loan Duration (in Years)
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Loan Rate
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Status
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Topic in Hive
This is how the lead is listed in Hive
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Loan Type
Are you a member of Dundalk Credit Union / Carrickmacross Credit Union?(Required)
- Yes
- No
Select Loan Type(Required)

Enter loan amount
Enter loan amount
Enter loan amount
Enter loan amount
Enter loan amount
Enter loan amount
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Loan Amount
Loan Term
Maximum of 7 years. You can apply for higher repayment duration for borrowings of €10,000 or more
Loan Term
Maximum of 10 years
Loan Term
Maximum of 10 years
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Loan Duration (in Years)
Please Select Repayment Frequency(Required)
Your Monthly Loan Repayments Will Be:
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Personal Loan Rate
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Personal Loan Discount
Applies 0.93 discount on interest rate if principle is €10,000 or more
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Green Energy Home Improvement Rate
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Green Energy Home Improvement Loan Discount
Applies 1% discount on interest rate if principle is €25,000 or more
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Education Rate
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GoGreen Car Rate
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Special Saver Loan Rate
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Commercial Loan Rate
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Calculated Rate
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Weekly Repayments
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Fortnightly Repayments
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Monthly Repayments
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Echo weekly
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Echo Fortnightly
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Echo Monthly
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Cost of credit WEEKLY
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Cost of credit MONTHLY
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Cost of credit FORTNIGHTLY
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Cost of credit
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The total the applicant pays is
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Number of Monthly Payments
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Number of Fortnightly Payments
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Number of Weekly Payments
A loan of € at % (% APR) repayable over years would have monthly repayments of per month. Total amount repayable is . Total cost of credit is .
A loan of € at % (% APR) repayable over years would have fortnightly repayments of per fortnight. Total amount repayable is . Total cost of credit is .
A loan of € at % (% APR) repayable over years would have weekly repayments of per week. Total amount repayable is . Total cost of credit is .
You must select a loan type to calculate repayments
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8.99 APR
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7.99 APR
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7.22 APR
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6.16 APR
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6.99 APR
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5.00 APR
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Calculated APR

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Cost of Credit for Pixel
Removes currency symbol
Contact Details
Name(Required)
First Last
Email(Required)
Please enter your personal email address.
Please fill in your Date of Birth(Required)

Day
Month
Year
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
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Loan Application Details
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Loan Amount
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Loan Term (in Years)
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Loan Rate
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Loan Type
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Preferred Repayment Frequency

Personal Details
What is your PPS number?
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)
Or business address if self employed

Address Line 1 Address Line 2 Town County Country
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 wages after tax?
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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
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Total Monthly Income
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Total monthly income for API

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
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Total Monthly Liabilities
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Monthly liabilities for api
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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.
(Required)
- 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.
- Please also be aware that the Credit Unions insurance policy does not cover any loan drawn down on or after your 80th birthday. Where a loan is drawn before your 80th birthday, any balance remaining outstanding on or after your 80th birthday will not be covered by insurance.
- 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
(Required)
- 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
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PAYE
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Social Welfare
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Self Employed
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Student
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Retired
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Emp Code

Income Type	Monthly Amount

Expense Type	Monthly Amount

Step 1 of 9

Application Details

Contact Details

Loan Application Details

Personal Details

Your Employment Details

Your Income

Your Outgoings

Declarations and Consents - please read carefully before submitting

Authorisation and Application

Data Processing

Credit Checks