logoHillingdon Credit Union
Common Sense
with money

Credit Union Office
CR1, Civic Centre, High Street, Uxbridge, Middx, UB8 1UW

t: 01895 250958
e: info@hillingdoncu.co.uk
f: 01895 250951


Membership application form
 
To be eligible to join the Credit Union, you need to be aged 16 or over.

Please note that this process is not a 'real time' transaction and that there will be a short delay between your submission and the application being processed within the credit union office.

  • ALL fields marked with an "*" are mandatory and you must enter/select the appropriate information.
PERSONAL details:
 
Title: *
Forename: *
Middle name(s):
Surname: *
 
Household status: *
Home address House number or:
  Flat number:
  Street *
  Town *
  District
  Postcode: *
When did you start living here: / /
 
Gender: *
Date of birth: / / * (Age: )
National insurance number: *
E-mail: *
Home telephone: *
Mobile telephone:
 
Do you pay tax outside of the United Kingdom ? *
 
ID verification methods:
 
Please provide a mimimum of one of the following items in order to verify your identity.
 
Driving licence number
 
Passport number
 
 
Work details:
 
Employment status: *
 
Beneficiary details:
 
Beneficiary name:
Relationship to you:
Beneficiarys address: House/Flat No and street name:
Town:
District:
Postcode:
Beneficiarys contact number:
 
Banking details
 
Sort code:
Account number:
Building society roll number: (if applicable)
Name on account:
 
Additional information
 
I * wish to receive annual statements from the credit union via email. Statements not sent via email will be sent via post.
 
I * wish to receive promotional information from the credit union via email or post.
 
Are you the beneficial owner of the funds to be held on this account? *
 
Introduced by:
 

DATA PROTECTION STATEMENT

In order to process your application we will supply your personal information to credit reference agencies (CRA’s) and they will give us information about you, such as about your financial history. We do this to assess creditworthiness and product suitability, check your identity, manage your account, trace and recover debts and prevent criminal activity. We will also continue to exchange information about you with CRA’s on an ongoing basis, including about your settles accounts and any debts not fully repaid on time. CRA’s will share your information with other organisations. Your data will also be linked to the data of your spouse, any joint applicants or other financial associates. The identities of CRA’s and the ways in which they use and share personal information, are explained in more detail on our web site http://www.hillingdoncu.co.uk/terms-and-conditions.

 
DECLARATION
 

I * to abide by the rules of the Credit Union and declare that the information given by me on this form is true and correct to the best of my knowledge and belief.

By submitting this form, you are agreeing to an online ID check. This is not a credit check.

 


Click here to download a copy of the FSCS Information Sheet.
Further copies can be requested at any time by contacting info@hillingdoncu.co.uk

I have read the above FSCS Information Sheet and downloaded a copy for future reference. * ( please tick to confirm )
 
Human verification