Personal information
 
Are you currently a member of London Community Credit Union? *
 
Employment information
 
Employment status: *
Employers name: *
Payroll number: *
Work telephone number: *
 
Loan information
 
Loan value: *
Repayment frequency: *
Repayment value: *
Loan purpose: *
 
INCOME
 
Take home pay or pension:
Benefits:
Other:
 
EXPENDITURE
 
Rent/Mortgage:
Household bills:
Personal credit:
Transport:
Food/Groceries:
Leisure:
Other regular costs:
 
How would you like your loan paid: *
 
HEALTH DECLARATION
 
I declare to the best of my knowledge and belief that * in good health to follow my normal occupation. I give LCCU the right to contact my medical practitioner if required.
 
APPLICANT'S DECLARATION & AUTHORISATION
 
I declare that the information given by me on this form is true and correct to the best of my knowledge. I understand that the provision of false information is fraud and that the credit union may take appropriate action if I am found to have deliberately provided false or misleading information. I authorise you to share my details with any relevant individuals in accordance with your procedures in connection with this application. I authorise you to make any credit reference enquiry and other enquiries to determine my credit history. I understand that the credit agency used by LCCU will keep a record of the search and may share this information with other businesses, enquirers or lenders. I have read the Terms and Conditions and I accept them. * (please tick to acknowledge)

Credit searches and other information which is provided to us and/or the credit reference agencies about you and anyone with whom you are linked financially may be used by us if credit decisions are made about you or anyone with whom you are linked financially or other members of your household. This information may also be used for debt tracing and the prevention of fraud and money laundering as well as the management of your account. In addition, we will ask you to provide physical forms of identification and may also telephone to confirm your details. The personal information we have collected from you will be shared with fraud prevention agencies who will use it to prevent fraud and money-laundering and to verify your identity. If fraud is detected, you could be refused certain services, finance or employment. Further details of how your information will be used by us and these fraud prevention agencies, and your data protection rights, can be found by visiting our website www.londoncu.co.uk. This information may also be used for tracing and claims assessments and verifying identity. Information held about you by the credit reference agencies may already be linked to records relating to anyone with whom you have a financial relationship, such as a joint account. * (please tick to acknowledge)
 
Data Protection Statement: In accordance with the principles of the Data Protection Act 1998, we will use your personal details for the purposes of managing your accounts with London Community Credit Union. Your personal details will be treated confidentially and will only be shared as outlined below, for which purposes we hold a Category F Consumer Credit Licence. Credit Reference (CRA) and Fraud Prevention Agencies (FPA): We may make searches about you at CRA who will supply us with credit information as well as public information (including the Electoral Register). The CRA will record details of the search whether or not this application proceeds. Credit searches and other information which is provided to us and/or the credit reference agencies about you and anyone with whom you are linked financially may be used by us if credit decisions are made about you or anyone with whom you are linked financially. Where you borrow from us, we will give details of your accounts and how you manage it/them to CRA. This information may be supplied to other organisations by CRA and FPA to perform similar checks and to trace your whereabouts and recover debts that you owe. This information may also be used for the detection and prevention of crime and money laundering as well as the management of your account. In addition, we may ask you to provide physical forms of identification and/or we may telephone you to confirm your identity. We may also make periodic searches at CRA and FPA to manage your account with us. To prevent or detect fraud, money laundering or to assist in verifying your identity we may make searches of group records and at FPA who will supply us with information. If you give us false or inaccurate information, details may be passed to FPA and other organisations involved in crime and fraud prevention. Your data may also be used for other purposes for which you give your specific permission or, in very limited circumstances, when required by law or where permitted under the terms of the Data Protection Act 1998. Contact details of the Credit Reference Agencies are available upon request. * (please tick to acknowledge)
 
If we need to contact you for any reason regarding your application, what is the best number to phone ? *