Loan Application (online)

Online Loan Application Form

Details About Your Loan

Membership Number: *

Date of Application: *

Loan Value: * £

Enter the amount you wish to borrow

Loan Balance: * £

Please enter the current loan value outstanding

Total Loan: * £

This value should be the total of the loan value and loan balance

Repayment Period: * weeks

Please enter the number of weeks in which the total loan value will be repaid

Repayment Amount: * £ per month

Please enter how much you intend to pay back per month

Date Loan Required: *

Enter the date when you require the loan

Purpose of Loan: *

Enter a few words to describe the purpose for this loan

Select Local CU Branch: *

Please select the Credit Union branch that you wish to submit your application to

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