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Loan Application Form 3

Loan Application Form 3
Waltham Forest Community Credit Union Limited
Page 1
LOAN APPLICATION FORM
Each application is assessed individually. There is no automatic guarantee of a loan.
This form may be posted with all the supporting documents or brought into the credit union office.
If submitting in person, please do so before 3.30pm on weekdays and before 1.00pm on Saturday.
Your details:
Name……………………………………………………… Membership number………….…………..
Date of birth……………………………………………… National Insurance number………………..
Home telephone number…….………………………… Mobile number …………………….……….
Address……………………………………………………………………………………………………………………
…………………………………………………………………………………………Post code………………………
Time at current address……………….
(if less than 3 years, please provide details of other addresses in the past 3 years below)
…………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………..
Housing status
Council/Housing Assoc. tenant Private tenant/Lodger Living with family/friend
Mortgage Part rent/mortgage Home owner
Household make-up
Single parent Single no children
Couple with children Couple no Children
Number of dependents Age of dependents
Have you ever had a “High Interest Loan”
(Provident, Oakham, Brighthouse etc)
Have you ever had a Social Fund Loan
Employment / benefit details
Employment status: employed / self-employed / retired / unemployed / student (circle as appropriate)
Occupation OR list all benefits received…………………………………………………………………………………........
If employed: Name of employer…………………………………………………………………………………………..........
Address of employer………………………………………………..…………………………….. ……………………….......
Can you be contacted there Yes/ No Telephone…………………………Time with current employer………………
Supporting Documentation Checklist*
1. Bank statements showing the activity over the last 3 months (90 days) for
every account you have (If you do not have a bank account, please tell us.)
2. Proof of income: your 3 most recent wage slips or your benefits/pension
payments letter etc. Include all money received.
3. A completed budget sheet, as provided on page 3. Please take great care on this
as it is the most important thing for us in assessing your application
4. Your most recent credit card statement for each card if you have more than one.
5. Proof of other loan repayments or letters from Creditors if applicable.
*The application cannot be accepted until all the paperwork is complete.
Loan Request
Loan Application Form 3 Page 1
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