LOAN PURPOSE

Loan amount* REQUIRED

Purpose of loan* REQUIRED Christmas Loan @ 8.62%Car LoanHome Improvement LoanWedding LoanCar Expenses LoanEducational LoanHoliday LoanMedical Expenses LoanDental LoanCommunion/Confirmation LoanDebt Consolidation LoanChristmas LoanAgri LoanBusiness LoanFuneral Expenses LoanMobile Home/Caravan LoanOther

More information for purpose of loan, if required

Duration of Loan* REQUIRED 1 Year2 Years3 Years4 Years5 Years

If you require a duration of loan that is not available please contact the office on 061-382111

Repayment frequency* REQUIREDWeeklyFortnightlyMonthly

PERSONAL INFORMATION

Name* REQUIRED
Home address* REQUIRED
Mobile number* REQUIRED

Email address* REQUIRED (Please enter your email address accurately as we will send you important information on submission of your application.)

Credit Union Membership number

Credit Union Joint Membership number

Date of birth* REQUIRED

Family status* REQUIRED (please choose one) MarriedSeparatedWidowedDivorcedPartnerSingle

Number of dependents (including children)

CURRENT EMPLOYMENT DETAILS

Employment* REQUIRED (please choose one) EmployeeSelf EmployedCOVID-19 Pandemic Unemployment PaymentContractHomemakerStudentRetiredUnemployed

Name and Address of current employer

Occupation

Length of service with current employer

Payment Frequency* REQUIRED (please choose one) WeeklyFortnightlyMonthly

Gross Income* REQUIRED

Average overtime

Average bonus

SPOUSE / PARTNER DETAILS

Please complete this section ONLY if applying for a joint loan.

Name

Name and Address of current employer

Occupation

Gross Income

HOUSING DETAILS

Type of Accommodation* REQUIRED (please choose one) OwnerTenantLiving with parents
Other
How long are you at your current address?* REQUIRED
Rent (if any)
Previous address if less than 3 years at current address

DECLARATION OF CREDITORS

For each creditor, please tick yes or no. If ticked yes, please complete details.

MortgageYesNo

Car LoanYesNo

Credit CardYesNo

Other LoanYesNo

Are you a guarantor for any loan?

If yes, please give details

Any other pertinent information

Documentation

Please email your documentation to loans@bruffcu.ie after you have submitted this application.

The following documentation is required to accompany your loan application:
- For all loans: Proof of income: 3 most recent payslips or receipts.
- For loans over €2000: we also require your most up-to-date 3 months bank statements, current month included.
- Additional information may be required.

Alternatively you can drop or post your documentation to our office. There is an out of hours postbox at our office for member convenience.

Updating Membership Details: We will be updating your membership details during the loan application process and may contact you regarding this, if your documentation is out of date.

Declaration

I/We declare that the information provided on this application and the statements herein are made for the purposes of obtaining the loan and are true to the best of my knowledge and belief.* REQUIRED Tick yes*

Loan Protection Insurance

Bruff Credit Union provides Loan Protection Insurance on the lives of its borrowing members at no extra cost to the member. If a member who is eligible for insurance cover and has signed the credit agreement dies with a loan outstanding, the loan balance is paid in full by the insurer.

When borrowing from your credit union, a member is eligible for cover if:
- they have not reached their 85th birthday.
- the borrower can confirm they can actively and regularly perform all the usual duties of their occupation and further terms and conditions can apply. For larger loan amounts a medical questionnaire may be required. Please confirm your eligibility below.

I declare that to the best of my knowledge:
Please tick one of the boxes below REQUIRED
I am in good health Tick
I am NOT in good health Tick

And that:
Please tick one of the boxes below REQUIRED
I am fit to follow my normal occupation Tick
I am NOT fit to follow my normal occupation Tick

Privacy Notice

Bruff Credit Union (BCU) is committed to protecting the privacy and security of your personal information. Under the Data Protection Act 1988; I consent to the information contained in this application form being used by Bruff Credit Union for the purposes of processing my application. Click here to read our Privacy Policy.

Central Credit Register

Under the Credit Reporting Act 2013 lenders are required to provide personal and 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 see www.centralcreditregister.ie

I confirm that I have read and accept the Privacy Notice.* REQUIREDTick yes*

Member Signature (Please type your name)* REQUIRED

Loans are subject to approval. Terms & Conditions apply. If you do not meet the repayments on your loan, your account will go into arrears. This may affect your credit rating which may limit your ability to access credit in the future.

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