Top Up Loan | West Cheshire Credit Union

Top Up Loan Application

This form is to be used for existing members only who hold a current loan they wish to Top Up

Original application £50 - £350 you may apply once you have repaid £50 off your original loan.

Original application £351 - £650 you may apply once you have repaid £100 off your original loan.

Original application £651 - £800 you may apply once you have repaid £150 off your original loan.

First Name

Email Address

Last Name

Date of Birth

Address

Phone

Membership Number

NI Number

Amount of Top Up Requested

Number of Children Under 16 years of age

Youngest Childs Date of Birth

Please confirm the last 4 digits of your nominated bank account number.

Purpose of Loan

If employed full or part time please provide employers contact details inc telephone number

If you have answered YES to the previous question please give details below.

Are you presently entering into or have a current Debt Relief Order, IVA or Debt Management Plan

DECLARATION

The information I have given is true and accurate, and I will notify West Cheshire Credit Union if any of the information changes before my loan is assessed for affordability.

I agree to any appropriate credit checks and information vetting being undertaken to assist the West Cheshire Credit Union reach an informed decision regarding this application and understand that this may include employment checks and searches of credit reference agencies.
I declare I am in good health, and I know of no good reason why I would be unable to carry out my usual work or why my benefits or other income may change during the term of the loan.
I understand that I have a responsibility to make all my loan repayments on time and in full and I promise to do so.
I understand that the savings in my share account(s) can be used to pay my loan if I miss a payment.
I am aware that if I fail to meet continual repayments on my loan my details will be used for recovery purposes, which may also involve being passed to the Department of Work and Pensions for reasons to recover outstanding sums via the Eligible Loan Deduction Scheme (money deducted from your benefits)
I confirm that West Cheshire Credit Union can use all the information in this application in the running of my credit union account(s) together with any other checks (including checking with licensed credit reference agencies) for assessing my application to avoid fraud and to recover any outstanding debts.

Your Signature

PRINT NAME

DATE