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Loans Online Loan Application

Please complete all your details in the form below, and click submit when you have finished.

Online Loan Application
* Required Fields
Membership number:  *
Payroll number (if applicable): 
National Insurance number: 
Member name:  *
Date of birth:  *
Marital Status:  *
No. of dependents:  *
Current address:  *
Post code:  *
Type of Accommodation:  *
Previous Address (If less than 3 years): 
Post code: 
Home telephone number:  *
Mobile number: 
E-mail address:  *
Loan Details
* Required Fields
Type of Loan:  *
I wish to apply for a loan of:  *
Purpose of Loan:  *
Date Required:  *
To be repaid every:  *
In instalments of:  *
Have you ever borrowed with us before?   *
Income and Expenditure
* Required Fields
How is your income and expenditure declared?  *
Partner's income:
Income Support:
Job Seekers Allowance:
Tax Credit:
Child Benefits:
Disability Living Allowance:
Personal Independence Payment:
Pension Credit:
Private Pension:
Other income (please specify):
Total (A):
Council tax:
Gas & Electricity:
Credit cards:
Hire purchase:
Other loans:
Other (please specify):
Total (B):
Current Credit Union Balances
* Required Fields
Current Savings Balance(s):  *
Current Loan Balance(s): 
Current Arrears: 
Employment Details
* Required Fields
Work Address: 
Post code: 
Work Telephone Number: 
Length of Service: 
Contract Type: 
Contract Term: 
* Required Fields
Do you confirm you are in good health?  *
Have you ever been declared bankrupt or the subject of an IVA?  *
Are you in any form of Debt Arrangement Scheme, Trusteed or have entered into one previously or entering into one currently?  *
Have you received any Financial Management Assistance either previously or currently? i.e. Citizens Advice Bureau  *
Are you aware of any bankruptcy (or DRO) proceedings currently underway against you?  *
Do you have any County Court Judgements?  *
By completing this online application "I DECLARE, TO THE BEST OF MY KNOWLEDGE AND BELIEF," THAT
1. I am not indebted to any other Credit Union, Bank or Loan Agency either as a borrower or a Guarantor, except as stated on this application form.
2. I authorise the Credit Union to obtain any further information as required from my employer or credit reference agency.
3. ALL STATEMENTS CONTAINED IN THIS APPLICATION ARE COMPLETE AND ACCURATE TO MY BEST KNOWLEDGE & BELIEF and I acknowledge that if any information given in this application proves incomplete or inaccurate, any loan to me as a result of this application may become immediately repayable to the Credit Union.
4. 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.
5. I understand that in the event of loss of my income/employment due to an accident, redundancy or sickness, I will still be required to pay my agreed loan repayments.
6. I understand that if I have an existing direct debit arrangement with the Credit Union this will be increased to cover the loan repayment, savings and any payment due to the Credit Union. I also understand that if I have an existing Standing order that I must increase the amount paid if the terms of my loan differ, to cover the loan repayment, savings and any payment due to the Credit Union.
7. I have read and understood the attached condensed guide to the use of my personal information by the Lanarkshire Credit Union and at Credit Reference and Fraud Prevention Agencies and agree to such information being shared.
Please note, you must provide us with your last 3 months bank statements and wage slips when applying for a loan. You can send these by post or by email, you can find these details on our Contact Us page.
Signature of Applicant:  *
Date Signed:  *
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 the Credit Union. Your personal details will be treated confidentially and will only be shared with other agencies for the purposes of credit referencing and debt recovery, for which purpose we hold a Category F consumer credit licence.
Contact Us
  • Tel: 01698 711112
  • Fax: 01698 828810
  • Email:
  • Web:
  • Address: 252 Glasgow Road, Blantyre, Glasgow, G72 0YH
    :: Other Offices ::
Blantyre & Rutherglen
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Lanarkshire Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Our FRN is 213669