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Saving & Loans Online Loan Application

This form will refresh after 90 minutes so it would be ideal if you have this information ready before you start.

All loan offers are subject to status and if you fail to keep up repayments your credit record will be adversely affected.

It can take approximately 3 working days to process a loan once we have received all the required supporting evidence.

Please see our lending policies for more information about age restrictions and general criteria by clicking here.

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

Online Loan Application - Public Form
* Required Fields
FOR ALL LOANS, YOU MUST BE ABLE TO TICK ALL OF THESE BOXES
Over 18: *
Income is more than £125 per week: *
You must live or work in East Sussex, Brighton & Hove or
be a member of Unite the Union in the South East Region: *
No Individual Voluntary Agreement, Debt Relief Order or are an undischarged bankrupt: *
Personal Details
* Required Fields
Title:  *
First Name(s):  *
Surname:  *
DOB:  *
NI No:  *
Email:  *
Tel No:  *
Mobile:  *
Current Address:  *
Length At Current Address (In Years/Months):  *
If less than 3 years, please enter your previous addresses. We require all addresses.: 
Length at Previous Address (In Years/Months): 
Housing Status:  *
If Other please state: 
Household Status:  *
If Other please state: 
Number of dependents living with you (under 18yrs):  *
Please list their ages: 
Employment Details
* Required Fields
Employment Status:  *
If Other please state: 
Is your employment:  *
If Other please state: 
Do you have an expected end date?  *
If YES, Expected end date: 
Employers Name: 
Employers Address: 
Job Title: 
How long have you worked here? 
Banking & Payments
* Required Fields
Do you have a bank account?  *
Name of Bank Loan to be paid into: 
Account No: 
Sort Code: 
How would you like to pay back the loan (Payment Method)? 
Other Benefit - Please State: 
(We are unable to accept Tax Credits)
Please tick to confirm that you have available the relevant documentation - you can provide this via email to loans@eastsussexcu.org.uk, post to our Brighton address or in person at our office or a local Help Point.
Last 2 Months Original Bank Statements: *
Last 2 Months of Payslips: *
ID, i.e. Passport or Driving Licence. (For New Members): *
Other Proof of Address / Latest Rent Statement: *
Purpose of Loan - What will you spend the money on?  *
How much do you want to borrow?  *
For larger amounts you may be required to provide a guarantor or an Agreed Notice against your property.
Monthly Income
* Required Fields
Please include your total monthly income for all fields - this should include any received by yourself and your partner/spouse (if applicable). Enter 0 where not applicable.
Your Net Wages:  *
Partner’s Net Wages:  *
Tax Credits:  *
Child Benefit:  *
JSA/ESA/ Income Support:  *
Incapacity Benefit:  *
DLA/PIP:  *
Housing Benefit:  *
Pension / Pension Credit:  *
Carer’s Allowance:  *
Other:  *
If Other please state source of income: 
Total Monthly Income:  *
Monthly Outgoings
* Required Fields
Enter total monthly outgoing for all fields
Rent / Mortgage:  *
Council Tax:  *
Water Rates:  *
Gas:  *
Electric:  *
TV/Cable/Sky/Phone:  *
Travel Expenses:  *
Household Shopping:  *
Car Expenses (Petrol, etc):  *
Childcare:  *
Total to Creditors/lenders:  *
Other:  *
If Other please state outgoing:  *
Total Monthly Outgoings:  *
ARE YOU AWARE OF ANY POSSIBLE CHANGES TO YOUR CIRCUMSTANCES IN THE NEXT YEAR?  *
If yes, please give details: 
I wish to repay the loan at:  *
Per:  *
please state savings per month/week (min £5 per week / £25 per month):  *
Our loans include a mandatory savings element. The balance of the savings will be held against the loan and released at completion.
Creditors
* Required Fields
Please list all loans, credit cards, catalogues etc.
 
Name of CreditorOriginal AmountBalance OwingRepayments (weekly/monthly
1:
2:
3:
4:
5:
6:
7:
8:
You may be required to supply evidence of this.
Details
* Required Fields
Do you have any CCJ's, Charging Orders or Default Notices registered against you?  *
Have you ever been declared bankrupt or had a DRO (Debt Relief Order) or an IVA?  *
Health Status: Have you received treatment or medical consultation for an illness or injury in the past 6 months?  *
If YES, please give details: 
Email Subscription
* Required Fields
The default method of communication between you and East Sussex Credit Union will be by eMail. Using eMail helps us keep costs low and provides a more timely service to our members. If you do not have an email address, please select 'No' and we will contact you via other means
I consent to East Sussex Credit Union informing me of goods or services and providing updates about the credit union via email:  *
East Sussex Credit Union hate spam and promise to keep your email address and personal details safe. We will never pass or sell details on.
Declaration and Data Protection
* Required Fields
I/We declare that the information I have given on this form is, to the best of my knowledge and belief, accurate and full. I/We understand that the provision of false information is fraud and that the credit union may take appropriate action if I am/ we are found to have deliberately provided false or misleading information.
Consent to use and Disclosure
* Required Fields
(Credit decisions and the prevention of fraud and money laundering)
Important Information Regarding Your Personal Information and Credit decisions and the prevention of fraud and money laundering We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both we and credit reference and fraud prevention agencies will use your information is detailed in the section called: A condensed guide to the use of your personal information by ourselves and at Credit Reference and Fraud Prevention Agencies. This is attached at the end of this form. By confirming your agreement to proceed you are accepting that we may each use your information in this way.
Applicant Signature:  *
Signature: *
Any additional data in support of this application can be entered here, such as additional addresses/creditors etc: 
By clicking in the signature box above a tick will be inserted which will represent your electronic signature.
Date:  *
Joint Applicant/Partner’s Signature: 
Date:  *
Declaration
* Required Fields
A Condensed guide to the use of your personal information by ourselves and at Credit Reference and Fraud Prevention Agencies.
1) When you apply to us to open an account, this organisation will check the following records about you and others (see 2 below)
a) Our Own;
b) Those at credit reference agencies (CRAs). When CRAs receive a search from us they will place a search footprint on your credit file that may be seen by other lenders. They supply us both public (including the electoral register) and shared credit and fraud prevention information.
c) Those at fraud prevention agencies (FPAs)
We will make checks such as; assessing this application for credit and verifying identities to prevent and detect crime and money laundering. We may also make periodic searches at CRAs and FPAs to manage your account with us.
2) If you are making a joint application or tell us that you have a spouse or financial associate, we will link your records together so you must be sure that you have their agreement to disclose information about them. CRAs also link your records together and these links will remain on your and their files until such time as you or your partner successfully files for a disassociation with the CRAs to break that link.
3) Information on applications will be sent to CRAs and will be recorded by them. Where you borrow with us, we will give details of your accounts and how you manage it/them to CRAs. If you borrow and do not repay in full and on times, CRAs will record the outstanding debt. This information may be supplied to other organisations by CRAs and FPAs to perform similar checks and to trace your whereabouts and recover debts that you owe. Records remain on file for 6 years after they are closed, whether settled by you or defaulted.
4) If you give us false or inaccurate information and we suspect or identify fraud we will record this and may also pass this information to FPAs and other organisations involved in crime and fraud prevention.
5) If you have borrowed from us and do not make payments that you owe us, we will trace your whereabouts and recover debts.
6) We and other organisations may access and use from other countries the information recorded by fraud prevention Agencies
7) Your data may also be used for other purposes for which you give specific permission or, in very limited circumstances, when required by law or where permitted under the terms of the Date Protection Act 1988.
How to find out more
* Required Fields
This is a condensed version and if you would like to read the full details of how your data may be used please visit our website at www.eastsussexcu.org.uk or phone 0300 303 3188 or ask a member of staff
You can contact the CRAs currently operating in the UK; the information they hold may not be the same so it is worth contacting them all. They will charge you a small statutory fee
Call Credit, Consumer Services Team, PO Box 491, Leeds, LS3 1WZ, or call 0870 060 1414
Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford BD1 5US or call 0870 010 0583 or log on to www.myequifax.co.uk
Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0844 4818 000 or log on to www.experian.co.uk
Verification
* Required Fields
Please enter the code shown:Captcha
  *
Helps prevent automated form submissions.
More Info
For Office Use Only
* Required Fields

Amount approved:...................


Loan repayment.....................


Savings..........monthly/weekly/4 weekly


Signed.............................


LOAN TYPE: 36% 24% 18% 12% 10%


Signed.............................

Repayment Method LFB / SO / PD
Contact Us
  • East Sussex Credit Union
  • Tel: 0300 303 3188
  • Email:
  • Web: http://www.eastsussexcu.org.uk
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Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority