Please use tab button to move between fields |
| Your Details |
| Member Number if any |
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Referal |
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| First Name |
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| Surname |
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| Mobile Number |
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| Contact Number |
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| e-Mail Address |
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| Loan Details |
| Loan Amount Required |
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| Loan Purpose |
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| *if other please specify |
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| enter preferred repayment amount |
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| enter preferred repayment term |
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| repay frequency |
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| do you wish to avail of RPI? |
Please select an item.
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| Income Details |
| Your Occupation |
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| Your employer |
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| Your Nett salary |
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| Pay Frequency |
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| Spouse Name |
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| Spouse Occupation |
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| Spouse Employer |
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| Spouse Nett Salary |
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| Spouse Pay Frequency |
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| Other Income |
| Other Income type |
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| Other Income amount |
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| Rent/Mortgage Expenses |
| Expense Type |
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| Expense per month |
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| Any other comments |
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| Important: Please read the following declaration carefully before proceeding. |
| Declaration |
| I/We are not indebted to any other credit union, bank or loan agency either as borrower or guarantor, except as stated.The information given by me/us on this form is made for the purpose of obtaining the loan, and is true, to the best of my knowledge and belief. I declare that to the best of my knowledge and belief that I am/I am not fit to follow my normal occupation. (Delete as appropriate). I authorise the credit union to make whatever enquiries are deemed necessary to process this application.
I/we authorise Tipperary Credit Union Limited to process and retain data provided by me/us in respect of this application, to seek and provide credit references (searches), to record details of any transaction which may result from this application with Irish Credit Bureau (ICB) and ICB to record, retain and disclose to its members details of such searches for a period of one year.
I/we acknowledge that Tipperary Credit Union Limited and/or ICB are permitted to disclose any material misstatement of fact contained in the application for financial accommodation to its members and relevant bodies. I/we consent to any such application being processed, recorded and retained by ICB.
I have read/ understand and agree to the declaration above
Yes
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| Applications take at least three working days to process. Normal Lending Terms and Conditions Apply. You can check your loan application status through our automated service at 062 80400 - this service is available 24/7. |
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