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Tel: 094 9659599 Fax: 094 9638762

Sat 19-Aug-2017
Loans Online Loan Application
We require the following information to accompany Loan Applications i.e.
Evidence of Income e.g. payslips, accounts etc.
Two months recent current account bank statements

Please drop this information into our office as soon as possible after this application has been submitted.

You may alternatively email it to us at glenamaddycu@eircom.net.

By submitting this application I consent to the Credit Union carrying out a credit reference search with the ICB.

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

Online Loan Application
* Required Fields
Account Number:  *
Member Name:  *
Member Address:  *
Previous Address (If less than 3 years): 
Type of Accommodation:  *
If Other, please specify: 
Tel Home:  *
Tel Work: 
E-mail Address:  *
Date of Birth:  *
Marital Status:  *
Number of Dependants: 
Employment Details
* Required Fields
Employer:  *
Work Address:  *
Occupation:  *
Length of Service:  *
Weekly Salary:  *
Other Income: 
Payroll Number: 
E-mail Address: 
Spouse/Partners Details (where relevant)
* Required Fields
Spouse/Partners Name: 
Spouse/Partners Employer: 
Employers Address: 
Spouse/Partners Occupation: 
Spouse/Partners Weekly Income: 
Any Other Income: 
Spouse/Partners Date of Birth: 
Current Financial Situation
* Required Fields
I declare that I am indebted to the following:
Original AmountBalance OutstandingMonthly Repayment Amount
Bank/Building Society:
Credit Card:
Previous Credit Union Loans
AmountDateRepayment AmountsRepayment Frequency
Current Savings Balance(s):  *
Current Loan Balance(s): 
Current Arrears: 
Loan Details
* Required Fields
I wish to apply for a loan of:  *
Purpose of Loan:  *
Date Required:  *
To be repaid every:  *
In installments of:  *
* Required Fields
I declare that I am not indebted to any other Credit Union, Bank or Loan Agency either as a borrower or Guarantor, except as stated on this application. The statements herein are made for the purposes of obtaining the loan and are true to the best of my knowlewdge and belief.
I declare that to the best of my knowledge: *I am in good health
I am NOT in good health
* Required Fields
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More Info
  • Glenamaddy Credit Union Limited
  • Tel: 094 9659599
  • Fax: 094 9638762
  • Email: glenamaddycu@eircom.net
  • Web: http://www.glenamaddycu.ie
Glenamaddy Credit Union Limited is regulated by the Central Bank of Ireland. Reg No: 353CU