Loan Application Step 4 – Comhar Linn (INTO) Credit Union

Are you a member of Comhar Linn INTO Credit Union?*
- Yes
- No
Secure doc?
Status
Topic
fortnightly repayment
weekly repayment
Contact Details
Name*
Prefix First Last
Email*

Please enter your personal email address.
Phone*
Applying for a loan requires processing of your personal data.*
- By ticking the box I consent to the Processing of my data, which may include sensitive data, for the purposes of reviewing this application in accordance with the Privacy Notice
Consent
- I agree to the terms and conditions for access to and use of the Credit Union website and web forms and to the Processing of my data, which may include sensitive data, for the purposes of reviewing this application in accordance with the Privacy Notice
Personal Details
We need to collect some information from you in order to be able to further process your application.
Please fill in your Date of Birth*

Day
Month
Year
Do you know your membership number?
- Yes
- No
Please enter your membership number:
Marital Status
Please enter your PPS number*
Please use all capital letters

Please enter your home address
Address Line 1 Address Line 2 Town County Country
Living Situation*
- Home Owner
- Tenant
- Living with Parents
Number of Residents Living At This Address*
Years living at this address*
If resident for less than 3 years please supply previous address
Previous Address*
Address Line 1 Address Line 2 Town County Country

Your Employment Details
Employment Status
Employment Type
Employment Code 1
Triggers docs for full or part time emploument
Employment Code 2
Triggers docs for self employment
Employment Code 3
Triggers docs for unemployed, student, retired
Emp Code
Sum of employment codes. Passed via url to Doc Upload
Occupation
Employer Name*
Employer Address*
Address Line 1 Address Line 2 Town County Country
Time in current Employment (in years)*

Application Details
Loan Application Amount*
Loan Purpose
Other loan purpose
Term of Loan (in years)*
Please enter a number less than or equal to 10.
7 years is the maximum term for a Car loan
Repayment Frequency
Monthly Repayment
fortnightly repayment
weekly repayment
Repayment Amount
Repayment Method
Loan Funds Payout Method

Your Income
Fortnightly Take Home Pay*
After Tax & Deductions
Are you in receipt of social welfare payments?*
- Yes
- No
What is the total monthly amount of social welfare payments you receive?*
E.g. Child Benefit, Job Seeker's Allowance, Family Income Supplement etc.
Are you in receipt of rental income?
- Yes
- No
Monthly Rental Income
If Applicable
Do you have other monthly income?
- Yes
- No
Other Monthly Income
After Tax & Deductions

Your Outgoings
Type of Monthly Outgoing
Amount*
Do you have an additional monthly outgoing?*
- Yes
- No
Type of Monthly Outgoing
Amount
Do you have a further monthly outgoing?
- Yes
- No
Type of Monthly Outgoing
Amount
Do you have a further monthly outgoing?
- Yes
- No
Type of Monthly Outgoing
Amount
Total Monthly Outgoings
Please consider any Mortgages, Loans, Credit Cards, Overdrafts etc.

Declarations and Consents - please read carefully before submitting
Below, the terms ‘we’ or ‘us’ refer to the Credit Union.
Below is important information relating to your application. Please do not submit an application before reading all the information carefully.*
- l hereby apply to the Credit Union for a Personal Loan subject to the Loan Terms and Conditions of the Credit Union. By ticking the box I confirm that I have read and understood the Terms and Conditions.
Are you aware of any known future changes to your circumstances which may affect your ability to repay the proposed loan?*
- Yes
- No
Please provide details:
Are you an employee, director or volunteer of the Credit Union?*
- Yes
- No
Please provide details:
Are you connected to or related to an employee or director of the Credit Union or connected to a business where an employee or director of the Credit Union is a significant shareholder?*
- Yes
- No
Please provide details:
Have you or are you, or any business associated with you; ever been declared bankrupt or insolvent, obtained a Debt Relief Notice, renegotiated your arrangements with creditors or faced court proceedings for debts in Ireland or any other jurisdiction?*
- Yes
- No
Please provide details:
HIDING FIELDS

Authorisation and Application
I confirm, acknowledge and agree;
- That this Application Web Form together with figures quoted in repayment calculators may not be construed as an offer of credit by or on behalf of the Credit Union.
- That all statements, information and details given in this application and any documentation provided in support of it are true, accurate and complete and I understand they are subject to verification by the Credit Union.
- That loan approval is subject to the Credit Union’s credit approval process and lending criteria and that the Credit Union reserves the right to restrict, amend, reduce or withdraw any loan offer made.
- That the loan will be subject to the rates and interest of the Credit Union and I will pay all fees and charges in connection with the loan as set out in the Credit Agreement that will issue to me on the approval of my application.
- That loan approval may be subject to conditions as specified in the Credit Agreement. This may include that my shares may be held as security against the loan.
- That upon execution of the Credit Agreement by the Credit Union and I, we will both be bound by that Credit Agreement.
Consent for Authorisation and Application*
- By ticking the box I confirm and acknowledge the above
Credit Checks
STATUTORY NOTICE – Central Credit Register (CCR):

Under the Credit Reporting Act 2013 lenders are required to provide personal credit information for credit applications and credit agreements of €500 and above to the Central Credit Register. This Information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements.

The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information please see: www.centralcreditregister.ie
It is a necessary condition of a credit application that satisfactory credit checks and assessments be conducted by the Credit Union. These will include checks with the Central Credit Register and/or other credit reference agencies.*
- By ticking the box I authorise the Credit Union to conduct additional credit verifications and assessments as necessary for the purposes of considering my application in accordance with the Credit Checks Notice

Receive Certain Notices Electronically
From time to time the credit union would like to send Notices to you electronically including notice of annual general meetings, special general meetings and our annual report.
- By ticking the box I consent to receiving certain Notices electronically
Marketing Consent
As part of improving our services to you, from time to time we would like to inform you of goods, services, competitions and/or promotional offers available from us. We may wish to contact you by different means when sending such marketing communications. Please confirm, by inserting a ✓ for methods by which you consent to be contacted

There is no obligation to grant consent nor are there any consequences if you withhold consent. Granting or withholding consent will have no effect on this application. You may withdraw your consent at any time by contacting us by letter or phone.
Yes, I would like to be contacted by:
- Email
- Text Message
- Post
- Phone
You can select more than one option
- No, I do not want to be contacted:
You can contact the Credit Union in the future if you change your mind and wish to alter your preferences with regard to the receipt of marketing communications

Phone
(01) 873 1101

Website

www.comharlinnintocu.ie

In branch

Comhar Linn INTO Credit Union
33 Parnell Square,
Dublin 1,
D01 W563
Ireland
Warning: If you do not meet the repayments on your credit agreement, your account will go into arrears. This may affect your credit rating, which may limit your ability to access credit in the future.
credit union id
Loan Type

Step 1 of 9

Contact Details

Personal Details

Your Employment Details

Application Details

Your Income

Your Outgoings

Declarations and Consents - please read carefully before submitting

Authorisation and Application

Credit Checks

Receive Certain Notices Electronically

Marketing Consent

Address

Opening Hours

Phone	(01) 873 1101
Website	www.comharlinnintocu.ie
In branch	Comhar Linn INTO Credit Union 33 Parnell Square, Dublin 1, D01 W563 Ireland