Motherwell CU - Join application

Getting started

All about you

Address

Where you live

Employment

Where you work

Savings

Your finances

Confirmation

Review and join

Title

First name

Middle name

Surname

Gender

Marital status

Date of Birth

National insurance number

Number of Dependants

Address

City

County

Post Code

Period at this address

Address

City

County

Post Code

Home Phone

Mobile Phone

Email Address

Confirm Email

Status

Employer

Address

City

County

Post Code

Phone

Sort code

Account number

Have you been a member of our credit union before?

No

Yes

Ethnicity

Payroll deduction

Standing order

Direct debit

BACS

Employer

Payroll number

Deduction amount

£

Monthly pay date

Start payroll deductions on

I authorise Motherwell to arrange deductions from my wages or salary as set out above beginning from the first possible pay day until instructed otherwise. I authorise Motherwell to be notified of my leaving or termination of employment date.

Beneficiary name

Relationship

Address

Postal code

As the person to whom there shall be transferred such property in the Credit Union as may be mine at the time of my death.

Member signature

How did you hear about the credit union?

I hereby apply for membership of and agree to abide by the rules of Motherwell Credit Union Ltd. I declare that the information given on this form is true and accurate to the best of my knowledge. I understand that my main account must hold a minimum of £5.00 at all times. I agree that the personal information on this form and other information collected and held by the credit union, can be stored on paper or electronically. All information is held in accordance with the principles of the Data Protection Act 1998, and in the strictest confidence.

By clicking in the signature box below a tick will be inserted which will represent your electronic signature. As part of the sign up for membership we will be required to run a identify and verification check. If, for any reason, we are unable to verify your identity we will get in touch to arrange for you to provide us with your identity documents to complete the sign up process.

I hereby declare the above information is true and agree to the terms and conditions of the credit union.

We will review your application during business hours and be in contact with you using the contact information you provided.

Personal Information

Dependants

Address Information

Previous Address Information
We require your previous address because you have told us you have lived at your current address for less than 3 years

Contact Information
Please provide the information below so that we can contact you regarding your account

Employment Information

Bank Details
We will store these details securely for your convenience should you wish to transfer money from your Motherwell account

Additional Information
It is important that we make sure we are here for as many people as possible from all different backgrounds. All of your information is kept strictly confidential and will have no bearing on the service from us.

Payroll Deductions

Beneficiary
In the event of my death, I nominate as the person to whom there shall be transferred such property in the Credit Union as may be mine at the time of my death.

Confirmation

Terms and Conditions

We've received your application

Application reference number:

We've received your application

Application reference number:

Personal Information

Dependants

Address Information

Previous Address Information We require your previous address because you have told us you have lived at your current address for less than 3 years

Contact Information Please provide the information below so that we can contact you regarding your account

Employment Information

Bank Details We will store these details securely for your convenience should you wish to transfer money from your Motherwell account

Additional Information It is important that we make sure we are here for as many people as possible from all different backgrounds. All of your information is kept strictly confidential and will have no bearing on the service from us.

Payroll Deductions

Beneficiary In the event of my death, I nominate as the person to whom there shall be transferred such property in the Credit Union as may be mine at the time of my death.

Confirmation

Terms and Conditions

We've received your application

Application reference number:

We've received your application

Application reference number:

Previous Address Information
We require your previous address because you have told us you have lived at your current address for less than 3 years

Contact Information
Please provide the information below so that we can contact you regarding your account

Bank Details
We will store these details securely for your convenience should you wish to transfer money from your Motherwell account

Additional Information
It is important that we make sure we are here for as many people as possible from all different backgrounds. All of your information is kept strictly confidential and will have no bearing on the service from us.

Beneficiary
In the event of my death, I nominate as the person to whom there shall be transferred such property in the Credit Union as may be mine at the time of my death.