Loans Apply For A Loan

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

Online Loan Application
* Required Fields
Account Number: 
Name:  *
Address:  *
Previous Address (If less than 3 years): 
Type of Accommodation:  *
Tel Home:  *
Tel Work: 
E-mail Address:  *
Date of Birth:  *
Marital Status:  *
Number of Dependants: 
Employer and Workplace Address:  *
Occupation:  *
Length of Service:  *
Weekly Salary:  *
Other Income: 
Financial Details
* Required Fields
I declare that I am indebted to the following:
 
Original AmountBalance OutstandingMonthly Repayment Amount
Bank/Building Society:
Rent/Mortgage:
Credit Card:
Other:
Other 2:
Other 3:
Credit Union Loans
 
AmountDateRepayment AmountsRepayment Frequency
1:
2:
3:
Current Share Balance(s):  *
Loan Details
* Required Fields
I wish to apply for a loan of:  *
Purpose of Loan:  *
Date Required:  *
To be repayed every:  *
In installments of: 
No. of years to pay off this loan
View the Loan Calculator for help with this:
  *
Irish Credit Bureau
* Required Fields
I/We authorise 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 Ltd. and ICB to record, retain and disclose to it's members details of such searches for a period of one year and for monitoring the loan if granted. I/We acknowledge that and/or the ICB are permitted to disclose any material misstatement of the fact contained in the application for financial accommodation to it's members and relevant bodies. I/We consent to any such application being processed, recorded and retained by ICB.: *


Declarations
* Required Fields
Please take a moment to read the Data Protection Agreement *
If you do not want information to be used for the purposes mentioned at (iv) in Data Protection Agreement please:
I confirm that I am fit to follow my normal occupation or duties: *


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.
Signature of Applicant:  *
Date Signed:  *
Name of Guarantor (if required): 
Guarantors relationship to Applicant: 
Loan Application Supporting Documentation
* Required Fields
The Criminal Justice Act 2010 states the Credit Union must have the following on file for all members. Members must submit the following documentation to our office.
Identification
Photo e.g. Passport, Driving licence,National Identity Card

Current Permanent Address
e.g. Utility Bill, Original bank statement, Insurance documents, Government issued documents, for example, Revenue cert or social security book

PPS
e.g. Payslip, P60, Revenue documents, Travel Pass cards, Medical cards ID cards, Pension cards

Evidence of Income
Payslip; 3 most recent payslips

Bank Statements
3 months recent bank statements

Accounts
Most recent audited financial statements
Verification
* Required Fields
Please enter the code shown:Captcha
  *
Helps prevent automated form submissions.
More Info
Douglas Office
  • Tel:
  • Fax:
  • Email:
  • Web:
  • 021 489 4555
  • 021 489 4733
  • www.douglascu.ie
  • Douglas Credit Union Limited West Douglas, Cork
Opening Hours
  • Mon, Tues, Thurs & Fri: 10am - 5pm
  • Wed: Closed
  • Sat: 10am - 1pm
Grange Office
  • Tel:
  • Fax:
  • 021 489 0355
  • 021 489 0367
  • Unit 3, Supervalue S/C, Grange Road,Douglas, Co. Cork
Opening Hours
  • Mon, Tues: Closed
  • Wed, Thur, Fri: 10am - 5pm
  • Sat: 10am - 1pm
Passage West / Monkstown Office
  • Tel:
  • Fax:
  • 021 484 1317
  • 021 486 3084
  • Chapel Square, Passage West, Co. Cork
Opening Hours
  • Mon, Tues & Thurs: 9.15am - 4pm
  • Wed: Closed
  • Fri: 9.15am - 6.30pm
  • Sat: 9.15am - 12pm
Douglas Credit Union Ltd is Regulated by the Central Bank of Ireland. Reg No. 46CU