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Online Loan Application Form

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

Loan Application Form
To qualify for a loan you must be able to tick these four boxes
1: *I am over 18 years of age
2: *I have an income, including benefits, of more than £125 per week
3: *I live or work in Kent, Medway or Bexley
4: *I have had no Defaults, County Court Judgements (CCJs), Individual Voluntary Agreements, Debt Relief Orders or Debt Management Plans within the last three years and I am not an undischarged bankrupt.
1. About you
Title: *
First name: *
Middle Name:
Last name: *
Email address: *
Work Tel:
National Insurance No: *
Date of Birth: *
Address: *
How long have you lived here? *
If you have lived at your present address for less than three years, please provide details of all previous addresses in the last three years:
Housing status: *
If you rent from a housing association or local council
please tell us your Landlord's name:
Marital status: *
How many adults live at this address? *
How many dependent children live at this address? *
Ages of dependant children that live at this address:
2. About your income and expenditure
If you are working … what is your job title?
If you are working … what is the name of your employer?
If you are working … what is your Employers address:
How long have you worked for this employer?
Is your Job permanent?
If No, when does your current contract expire:
If you have a partner, many household expenses may be shared and so you may wish to include details of your partner's income to support your application (Please specify MONTHLY amounts)
Average take home pay:
State & Occupational Retirement Pensions:
Other income e.g. rent, investments:
Total benefits (e.g. child benefit, tax credit, DLA, JSA, Income Support excluding housing benefit and council tax benefit):
Total Income:
Monthly Expenditure
Rent/Mortgage: *
Insurance (Building/Contents):
Council Tax:
Water Rates/Metered:
Other fuel costs, e.g. Coal/Oil:
Main Shopping:
Telephone, Internet, Mobile:
TV Licence:
Car Insurance, Road Tax, Running Costs:
Travel including Petrol/Diesel:
Clothing, Footwear:
Life Insurance:
Repayments on loans, credit and store cards:
Repayments on Catalogues & Hire Purchase:
Expenditure Child Maintenance:
Cigarettes, Tobacco:
Social activities, Gym, Sports:
Gambling, including lottery and scratch cards:
Child pocket money, clubs, hobbies:
Total Expenditure: *
How much can you afford to repay each month? *
Money Owed
How much do you owe to other creditors in total? Example: Credit cards,
Hire Purchase, Loans, Pay-Day loans, Overdrafts, Catalogues etc.:
Name of creditorBalance outstanding
Amount you pay each month
Rent/Mortgage arrears: *
Any CCJs – Active/Satisfied: *
Bankruptcies in last 5 years: *
If yes to any of the above questions – please provide us with further information:
3. About your loan request
Required Loan Amount (£): *
What will you spend the money on? *
How do you want to receive the money? *
How do you want to make repayments? *
4. The small print
Kent Savers Credit Union Limited is Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Firm reference number 503258
Data Protection Statement
In accordance with the principles of the Data Protection Act 1998, we will use your personal details for the purposes of managing your accounts with the Credit Union. Your personal details will be treated confidentially and will only be shared with other agencies for the purposes of credit referencing and debt recovery, for which purpose we hold a Category H Consumer Credit Licence.
Important - Your Personal Information - Credit decisions & also the prevention of fraud & money laundering
We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both we and credit reference and fraud prevention agencies will use your information is detailed in the leaflet called: A condensed guide to the use of your personal information by ourselves and at Credit Reference and Fraud Prevention Agencies. If you would like to read the full details of how your data may be used please view our web page how we assess your application or phone 0333 321 9050.
By confirming your agreement to proceed you are accepting that we may each use your information in this way.
Your details
We will not sell/pass on any of your details to any third parties however from time to time we may wish to contact you about other Kent Savers accounts or services that we think may be of particular interest to you. Please indicate if you want to receive further information.: *
Signature: *
Date: *
Partner's Declaration
If you have declared your partner's income details as part of your overall income to support your application, your partner will need to sign to confirm agreement for their information to be used in this way.
Partner's Signature:
Date: *
Where did you hear about Kent Savers loans? *
If Other, please state:
Please enter the code shown:
Helps prevent automated form submissions.
More Info
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Kent Savers Credit Union Tel: 0333 321 9050 Email: Web:
Kent Savers Credit Union is authorised by the Prudential Regulation Authority and regulated by the Prudential Regulation and Financial Conduct Authorities - Firm No. 503258