Application for Membership

Please complete the application and click on submit below. We will carry out a search to verify your identification.

Title

 

Surname

 

First name(s)

 

House number

 

Address 1

 

Address 2

 

City

 

Post code

 

Tel

 

Mobile

 

Email address

 

 

If you have lived at this address for less than three years, please give previous address(es)

 

National Insurance Number

 

Date of birth

 

Employer's name and address

 

Work tel

 

 

Occupation

 

I agree to save per week/month (£)

 

Are you related to any officer or staff at the Credit Union?

 

Were you recommended to Citysave? If so, who by?

 

For security, please enter the characters of the image below:   

 

I hereby apply for membership of and agree to abide by the rules of Citysave Credit Union Ltd. I declare information given by me on this form is true and correct to the best of my knowledge and belief. I understand a non-refundable membership fee of £5.00 will be deducted from my first payment.

 

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. We may also share information held about you with fraud or crime prevention / detection agencies if required to do so.