Services Online Loan Application

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

Online Loan Application
* Required Fields
Account Number:  *
Member Name:  *
Member Address:  *
Number of years at address:  *
Previous Address (If less than 3 years): 
Type of Accommodation:  *
If Other, please specify: 
Tel Home:  *
Tel Work: 
Mobile no: 
E-mail Address:  *
Please note that we will respond to your loan application via email within a maximum of 3 working days. Please ensure you check all email folders in particular your spam or junk folder regarding your application.
Date of Birth:  *
Marital Status:  *
Number of Dependants: 
Age of Dependents: 
Employment Details
* Required Fields
Employer:  *
Work Address:  *
Occupation:  *
Employment Type:  *
Length of Service:  *
Payment Frequency:  *
Payment Amount:  *
Other Income: 
Other Income Details: 
Please specify source of Other income: 
Spouse/Partners Details (where relevant)
* Required Fields
Spouse/Partners Name: 
Spouse/Partners Employer: 
Employers Address: 
Spouse/Partners Occupation: 
Employment Type: 
Length of Service: 
Spouse/Partners Payment Frequency: 
Payment Amount: 
Any Other Income: 
Other Income Details: 
Please specify source of Other income: 
Spouse/Partners Date of Birth: 
Current Financial Situation
* Required Fields
I declare that I am indebted to the following:
 
Original AmountBalance OutstandingMonthly Repayment Amount
Rent/Mortgage:
Credit Card:
Car Finance:
Personal Loan:
Hire Purchase:
Regular Outgoings per month
 
Amount
House Insurance: 
Health Insurance: 
Life Insurance
1: 
2: 
3: 
Car insurance
1: 
2: 
Loan Details
* Required Fields
I wish to apply for a loan of:  *
Purpose of Loan:  *
Date Required:  *
To be repaid every:  *
In installments of (including interest):  *
Any other information you would like to provide: 
Irish Credit bureau Consent
* Required Fields
I/We authorise Drogheda Credit Union Ltd 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 Limited (ICB) and ICB to record, retain and disclose to its members details of such searches for a period of one year.
I/We acknowledge that Drogheda Credit Union Ltd and/or ICB are permitted to disclose any material misstatement of fact contained in the application for financial accommodation to its members and relevant bodies. I/We consent to any such application being processed, recorded and retained by ICB
Please tick to confirm you have read and agree to the above. In order to proceed with your application consent must be given for this field.: *
Marketing
* Required Fields
From time to time, the Drogheda Credit Union would like to contact you about promotions, events , products and services which may be of interest to you. Please indicate your consent to receive this communication via email, text, post and other electronic means by ticking the relevant box:  *
Declaration
* Required Fields
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.
I declare that to the best of my knowledge: *


And that: *


Signature of Applicant:  *
Date Signed:  *
Data Protection Act 1988 - I consent to the information contained in this application form being used by the Credit Union for the purposes of processing my application
Verification
* Required Fields
Please enter the code shown:Captcha
Contact Us
  • Tel: 041 9838496
  • Fax: 041 9835684
  • Email:
  • Clarke House, Laurence Street, Drogheda, Co. Louth
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Drogheda Credit Union Ltd. is Regulated by the Central Bank of Ireland. Reg No. 23CU