St Albans District Credit Union

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St Albans District Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority

  


  © St Albans District Credit Union 2011

I apply for membership of the St Albans District Credit Union and agree to abide by its rules.  I declare that information given by me on this form is true to the best of my knowledge.  Please tick to show which of the following three qualifications makes you eligible for joining the Credit Union.  

Please note the Proof of Identity requirements at Section 4

Section 4: Proof of identity.  Documents to be provided by applicants

List B: to confirm  your name

Council tax bill*

Utilities bill*

Bank statement*

Rent book (or account)*

Medical card.

Pension book**

Benefits book**

Driving licence.

List A: to confirm who you are (ID) and address

Birth Certificate

National Insurance card

Valid passport

Driving licence**

Marriage certificate

Employers ID with photograph.

Personal cheque

Pension book**

Benefits book**

*   Should be less than 3 months      old

** Cannot be used for both ID and     to confirm name and address

Bring or post completed form and supporting documents to:

St Albans District Credit Union, 135 Hatfield Road, St Albans, AL3 5JX or hand to CU representative at a St Albans District Credit Union Collection Point.

Documents will be returned after verification and photocopying

FOR OFFICE USE     Collection Point ..................    Officer...........….……………………


ID Checked             Y/N                            Residential                 Y/N

Identity                   Y/N                            Other                         Y/N


Membership Paid     Y/N                Initial Share allocation paid      Y/N

Payroll Deduction     Y/N                Standing Order                       Y/N


Application approved by ........................................... ...

Member of Board of Directors


Signature ..................................................                 Date...............................

To be eligible for membership you must answer YES to one of the following questions:


Do you live in the County of Hertfordshire?

Complete Section 1 (and Section 3 if applicable)


Is your Spouse/Partner already a member of St Albans District Credit Union?

Complete Section 1 only


Do you work in the County of Hertfordshire?

Complete Sections 1 , 2  (and Section 3 if applicable)

Section 1.  Applicant:

Address

Post Code

e

Date of Birth

NI Number

Years

Months

Or

I am the spouse/partner of a member (please give name, address and membership number of member)






Years

Section 3: Permanent address (if different from that given in Section 1 or 2)

Click “reset” to delete data you have entered on form

Months

If applying by post. please provide a total of 3 (THREE) items from the list below to prove identity upon application to be a member. A check will be made to ensure that the documents are current. At least one item should be from each list. If arranging payroll deductions, proof of identity and residence can be provided by your employer, if you complete and sign the Payroll Deduction Form (Form M6) available from the Credit Union office at 135 Hatfield Road.



Section 2: Address of employer  (to be filled in by applicants who work in the local government area of city and district of St Albans but do not reside there.)


Applicant's Signature .......................................….…………………………………..       Date..............….………

                    

Yes

Yes

Yes

Print

APPLICATION FORM FOR MEMBERSHIP


COMPLETE SECTIONS 1 - 3


Attach proof of identity as described in Section  4 and send by post to the Credit Union Office

at 135 Hatfield Road,St Albans, AL1 4JX  or hand to a Credit Union officer

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