CCU Membership Application - Cambuslang Credit Union

Personal Details

Please provide your personal and contact information exactly as it appears on your official documents.

Title *0 / 50

Surname *0 / 50

Forename *0 / 50

Address *0 / 250

Post Code *0 / 15

Home Telephone No. *

Have you lived at this address for more than 3 years? *YesNo

Date of Birth *

National Insurance No. *

Next of Kin

Tell us who you would like to nominate as your next of kin and beneficiary.

Full Name *0 / 50

Home Telephone No. *

Address *0 / 250

Post Code *0 / 15

Relation *0 / 50

I, (Full Name) *0 / 50

being a potential member of Cambuslang Credit Union Limited hereby nominate the above named person as the person to whom there shall be transferred, on my death, whether shares or otherwise. I will advise the Credit Union in writing if there is any change to this nomination.

Employment Details

Please provide details of your current employment, where applicable.

Employer0 / 50

Address0 / 250

Post Code0 / 15

Work Telephone No.

Bank Details

Please enter the details of the bank account you intend to use with your credit union membership.

Name of Bank *0 / 50

Address0 / 250

Post Code0 / 15

Name of Account *0 / 40

Sort Code *

Account No. *

Signature

Read the declaration carefully, then sign and submit your membership application.

Applicant Signature0 / 50

Date *

Interviewing Officer0 / 50

Date

ID Provided0 / 50

Membership No. Allocated0 / 50

Knowingly supplying CCU with false information could lead to loss of membership. Cambuslang Credit Union Ltd, 260 Main Street, Cambuslang, Glasgow, G72 7EG

0141 641 0888
info@cambcu.co.uk