SCCULoanApplication


 
First Name: *
Middle Name: *
Last Name: *
Email:
Confirm Email:
Account Number:
Birthdate: * Social Insurance Number: *  No Spaces
Home Phone: *  eg: 902 555 1234
Cell Phone:  eg: 902 555 1234
Office Phone:  eg: 902 555 1234 or 902 555 1234 ext 123
Marital Status: *
Dependents: *

ADDRESS
Address: * City: *
Province: Postal Code: * No Spaces eg: e3e3e3
How Long?
I/We: *
IF YOU HAVE NOT RESIDED AT THIS ADDRESS FOR AT LEAST THREE YEARS, PLEASE ENTER YOUR PREVIOUS ADDRESS BELOW
Address: * City: *
Province: Postal Code: * No Spaces eg: e3e3e3
How Long?

EMPLOYMENT INFORMATION
Employer: * Occupation: * How Long?
Annual Income: * Employment Status:
IF YOU HAVE NOT BEEN EMPLOYED WITH THIS COMPANY FOR AT LEAST TWO YEARS, PLEASE ENTER YOUR PREVIOUS EMPLOYMENT INFORMATION BELOW
Previous Employer: * Occupation: * How Long?
Annual Income: * Employment Status:

Other Income
Source Amount (Annually)
Source:
Source:
Source:
Source:
Source:
Total:



Monthly Rent or Mortgage Payment:
Government Issued ID:

DECLARATION AND AUTHORITY TO OBTAIN INFORMATION

I/We acknowledge, consent, and accept that: Steel Centre Credit Union may collect my/our personal information from me/us, from arrangements I/ we have with Steel Centre Credit Union, from credit reporting agencies, other financial institutions and from other sources I/we have supplied to Steel Centre Credit Union. Steel Centre Credit Union may use this personal information to consider a personal loan, evaluate my/ our credit standing, to share or exchange reports and information with credit reporting agencies, to detect and prevent fraud, and to safeguard the financial interests of Steel Centre Credit Union and its members. Steel Centre Credit Union may keep my/our personal information in their records so long as it is needed for the purpose described above. If I/we wish to consult my/our file or make corrections to it, I/we may do so by written request to Steel Centre Credit Union. If you agree with the terms outlined above, please click on the I/We Agree button below.