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Please complete the form below:

Before You Apply

To join Leeds City Credit Union you need to meet one of the following criteria, please read through and confirm that you are eligible to join by selecting at least one of the checkboxes.

Please confirm you meet at least one of the above criteria

Personal Details

Title: *
Forename: *
Surname: *
Date of Birth: *
National Insurance: *
Gender: *
Email Address: *
Home Number:
Mobile Number: *
Country of Birth: *
Nationality: *
Residential Status: *
Housing Association: *

Address Details: *

Please add your address history, starting with your most recent. We require either your last 5 addresses or addresses covering the last 3 years.
To add an address, enter and search your postcode, select your address and the date you moved in, and click add.

Postcode:
Select address:
Date moved in:
How did you hear about us?: *

Employment Details

Employment Status: *
Employer:
Company Name: *
Job Title:
Payroll Number:

Employer Address: 

Loan Application

Do you wish to apply for a loan now?: *

Marketing Preferences

I wish to be kept up to date by email with our changing products and services.: *
I wish to be kept up to date by SMS with our changing products and services.: *
I wish to be kept up to date by Post with our changing products and services.: *

Confirmation

Before applying you must read the FSCS guidance, membership terms and conditions, and any other documents listed. Please click the terms and conditions link below to view these.

I confirm I have read and agreed to the terms and conditions of this application.*
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