Apply for a Loan
Please complete all your details in the form below, and click submit when you have finished.
You will be contacted for any addtional information required
* fields that must be completed

Your Details
Forename:*
Surname:*
Account Number:*
Date of Birth:
(dd/mm/yyyy)*
Contact Phone Number:*
Mobile Phone Number:
Work Phone Number:
Email Address:*
Marital Status:
Residential Status:
Time at Present Address (years):

Loan Details
Loan Amount Required:*
Loan Purpose:*
Other Purpose:
Repayment period in Years:
Repayment Frequency:

Income Details
Your Occupation:*
Your Employer:*
Employer Address*:
Time with your Current Employer (years):
Your Net Salary:*
Pay Frequency:*
Other Income:

Spouse and dependent Details (if applicable)
Spouse Name:
Spouse Credit Union Account Number:
Spouse Occupation:
Spouse Employer:
Employer Address:
Spouse Income:
Pay Frequency:

Self Employed (if applicable)
Owner:
Partnership:
No of Employees:

Borrowings (Present Financial Position)
Name Amount
Outstanding
Monthly
Repayment
Final
Payment
Date
Car Finance:
Other CU's:
Mortgage:
Bank Loans:
Overdraft:
Credit Cards:
Other:

Additional Information
No of Dependents:*
Any other comments:

I am willing to to make my loan repayments by Direct Debit:


I am not indebted to any other Credit Union, Bank or loan agency either as a borrower or guarantor except as stated above, the statements herin are made for the purpose of obtaining the loan and are true to the best of my knowledge and belief.

I authorise the Credit Union to make whatever enquiries are deemed necessary to process this application*


I confirm that I am fit to follow my normal occupation or duties*

ICB Concent
Confirm acceptance of ICB





  • Contact Info

    11c Silversprings Road
    Mayfield
    Cork

    T: 021 450 4923
    F: 021 450 4933
    E: info@olccu.ie
  • Opening Hours - Mayfield

    Mon: 10am - 4.30pm
    Tue: 10am - 4.30pm
    Wed: Closed
    Thu: 10am - 4.30pm
    Fri: 10am - 5.30pm
    Sat: 9.15am - 12.45pm
  • Contact Info

    Wallingstown
    Little island
    Cork

    T: 021 435 4652/021 435 4660
    F: 021 435 4674
    E: info@olccu.ie
  • Opening Hours - Little Island

    Fri: 9:30am - 12.00pm