Pandemic - Eastern Credit Union

Pandemic Loan Application Form

APPLICANT INFORMATION

First Name(*)

Please let us know your First name.

Middle Name

Please let us know your Middle name.

Last Name(*)

Please let us know your Last Name.

Are you a member of the Eastern Credit Union?(*)

Yes, I am a member. No, I am considering it. Invalid Input

ID/DP/PP(*)

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Identification Number(*)

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Home

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Work(*)

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Mobile(*)

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E-mail(*)

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You must provide a valid email address to complete your application. Please see our Privacy Policy for more details.

Preferred Mode of Contact(*)

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Address(*)

0/250

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PANDEMIC LOAN REQUEST

In light of the effects of the COVID-19 Pandemic on my income earnings. I hereby request a loan with the amount and purpose outlined below:

AMOUNT(*)

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PURPOSE(*)

0/250

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EMPLOYMENT INFORMATION

EMPLOYER NAME

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YEARS OF SERVICE

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OCCUPATION

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EMPLOYMENT STATUS

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GROSS SALARY ($)

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ALLOWANCES ($)

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TOTAL ($)

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MARITAL STATUS

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NUMBER OF DEPENDENTS

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SPOUSE NAME

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SAVINGS & INVESTMENT

Shares ($)

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Savings account ($)

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Vehicles ($)

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Property ($)

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Other ($)

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Total ($)

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Details

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Details

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Details

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Details

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Details

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LOANS & REPAYMENTS

Mortgages, Hire Purchases, Credit Cards, Other Credit Unions Loans, etc.

INSTITUTION

1. Institution

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2. Institution

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REPAYMENT

1. Repayment

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2. Repayment

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BRANCH REQUEST SUBMITTED

DECLARATION
I declare the information expressed above is true and accurate and can be regarded as part of any subsequent contract with Eastern Credit Union. In addition, this document serves as authorization for you to conduct TransUnion and A.V. Knowles Credit Enquires in order for me to qualify for a loan facility at Eastern Credit Union.

Captcha(*)

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