Loan Application Secured

Please fill out the form below to apply for a secured loan.

This application form is to only be used for loans secured on shares. This means that:

You are applying to borrow the same or less than the amount held in shares.
Shares to the value of the outstanding loan are frozen, therefore you can only withdraw anything above that amount for the whole duration of the loan.

Section 1 - About You

First name

Last name

Member No.

Nat. Ins. No.

Reson for Loan

Address & Postcode

Length of time at this address?

Years

Months

If less than 3 years, please provide previous address & postcode

Length of time at this address?

Years

Months

Home Tel. No.

Mobile

Work Tel. No.

To ensure your loan application is approved quickly, please make sure you provide:

This form completed in full
Proof of ID
Proof of address (dated within the last 3 months) - e.g. recent utility bill or letter

Supporting Document Upload