Please choose one of the following options dependent on your personal situation:

Serving Police Officer
Serving Police Staff
Retired Police Officer
Police Special
Serving Armed Forces
Family Member
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Personal Details

Contact Details

Home Address

Previous Address Details

Family Member Personal Details

Family Member Contact Details

Family Member Home Address

Work Details

When at work I live at

Bank Details

Loan Details

How much do you wish to save into your Rewarder Savings Account 1?

How much do you wish to save into your Rewarder Savings Account 2?

Projected Loan Repayments

Financial Information



Company Name Purpose Amount Owed Monthly Repayments

Credit Cards

Company Name Card Limit Card Balance Average Monthly Repayments

Extra Details

I am subject to a CCJ

I am subject to a bankruptcy judgement

I am subject to IVA

I am subject to DRO

I am subject to a DMP

I am subject to mortgage and/or loan arrears

I am currently on sick leave

I am aware my circumtances will change

Health Declaration

I am in good health

I am not in good health

I am fit to follow my normal occupation

I am not fit to follow my normal occupation

Data Protection

In accordance with the principles of Data Protection Act 1998, we will use your personal details for the purposes of managing your accounts with Police Credit Union. Your Personal details will be treated confidentially and will only be shared with the other agencies for the purposes of credit referencing and debt recovery, for which we hold a Category H Consumer Credit Licence, under Section 21 of Consumer Credit Act 1974.

Credit Check

I hereby give authority for Police Credit Union Ltd to perform a credit search on me.

Declaration (Important - Please read carefully)

I declare that I am not indebted to any other credit union, bank or loan agency as a borrower, guarantor or surety (except as stated in the lenders section of this online form) and I declare that neither I nor any company of which I am a shareholder or director is the subject of any bankruptcy or insolvency proceedings or an interim or administration order either now or pending or threatened pursuant to the Insolvency Act 1986. I declare that the facts, matters and statements made on this online application are for the purpose of obtaining the loan are true, complete and accurate in all respects and I acknowledge that, if any such facts, matters or statements are not true, complete and accurate in all respects, the Police Credit Union is entitled to refuse the application for the loan or take civil or criminal proceedings against me, if the loan has been granted.

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