* = required field

    Amount Required*:

    Loan Purpose

    Intended Use Of Loan*:

    Loan Term Required*:

    Personal Details

    Member Number*:

    • First Name*:
    • Date of Birth*:

    Current Address*:

    Accommodation Type*:

    Please enter E-mail address and mobile phone number accurately as we will send you important information on submission of your application.

    E-mail Address*:

    Mobile Phone Number*:

    Current Employment Details

    Employer Name:

    Employer Address:


    Time in Employment:

    Employment Type:

    Any other income source:

    State type of other income:

    Spouse/Partners Details (where relevant)

    Member Number:


    Net Income per week:

    Financial Details

    • Mortgage 1

    • Mortgage 2

    • Personal Loan

    • Credit Card 1

    • Credit Card 2

    • Other Loans

    • Rent payable per month (if applicable)

    Other Details

    Number Of Dependants*:

    Are you a guarantor for any loan?*

    If Yes, Please give details:

    Financial Institution:

    Amount of Loan:

    Monthly Repayment:

    How did you hear about our loan products?*


    Communication Consent

    For the assessment, monitoring and administration of your Account and to inform you of goods and/or services which may be of interest to you, I consent to First Choice Credit Union or third parties selected by the Credit Union using my details to inform me by:
    Telephone Call*:

    Privacy Notice

    First Choice Credit Union (FCCU) is committed to protecting the privacy and security of your personal information. Please see our Privacy Notice which describes how we collect and use personal information.
    I confirm that I have read the Privacy Notice and I consent to processing of my details as stated above.*


    I/We are not indebted to any other credit union, bank or loan agency either as borrower or guarantor except as stated above in the online loan application.
    The information given by me/us on this form is made for the purpose of obtaining the loan and is true to the best of my knowledge and belief.
    I authorise First Choice Credit Union Ltd. to make whatever enquiries are deemed necessary to process this application including sharing account and loan data with other credit unions, consumer reference agencies and/or Union Check.
    I / We understand that this is an application and as such does not imply that a loan will be offered, approved or granted.*

    Irish Credit Bureau Consent

    ICB are using Legitimate Interests (GDPR Article 6 (f)) as the legal basis for processing of your personal and credit information. These Legitimate Interests are promoting greater financial stability by supporting a full and accurate assessment of loan applications, aiding in the avoidance of over-indebtedness, assisting in lowering the cost of credit, complying with and supporting compliance with legal and regulatory requirements, enabling more consistent, faster decision-making in the provision of credit and assisting in fraud prevention.
    Please review ICB’s Fair Processing Notice which is available at http://www.icb.ie/pdf/Fair Processing Notice.pdf. It documents who they are, what they do, details of their Data Protection Officer, how they get the data, why they take it, what personal data they hold, what they do with it, how long they retain it, who they share it with, what entitles them to process the data (legitimate interests), what happens if your data is inaccurate and your rights i.e. right to information, right of access, right to complain, right to object, right to restrict, right to request erasure and right to request correction of your personal information.

    Central Credit Register

    Under the Credit Reporting Act 2013 lenders are required to provide personal and credit information for credit applications and credit agreements of €500 and above to the Central Credit Register. This information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements. The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information see www.centralcreditregister.ie

    • Members Signature*:

    Loans are subject to approval. Terms & Conditions apply. If you do not meet the repayments on your loan, your account will go into arrears. This may affect your credit rating which may limit your ability to access credit in the future.