APPLICATION FOR MEMBERSHIP (Northern Ireland)
Waterside Credit Union Limited
Membership Number:
Applicant Name:
…..................................................... Maiden Name: ................................
Address:
......................................................................................................................
............................................. PostCode: ......................................................
Date of Birth:
.........................................… Spouse/Partner A/C Number ……….........
Telephone:
............................................. Mobile Number: ..........................................
Email Address:
............................................. Employment Status: ....................................
Employer:
............................................................................................................................
Position:
............................................................................
Salary: …………………
I hereby apply for membership of and agree to abide by the rules of Waterside Credit Union
Limited, and declare that the information given by me on this form is true and correct to the best
of my knowledge and belief and that I am not or have not been a member of any credit union other
than those listed below.
State the names of any other credit unions of which you are or have been a member.
......................................................................................................................................................
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Purpose of the Account ………………………………………………………………………...
I confirm that the account is for my own personal use and benefit:(please tick) Yes
If you ticked No above, please specify the beneficial owner of the account
No
………………………………………………...............................
Applicant’s Signature: ..................................................................
Date: …………………
Print Name:
............................................................................
Proposed by:
........................................................ Membership Number:...........................
Seconded by:
........................................................ Membership Number:...........................
Approved:
............................................................................
Date: ............................
Membership Number:
Tax Residency for the purposes of the Common Reporting Standard
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If you are tax resident in another country, please provide your Tax Identification
Number (“TIN”) and Country of Tax Residence:
1.TIN*
Country of Tax Residence*
2.TIN*
Country of Tax Residence*
I confirm that the information provided is true and correct to the best of my knowledge, and that if
my circumstances change, I will notify the credit union:
Applicant Signature………………………………………………………................... Date: …………………………………
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If you are not tax resident in another country, please sign the following:
I wish to declare that I am not resident for tax purposes in any other country, and that if my
circumstances change, I will notify the credit union:
Applicant Signature……………………………………………………………………. Date: …………………………………
*Mandatory Field
**This information is being sought for the purposes of reporting obligations under the Common
Reporting Standard (CRS), as provided for by the International Tax Compliance Regulations 2015.
The information required to be reported under the CRS, including name, address, TIN, account
number, account balance and payments on the account will be provided to the HMRC and may be
exchanged securely with another Competent Tax Authority in your jurisdiction of tax residence, but
such information will at all times be treated with the strictest confidentiality as required by the Data
Protection Act 1998. Only data that is legally required to be reported will be provided to the HMRC.
For more information on this, please speak to your credit union or see
http://www.oecd.org/tax/transparency/automaticexchangeofinformation.htm
Financial Services Compensation Scheme Information Sheet and Exclusions List
Declaration
Please tick the box below to confirm the following:
I acknowledge receipt of the Information Sheet and Exclusion List
Applicant’s Signature:
..................................................................
Membership Number:
Consent to use and disclosure/Data Protection Act 1998 and Rule 162 of the Standard Rules for Credit Unions
(Northern Ireland) (2015)
I understand that under the Data Protection Act 1998 (the “DPA”), my consent may be required for the credit union to
process personal data that it may have in its possession concerning me (including disclosure to third parties). I note that
this personal data may include sensitive personal data, such as data about my health, within the meaning of the DPA, the
processing of which requires my explicit consent. I also understand that under rule 162 of the Standard Rules for Credit
Unions (Northern Ireland) (2015), the credit union, subject to exceptions listed in the rule, shall not disclose or permit to
be disclosed, without my consent, any information that concerns an account or transaction of mine with the credit union.
Giving your consent
For the purpose of assessing my application for a loan and generally for administering and monitoring any accounts I have
with the credit union:
I consent:
(i) to you seeking information concerning applications for loans and my credit history from the date of my original
consent from any other credit union and for that purpose you may disclose any relevant information in this loan
application to any such other credit union;
(ii) to any other credit union disclosing information to this credit union concerning applications for loans and my
credit history from the date of my original consent with any such other credit union;
(iii) to you disclosing any information in my application or in respect of any account or transaction of mine with the
credit union from the date of my original consent to authorised officers or employees of the Irish League of Credit
Unions for the purpose of fulfilling requirements under the Savings Protection Scheme if such a scheme is
operated on behalf of the credit union by the Irish League of Credit Unions; and
(iv) to the processing of any information relating to me, either contained in this form or any other form or application,
for the purpose of assessing this application and administering any accounts I maintain with the credit union.
Correspondence
For convenience, it may be necessary for the credit union to contact you via email or text message. Please note the credit
union maintains the right to contact you by such means as best available to it in relation to a non-performing loan or
outstanding debt to the credit union.
Marketing
From time to time, the credit union may use your details to inform you of goods, services, competitions and/or promotional
offers available from the credit union and carefully selected third parties which may be of interest to you. We do not give
your details directly to third parties.
The use of your details for marketing purposes will depend on the preferences that you express below:
Opt-In (Marketing by email, text message and fax)
I consent to the credit union informing me of goods or services, competitions and promotional offers that
may be of interest to me by email, text message or fax, available from the credit union and carefully selected
third parties.
Opt-Out (other forms of marketing)
Please tick the box opposite if you do not want the credit union to inform you by phone or letter of goods,
services, competitions and promotional offers that may be of interest to you that are available from the credit
union and carefully selected third parties.
Please note that you have the right to access personal data held about you by the credit union and to correct any
inaccuracies in such data.
Signature of applicant
Witnessed by
_____________________________________________________________
________________________________________________________________________
Date : ____________________________
Date :__________________________
Membership Number:
(THIS SECTION IS TO BE COMPLETED BY THE CREDIT UNION)
Evidence of Identification
(Complete at least one of the following)
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•
•
•
•
Current Valid Passport
Current Valid Driving Licence
National Identity Card
Birth Certificate (for a minor/or evidence of name change only)
Other*
*Please specify………………………………………..
Evidence of Address Verification
(Complete at least one of the following)
•
•
•
•
•
•
Current Utility Bill (e.g. Gas/Electricity Bill)
Official document from a Government Body
Original Recent Bank/Building Society Statement
Local Authority Document (e.g. Refuse Collection Bill)
Current Insurance Document (e.g. House/Motor Insurance)
Other*
*Please specify (i.e. in genuine cases where the above cannot be presented)
…………………………………………………........................................
Additional Information
• Nomination Form completed
• New Members Meeting Letter Printed
• No New Members Meeting Attended – Message Added
Application approved and details verified in accordance with the standard rules by:
Signed:
………………………………………………………………….
(Membership
Date:
Committee)
……………………….
INFORMATION SHEET
Basic information about the protection of your eligible deposits
Eligible deposits in Waterside Credit Union are
the Financial Services Compensation Scheme
protected by:
(“FSCS”).
Limit of protection:
£75,000 per depositor per bank / building society /
credit union.
If you have more eligible deposits at the same bank /
All your eligible deposits at the same bank / building
building society / credit union:
society / credit union are “aggregated” and the total
is subject to the limit of £75,000.
If you have a joint account with other person(s):
The limit of £75,000 applies to each depositor
separately.
Reimbursement period in case of bank, building
20 working days.
society or credit union’s failure:
Currency of reimbursement:
Pound sterling (GBP, £) or, for branches of UK banks
operating in other EEA Member States, the currency
of that State.
To contact Waterside Credit Union for enquiries
Waterside Credit Union Limited
relating to your account:
55/57 Spencer Road, Derry. BT47 6AA
Tel: 028 71345579
To contact the FSCS for further information on
compensation:
More information:
Acknowledgement of receipt by the depositor:
Financial Services Compensation Scheme
10th Floor Beaufort House
15 St Botolph Street
London
EC3A 7QU
Tel: 0800 678 1100 or 020 7741 4100
Email: [email protected]
http://www.fscs.org.uk
Additional information
1 Scheme responsible for the protection of your eligible deposit
Your eligible deposit is covered by a statutory Deposit Guarantee Scheme. If insolvency of your bank, building
society or credit union should occur, your eligible deposits would be repaid up to £75,000 by the Deposit
Guarantee Scheme.
2 General limit of protection
If a covered deposit is unavailable because a bank, building society or credit union is unable to meet its financial
obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers at maximum £75,000
per bank, building society or credit union. This means that all eligible deposits at the same bank, building society
or credit union are added up in order to determine the coverage level. If, for instance a depositor holds a savings
account with £80,000 and a current account with £20,000, he or she will only be repaid £75,000.
In some cases eligible deposits which are categorised as “temporary high balances” are protected above £75,000
for six months after the amount has been credited or from the moment when such eligible deposits become
legally transferable. These are eligible deposits connected with certain events including:
(a)
(b)
(c)
certain transactions relating to the depositor’s current or prospective only or main residence or dwelling;
a death, or the depositor’s marriage or civil partnership, divorce, retirement, dismissal, redundancy or
invalidity;
the payment to the depositor of insurance benefits or compensation for criminal injuries or wrongful
conviction.
More information can be obtained under http://www.fscs.org.uk
3 Limit of protection for joint accounts
In case of joint accounts, the limit of £75,000 applies to each depositor.
However, eligible deposits in an account to which two or more persons are entitled as members of a business
partnership, association or grouping of a similar nature, without legal personality, are aggregated and treated as if
made by a single depositor for the purpose of calculating the limit of £75,000.
4 Reimbursement
The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10th Floor Beaufort
House, 15 St Botolph Street, London, EC3A 7QU, Tel: 0800 678 1100 or 020 7741 4100, Email: [email protected]. It
will repay your eligible deposits (up to £75,000) within 20 working days until 31 December 2018; within 15
working days from 1 January 2019 until 31 December 2020; within 10 working days from 1 January 2021 to 31
December 2023; and within 7 working days from 1 January 2024 onwards, save where specific exceptions apply.
Where the FSCS cannot make the repayable amount available within 7 working days, it will, from 1 June 2016 until
31 December 2023, ensure that you have access to an appropriate amount of your covered deposits to cover the
cost of living (in the case of a depositor which is an individual) or to cover necessary business expenses (in the case
of a depositor which is not an individual or a large company) within 5 working days of a request. Again, there are
specific exceptions to this obligation.
In the case of a depositor which is a large company, where the FSCS cannot make the repayable amount available
within 7 working days, it will, from 3 July 2015 until 1 December 2016, ensure that you have access to your
covered deposits within fifteen working days of a request containing sufficient information to enable it to make a
payment, save where specific exceptions apply.
If you have not been repaid within these deadlines, you should contact the Deposit Guarantee Scheme since the
time to claim reimbursement may be barred after a certain time limit. Further information can be obtained under
http://www.fscs.org.uk.
Other important information
In general, all retail depositors and businesses are covered by Deposit Guarantee Schemes. Exceptions for certain
deposits are stated on the website of the responsible Deposit Guarantee Scheme. Your bank, building society or
credit union will also inform you of any exclusions from protection which may apply. If deposits are eligible, the
bank, building society or credit union shall also confirm this on the statement of account.
EXCLUSIONS LIST
A deposit is excluded from protection if:
(1) The holder and any beneficial owner of the deposit have never been identified in accordance with money
laundering requirements. For further information, contact your bank, bank building society or credit
union.
(2) The deposit arises out of transactions in connection with which there has been a criminal conviction for
money laundering.
(3) It is a deposit made by a depositor which is one of the following:
•
•
•
•
•
•
•
•
credit institution
financial institution
investment firm
insurance undertaking
reinsurance undertaking
collective investment undertaking
pension or retirement fund 6
public authority, other than a small local authority.
Credit
Search
For further
information about exclusions, refer to the FSCS website at www.FSCS.org.uk
Credit Searches
The credit union is a member of Experian
1. When you apply to us to open an account, this organisation may check the following records about you:
(a) Our own records;
(b) Records at credit reference agencies (CRAs). When CRAs receive a search from us they will place a search footprint on your
credit file that may be seen by other lenders. They supply to us both public (including the electoral register) and shared credit and
fraud prevention information.
(c) Those at fraud prevention agencies (FPAs).
The searches may assess this application for credit and verifying identities to prevent and detect crime and money laundering. We
may also make periodic searches at CRAs and FPAs to manage your account with us.
2. If you are making a joint application or tell us that you have a spouse or financial associate, we will link your records together so
you must be sure that you have their agreement to disclose information about them. CRAs also link your records together and
these links will remain on your and their files until such time as you or your partner successfully files for a disassociation with the
CRAs to break that link.
3. Information on applications will be sent to CRAs and will be recorded by them. Where you borrow from us, we will give details
of your accounts and how you manage it/them to CRAs. If you borrow and do not repay in full and on time, CRAs will record the
outstanding debt. This information may be supplied to other organisations by CRAs and FPAs to perform similar checks and to
trace your whereabouts and recover debts that you owe. Records remain on file for 6 years after they are closed, whether settled
by you or defaulted.
4. If you give us false or inaccurate information and we suspect or identify fraud we will record this and may also pass this
information to FPAs and other organisations involved in crime and fraud prevention.
5. If you have borrowed from us and do not make payments that you owe us, we will trace your whereabouts and recover debts.
6. We and other organisations may access and use from other countries the information recorded by fraud prevention agencies.
7. Your data may also be used for other purposes for which you give your specific permission or, in very limited circumstances,
when required by law or where permitted under the terms of the Data Protection Act 1998.
How to find out more
This is a condensed version and if you would like to read the full details of how your data may be used please contact the credit
union office.
You can contact the CRAs currently operating in the UK; the information they hold may not be the same so it is worth contacting
them all. They will charge you a small statutory fee.
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CallCredit, Consumer Services Team, PO Box 491, Leeds, LS3 1WZ or call 0870 0601414
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Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford, BD1 5US or call 0870 010 0583 or log on to
www.myequifax.co.uk
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Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0844 4818000 or log on to
www.experian.co.uk.