Membership application form
 
To be eligible to join Newport Credit Union, you need to be aged 18 or over
You must also live or work within the City of Newport (Postcodes NP10, NP18, NP19, NP20 NP26 3 or CF3) {or be joining via the bond scheme in Carmarthenshire, Caerphilly or Powys.} * (please tick to confirm)

By completing the information on this page, you agree that you will pay £3 to join the Credit Union and £5 to bring your savings up to the minimum level. (If you are joining via the bond scheme the £5 will be taken as an admin charge). Payment must be made by bank transfer or by cash in our Newport office. Details for payment will be sent to you by email. * (please tick to confirm)

Please note that this process is not automated, and the application will be processed by a member of our customer services team.
  • ALL fields marked with an "*" are mandatory and you must enter/select the appropriate information.
PERSONAL details:
 
Title: *
Forename: *
Middle name(s):
Surname: *
 
Home address House number: or name:
  Flat number:
  Street *
  Town *
  District
  Postcode: *
Time at address:   years months
 
Sex: *
Date of birth: / / * (Age: )
National insurance number: *
E-mail: *
Home telephone:
Mobile telephone: *
 
 
Beneficiary details:
 
Beneficiary name: *
Relationship to you: *
Beneficiarys address: House/Flat No and street name: *
Town: *
District:
Postcode: *
Beneficiarys contact number: *
 
Banking details
 
Sort code:
Account number:
Name on account:
 
Additional information
 
I * wish to receive annual statements from the credit union via email. Statements not sent via email will be sent via post.
 
I * wish to receive promotional information from the credit union via email.
 

DATA PROTECTION STATEMENT

In accordance with the principles of the Data Protection Act 1998 we will use your personal details for the purposes of establishing your identity and managing your account with the Credit Union. Your personal details will be treated confidentially and will only be shared with other agencies for the purpose of credit referencing and debt recovery for which we hold the appropriate Consumer Credit Licence.
 
DECLARATION
 

I * to adbide by the rules of the Credit Union and declare that the information given by me on this form is true and correct to the best of my knowledge and belief.

By submitting this form, you are agreeing to an online ID check. This is not a credit check.
 
Human verification