Young Scot Extra Application Form

1. Personal details
Title*
First name*
Middle name
Surname*
Postcode*
Address Line 1*
Address Line 2
Town
Country Code
Date of birth (DD/MM/YYYY)*
National Insurance number*
Gender
- Male
- Female
Country of Nationality*
Marital status*
Mother's maiden name*
I confirm that I am a UK Tax Resident*
- Yes
- No
If no, I am a Tax Resident in*
If no, my Tax Reference Number is*
Your information, including the amount of dividend received annually, may be reported to HM Revenue and Customs and may be transferred to the government of the territory you are resident in for Tax purposes in accordance with International Tax Compliance Regulations 2015. You confirm that the above information is correct and that you understand it is your responsibility to inform Scotwest should your tax residence status change at any time during your membership of the credit union.
How did you hear about Scotwest?*

3. Employment details
Employment status*
Are you employed by one of our Select Employer Partners?*
If no, please tell us the name of your employer
Job title*
Workplace postcode*
Workplace address line 1*
Workplace address line 2
Workplace Town

Loan Details
Do you wish to apply for a Scotwest Loan at this time?*
Personal Details
Number of Dependents
Are you/have you ever been bankrupt or signed a trust deed?*
Are you discharged?*
Date of discharge*
What is your residential status at your current address?*
Please specify*
Have you lived at your current address for 5 years or more?*
Address 1
Postcode
Address Line 1
Address Line 2
Town
Country
From
Month*
Year*
Until
Month*
Year*
Address 2
Postcode
Address Line 1
Address Line 2
Town
Country
From
Month*
Year*
Until
Month*
Year*
Employment Details

How long have you worked for your current employer
Type of Contract*
Years*
Months*
Are you currently on sick/maternity leave?*
Income and Expenditure Details

Monthly Income
Your net pay (after all deductions)*
Your spouse/partner's net pay (after all deductions)
Other monthly income eg pension, benefits etc (please specify)
Type
Amount
Type
Amount
Type
Amount
Total Monthly Income*
Monthly expenditure
Mortgages
Rent
Council Tax
Utilities

heating/lighting etc
Insurances

buildings, lift, car etc
Travel/Car Expenses

travelcard, road tax, petrol etc
Food & Household Expenses

including entertainments, clothing etc
Communications

mobile, landline, broadband, cable, satellite etc
Any other loans

including HP
Credit Cards

including store cards
Any other regular expenses

factors fees, gym, maintenance, childcare
Total Expenditure*
Loan Details
Type of Loan (if known)*
With the Consolidation Loan, Scotwest will pay your creditors on your behalf if your loan application is approved
The Green Car Loan is applicable only for electric or hybrid vehicles. We cannot pay out the 2.9% Green Car Loan for any other type of vehicle.

Please ensure that the vehicle you wish to apply for qualifies by checking here: https://www.gov.uk/check-mot-status
Untitled*
- I confirm my vehicle is eligible
Reason for loan*
Hidden
Cycling UK Code (Not in use)*
If Other, please specify*
Total amount of loan required (min £100)*
Repayment frequency
Preferred loan term (up to 84 months)
or
Preferred repayment amount
Revolvaloan
Preferred borrowing limit*

(min £600 / max £2500)
Initial advance amount required*
Loan Declaration

Please read the Scotwest Data Privacy Notice statement of this application. Full terms and conditions for our loans are available in the loan section of our website or by calling the Member Enquiry Line 0141 227 2390.
Untitled*
- I wish to apply for a loan from Scotwest Credit Union
Untitled*
- The foregoing information is true to the best of my knowledge
Untitled*
- I authorise Scotwest to make such enquiries as it considers necessary for the verification of the foregoing information