Fraternal Finance (Essex) - Member SAVINGS / INVESTMENT Application

PERSONAL DETAILS:
Title / Full Name:
Date of Birth: / Marital Status: / Dependents:
Home Address Line 1: / Home Address Line 2:
Home Address Line 3: / Home Address Line 4:
County: / Post Code:
Residential Status: Owner / Tenant / LWP/ Other / Time at Address:
Home Telephone No: / Mobile No:
E Mail address: / Lodge Name & Number:
Previous Address (If less than 3 years) / PA Line 1:
PA Line 2: / Post Code:
OCCUPATION DETAILS:
Occupation: / Employment Status: Self / Retired / Independent
Employers Name (If applicable)
Employers Address 1: / Employers Address 2:
Employers Address 3: / Employers Post Code:
Time in Employment: / Annual Income: £ / Employers Telephone No:
INVESTMENT Amount £ / Min £1,000 (increments of £1k)
Reason for Investment E.g. Bank Alternative, Better Interest rate, Assist a Member / Charity …
INVESTMENT TIME: One, Two or Three Years / Increments of 1 Year (Max 3 Years)
Joint Investment application details – If applicable
Title: / Full Name:
Date of Birth: / Marital Status: / Dependents:
Home Address Line 1: / Home Address Line 2:
Home Address Line 3: / Home Address Line 4:
County: / Post Code:
Residential Status: Owner / Tenant / LWP/ Other / Time at Address:
Home Telephone No: / Mobile No:
Previous Address (If less than 3 years) / PA Line 1:
PA Line 2: / PA Line 3:
PA Line 4: / Post Code:
YOUR BANK DETAILS:
Bank Name: / Account Name:
Bank Address
Time at Bank: / Sort Code: / Account Number:
FINANCE DETAILS: OFFICE USE ONLY
Finance Type: Peer to Peer Capital Investment loan interest bearing
Finance Period: Year(s) / Funded to: / Rate: % AER
Investment Amount / £ / DETAILS:
Membership Subscription / £ 100.00 / One off Club Admin Fee- (for life of agreement
Amount Due to FF / £
Total Investment Amount / £ / Date of Deposit:
Year 1 Interest / £ / Annualized Interest credited from Loan inception only
Year 2 / £ / :
Year 3 / £
£
Total AER / £ / Date of Final Savings Repayment: Month Year 20
DECISION: OUR OFFICE USE ONLY
Our Bank Details for deposit: -
Approved / Accepted Subject to terms / Declined
FF CONTACT DETAILS:
Contact: Savings Dept. / Contact Number: 07907992090
Email Address:
DISCLAIMER:
By submitting this proposal, I confirm that to the best of my abilities all the information provided on this form is true and accurate as provided by me the customer. I have been informed that this information may be disclosed to FF lenders for the purpose of considering this Investment application. I give customer permission for FF to pass this information onto third party agents for the specific purpose of ascertaining the credit worthiness and are aware that thelender may use this information to carry out searches with credit reference agencies as required.
SIGNATURE & DATE…………………………………………………………………………………………………………….
Head Office Fraternal Finance Devine House 1299-1301 London Road Leigh Essex SS9 2AD
Registered in England No: 05365369 Consumer Credit License: 567683