Pandemic Loan Application Form

APPLICANT INFORMATION

Please let us know your First name.
Please let us know your Middle name.
Please let us know your Last Name.
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You must provide a valid email address to complete your application. We ask for your email address so we can send you important communications relating to your application. Please see our Privacy Policy for more details.

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PANDEMIC LOAN REQUEST

In light of the effects of the COVID-19 Pandemic on my income earnings. I hereby request a loan with the amount and purpose outlined below:

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EMPLOYMENT INFORMATION

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SAVINGS & INVESTMENT

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LOANS & REPAYMENTS

Mortgages, Hire Purchases, Credit Cards, Other Credit Unions Loans, etc.

INSTITUTION

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REPAYMENT

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BRANCH REQUEST SUBMITTED







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DECLARATION
I declare the information expressed above is true and accurate and can be regarded as part of any subsequent contract with Eastern Credit Union. In addition, this document serves as authorization for you to conduct TransUnion and A.V. Knowles Credit Enquires in order for me to qualify for a loan facility at Eastern Credit Union.

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