Loan Application

Welcome to the IICU Family!

IICU Loan Application

Please complete the form below to expedite your loan process. If you prefer to print the form or fill it out digitally online, you can do so and then submit it in person or email it to iiculoans@iicutt.com.

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Your application has been submitted!

Thank you for submitting your application. We will be in touch soon. Please remember to have the original documents on standby for the following: Two forms of identification A current employment letter A recent payslip A recent utility bill Documentation supporting the purpose of your application

First Name

Last Name

Membership Number

Date of Birth (DD/MM/YYYY)

Marital Status

ID Type

National ID

Drivers Permit

Passport

ID Number

Phone (Main)

Phone (Other)

Address (Street Name, Number & Area)

Amount Requested

Purpose of Loan

Type of Loan (Personal or Special)

Employers Name

Employment Status

Monthly Salary (Gross)

Other Income (Include commissions, traveling allowance etc.)

Monthly Installments (Include all Loans, Credit Union and Hire Purchase Payments etc.)

Living Expenses / Utilities

Best Time to be contacted

Message

Applicant(required)

Yes

Consent to Disclose and Request:

(A) I consent to the Insurance Industry Credit Union disclosing to any third party (including but not limited to those providing credit bureau services, insurance, and other financial services) my credit and other information held by the Insurance Industry Credit Union (including applications for credit or other products/services, related analytics data, and such information as necessary for the provision of insurance coverage quotes and insurance coverage related to any product/service provided to me by the Insurance Industry Credit Union); and

(B) I consent to any third party (including but not limited to those providing credit bureau services, insurance, and other financial services), upon request by the Insurance Industry Credit Union, disclosing to the Insurance Industry Credit Union my credit, employment, or other information (including applications for credit or other products/services and related analytics data).

Continuance of Consent: This consent applies to all applications made by me as a borrower, guarantor, or in any other capacity with the Insurance Industry Credit Union. It is valid from the date signed and will remain in effect throughout the existence of any credit or other facilities with the Insurance Industry Credit Union.
Indemnity: I will indemnify the Insurance Industry Credit Union against any and all claims, damages, or otherwise arising from my consent to all disclosures and/or requests to and from the Insurance Industry Credit Union.
Independence: This consent is given freely and without duress from any third party, including the Insurance Industry Credit Union, and with all necessary authority to provide this consent.
Accuracy: The information I have provided is true and correct. I understand that the Insurance Industry Credit Union will rely on such information in considering my application(s) for banking products and services.

Please note, you will need to visit the Insurance Industry Credit Union to sign the final documents. Please have your original Two forms of identification, A current employment letter, A recent payslip, A recent utility bill and Documentation supporting the purpose of the application on standby