Hidden Test

1Your Loan

2Your Details

3Your Finances

4Income/Expenditure

5Declaration

Your details
Title*
What is your title?

Name*
Forename(s) Surname
Date of Birth*
National Insurance Number

Nationality*

Marital status*
Number of dependants*
Age of dependants*Please separate ages by comma, if you have more than one dependant.

Your ID
As a regulated financial organisation we are required to authorise your identity.
Before we set up your Member Account, we need some photo ID. Simply take a photo on your mobile device and upload it. This can be:

- Full or provisional UK driving licence (this can only be used for photo ID or address, not both)
- UK Passport
- Foreign passport/visa
- EU national ID card
Upload photographic ID here:If you are experiencing issues uploading documents, you can email them to id@no1copperpot.com

Drop files here or

Max. file size: 32 MB.

Please ensure that the photo shows all of the document and is clear.
We also need proof of your address. It can include any of the following:

- Full or provisional UK driving licence (this can only be used for photo ID or address, not both)
- Utility Bill (within last 3 months)
- Council Tax Bill (within last 12 months)
- Bank/Building Society Statement (within last 3 months)
- Mortgage Statement (within last 12 months)
- HMRC Tax Notification (dated within last 6 months)
- Benefit letter/Jobcentre Plus letter (within last 12 months)
Upload proof of address here:If you are experiencing issues uploading documents, you can email them to id@no1copperpot.com

Drop files here or

Max. file size: 32 MB.

Please ensure that the photo shows all of the document and is clear.
Your address
If you have not updated your current address, please can you update your address details prior to completing this application form as it may cause delays. You can update your details here and return to this form.
Is the UK your main country of residence?*Please note, we can only lend to people living in the UK.

Yes

No
You must be a UK resident to apply for a loan with us.
Current address*
First line of address Second line of address City Postcode

Time at current address*
Previous address*
Street Address Address Line 2 City Postcode

Contact details
Mobile telephone*
If your loan is approved we will send your loan paperwork through to you electronically via the RMail secure system. Therefore, please provide us with the email address where you would like the paperwork to be sent.
Personal email address*
Enter Email Confirm Email

Remember to provide the email address which you would like us to send your loan paperwork to.
Residential status
Residential status*

Sole Home Owner

Joint Home Owner

Tenant

Live with parents

Property subject to shared ownership or equity scheme

Other
Percentage of shared equity*

Is this property in a joint or sole name?*

Joint

Sole
Approximate value of home*
Do you have an outstanding mortgage?*

Yes

No
Approximate value of mortgage*This is the total outstanding balance you have left to pay.
Approximate term remaining on your mortgage*

Who is your current mortgage provider?*

Do you have any additional lending secured on this property?*

Yes

No
Please provide details of the lender and the amount*
Please give more information*

Employment details
Are you part of the Police Family or are you a family member of someone who works/worked for the Police?*
Please note: we may ask for a copy of a payslip.
Introducing members name*
Forename(s) Surname
Introducing members Member Number (if known)

Your relation to the introducing member*
Occupation*

Full-time employment

Part-time employment

Temporary employment

Self-employed

Unemployed

Retired
What force or company do you work for?*

Job title/rank*

Company name*

What force are you employed by?*
If you have a referral code, please enter it here

What force were you employed by?*
Name your employer*

Time with currently employer*

Work address*
Street Address Address Line 2 City Postcode

Do you contribute to your workplace pension?*

Yes

No
Do you plan to join your workplace pension in the future?*

Yes

No
Setting up payment
Direct DebitPlease add a Direct Debit

Bank name: Bank account number: Bank sort code: How much would you like to save per month? Actions

Edit

Delete

There are no Direct Debits.

Maximum number of direct debits reached.

Once you have completed the Direct Debit information above, please return to this page to complete the rest of the form. We will not be able to set up your membership otherwise.
Your Cambridgeshire Constabulary payroll number*

Your payroll number starts with 90 or 95 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Cambridgeshire Constabulary staff payroll number*

Your payroll starts with 90 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Cambridgeshire Constabulary staff payroll number*

Your payroll starts with 90 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary payroll number*

This is usually your resource number (20 plus 4 digits). This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*

This is usually your resource number (20 plus 4 digits). This allows you to begin saving via payroll deduction.
Your Cheshire Constabulary staff payroll number*

This is usually your resource number (20 plus 4 digits). This allows you to begin saving via payroll deduction.
Your City of London Police payroll number*

Your payroll number starts with 01 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your City of London Police staff payroll number*

Your payroll number starts with 01 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your City of London Police staff payroll number*

Your payroll number starts with 01 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Cumbria Police payroll number*

Your payroll number starts with 0 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Cumbria Police staff payroll number*

Your payroll number starts with 0 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Cumbria Police staff payroll number*

Your payroll number starts with 0 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary payroll number*

Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary staff payroll number*

Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Derbyshire Constabulary staff payroll number*

Your payroll number starts with 9000 or 9001 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police payroll number*

Your payroll number starts with 8 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police staff payroll number*

Your payroll number starts with 5 or 6 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Dyfed Powys Police staff payroll number*

Your payroll number starts with 5 or 6 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Essex Police payroll number*

Your payroll number starts with 420 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Essex Police staff payroll number*

Your payroll number starts with 420 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Essex Police staff payroll number*

Your payroll number starts with 420 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Greater Manchester Police payroll number*

This should be your 6 digit warrant number. This allows you to begin saving via payroll deduction.
Your Greater Manchester Police staff payroll number*

Your payroll number should be 7 digits. This allows you to begin saving via payroll deduction.
Your Greater Manchester Police staff payroll number*

Your payroll number should be 7 digits. This allows you to begin saving via payroll deduction.
Your Gwent Constabulary payroll number*

Your payroll number starts GWP followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Gwent Constabulary staff payroll number*

Your payroll number starts GWP followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Gwent Constabulary staff payroll number*

Your payroll number starts GWP followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary payroll number*

Your payroll number starts 03 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary staff payroll number*

Your payroll number starts 03 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Hampshire Constabulary staff payroll number*

Your payroll number starts 03 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Humberside Police payroll number*

This is your 6 digit warrant number. This allows you to begin saving via payroll deduction.
Your Humberside Police staff payroll number*

Your payroll number should be 6 digits. This allows you to begin saving via payroll deduction.
Your Humberside Police staff payroll number*

Your payroll number should be 6 digits. This allows you to begin saving via payroll deduction.
Your Lancashire Police payroll number*

Your payroll number should be 7 digits. This allows you to begin saving via payroll deduction.
Your Lancashire Police staff payroll number*

Your payroll number should be 7 digits. This allows you to begin saving via payroll deduction.
Your Lancashire Police staff payroll number*

Your payroll number should be 7 digits. This allows you to begin saving via payroll deduction.
Your Leicestershire Police payroll number*

Your payroll number should be 7 or 8 digits ending in 1. This allows you to begin saving via payroll deduction.
Your Leicestershire Police staff payroll number*

Your payroll number start 0, 1 or 2 followed by 7 digits, ending in 1. This allows you to begin saving via payroll deduction.
Your Leicestershire Police staff payroll number*

Your payroll number start 0, 1 or 2 followed by 7 digits, ending in 1. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police payroll number*

Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police staff payroll number*

Your payroll number should be 6 digits long. If you work for G4S this starts with a 4. This allows you to begin saving via payroll deduction.
Your Lincolnshire Police staff payroll number*

Your payroll number should be 6 digits long. If you work for G4S this starts with a 4. This allows you to begin saving via payroll deduction.
Your Metropolitan Police payroll number*

This should be your 8 digit warrant number. This allows you to begin saving via payroll deduction.
Your Metropolitan Police staff payroll number*

Your payroll number should be 8 digits long. This allows you to begin saving via payroll deduction.
Your Metropolitan Police staff payroll number*

Your payroll number should be 8 digits long. This allows you to begin saving via payroll deduction.
Your NCA payroll number*

Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your NCA staff payroll number*

Your payroll number should be 6 digits long. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary payroll number*

Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary staff payroll number*

Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your Norfolk Constabulary staff payroll number*

Your payroll number starts 36 followed by 6 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police payroll number*

Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police staff payroll number*

Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Wales Police staff payroll number*

Your payroll number starts B followed by 5 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police payroll number*

Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police staff payroll number*

Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your North Yorkshire Police staff payroll number*

Your payroll number starts 00 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police payroll number*

Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police staff payroll number*

Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Northamptonshire Police staff payroll number*

Your payroll number starts 34-500 followed by 4 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police payroll number*

Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police staff payroll number*

Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your Nottinghamshire Police payroll number*

Your payroll number starts 31 followed by 7 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police payroll number*

Your payroll number starts SWP followed by 2 to 4 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police staff payroll number*

Your payroll number starts SWP followed by 5 digits. This allows you to begin saving via payroll deduction.
Your South Wales Police staff payroll number*

Your payroll number starts SWP followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police staff payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Staffordshire Police staff payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary payroll number*

Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary staff payroll number*

Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Suffolk Constabulary staff payroll number*

Your payroll number starts 379 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police staff payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Surrey Police staff payroll number*

Your payroll number starts 0 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police payroll number*

Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police staff payroll number*

Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Sussex Police staff payroll number*

Your payroll number should be 5 digits. This allows you to begin saving via payroll deduction.
Your Thames Valley Police payroll number*

This is your shoulder number and starts with 01. This allows you to begin saving via payroll deduction.
Your Thames Valley Police staff payroll number*

This is your shoulder number and should starts with 06. This allows you to begin saving via payroll deduction.
Your Thames Valley Police staff payroll number*

This is your shoulder number and should starts with 06. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police payroll number*

Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police staff payroll number*

Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your West Yorkshire Police staff payroll number*

Your payroll number starts 9 followed by 5 digits. This allows you to begin saving via payroll deduction.
Your Cambridge Constabulary pension number*

Your pension number should be 6 numbers and one letter. You can give your National Insurance number if this is easier for you. This allows you to begin saving via pension deduction.
Your Cheshire Constabulary pension number*

Your pension number should be 7 characters long and start with 85 followed by 5 digits. You can give your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your Derbyshire Constabulary pension number*

Your pension number should be 8 characters long and start with 990 or 991 followed by 5 digits. This allows you to begin saving via pension deduction.
Your Dyfed Powys Police pension number*

Your pension number should be 5 characters long and start with 9 followed by 4 digits. This allows you to begin saving via pension deduction.
Your Essex Police pension number*

Your pension number should be 8 characters long and start with 4270 followed by 4 digits. This allows you to begin saving via pension deduction.
Your Greater Manchester Police pension number*

Your pension number should be 6 characters long and start with 06 or 01 followed by 4 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your Gwent Constabulary pension number*

Your pension number should be 6 characters long. This allows you to begin saving via pension deduction.
Your Hampshire Constabulary pension number*

Your pension number should be 6-8 characters long. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your Leicestershire Police pension number*

Your pension number should be 8 characters long and start with 0, 1 or 2 followed by 7 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your Lincolnshire Constabulary pension number*

Your pension number should be 8 characters long and start with 00 plus 6 digits, or 200 plus 5 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your North Wales Police pension number*

Your pension number should be 6 characters long and start with C followed by 5 digits. You can provide us with your National Insurance Number if this is easier for you. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your South Wales Police pension number*

Your pension number should be 6 characters long and start with 7 followed by 5 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your Surrey Police pension number*

Your pension number should start 03 plus 5 digits or 2 plus 6 digits. This allows you to begin saving via pension deduction.
Your National Insurance Number*

This allows you to begin saving via pension deduction.
Your West Yorkshire Police pension number*

Your pension number should be 6 characters long and start with either a 1, 6 or 9. This allows you to begin saving via pension deduction.

Save and continue later

Your bank details
If approved, your loan will be paid into your bank account via BACS. If you have not updated your bank account details prior to this application, please do this as soon as possible as this will save you time later on. You can update your bank details here. Or call us on 0161 741 3160 during office hours.
Please enter your bank details for us to save on file for when you request a withdrawal. We will send your future withdrawals to this account. You can request to update these details at any point in the future.
Please note, if this facility is approved, the money will not be transferred immediately. Instead, the funds will be available for you to request to withdraw when you need them. If you have not updated your bank account details prior to this application, please do this as soon as possible as this will save you time later on. You can update your bank details here. Or call us on 0161 741 3160 during office hours.
Bank name*

Name on account*

Your account number*

Your sort code*

Personal finances
Are you currently on maternity, paternity or sick leave?*

Yes

No
Please provide us with more information*
Do you have any County Court Judgements?*

Yes

No
Please give more detail*
Are you in a Debt Management Plan?*

Yes

No
Please give more detail*
Are you in an Individual Voluntary Arrangement?*

Yes

No
Please give more detail*
Have you been subject to a bankruptcy order within the past 6 years?*

Yes

No
Please give more detail*
Do you have any existing claims on your pension?*

Yes

No
Please give more detail*

Save and continue later

Monthly income
Take home pay*
Please don't include overtime or shift-allowance, if it's not permanent.
Partners take home pay
Other income

Please specify the source of income and amounts
Hidden
Other income
Please specify source of income and amounts
Total income*
Monthly household expenditure
Please include the expenditure for anyone whose income has been declared within this application.
Rent/mortgage*
Council tax*
Utilities*This should include your gas, water, electricity, etc.
Phone and broadband*
Food and toiletries*
How many cars are in your household?*

Car costs*Please include fuel and parking costs each month.
Credit card/store card repayments*
Loan repayments*This should include all loan repayments, including any car finance and HPP.
Insurances*This should include car, home, life, pet etc.
Child maintenance payments*
Childcare costs*This should include pre and post-school clubs.
Any other outgoings
Please specify and give amounts
Total outgoings
This will exclude any other outgoings you have stated. This expenditure will be added on when assessing your application.

Save and continue later

Loan declaration
Is there anything you would like to add before submitting your application?

Please tick to confirm*
I declare to the best of my knowledge I am in good health and fit to make the monthly repayments on my loan.
Please tick to confirm*
I declare that the information given on this form is accurate and correct.
Please tick to confirm*
I confirm I give permission for No1 CopperPot to complete a credit search.
Please tick to confirm*
I understand that the provision of false information is fraud, and that in the event I am found to have deliberately falsified information appropriate action will be taken.
Please tick to confirm*
I confirm I am not aware of any impending changes to my circumstances which would prevent me from making my monthly loan repayments. This includes disciplinary proceedings, career breaks or other leaves of absence which may affect your ability to repay the loan.
Date of submission*
No1 CopperPot will only use your personal details in accordance with the Data Protection Act 2018. They will only be shared with licensed credit reference agencies, our regulators, auditors of No1 CopperPot, and for debt recovery purposes if necessary.
All loans can be cancelled within 14 days of taking the loan providing all transferred money is returned to the Credit Union. All loans are subject to affordability and our lending criteria. The APR stated is subject to change at the discretion of No1 CopperPot Credit Union, if a change is made you will be informed prior to the start date of your loan.
Membership declaration
Please tick to confirm:*
I have read and understood the terms and conditions.
Click here to read the terms and conditions.
Please tick to confirm:*
I have read the FSCS Information Sheet and Exclusions List.
Click here to view the FSCS Information Sheet and Exclusions List.
Please tick to confirm:*
I have read the privacy notice.
Click here to view the Privacy Notice.
Please tick to confirm:*
I have read and will abide by the Credit Union Rulebook.
Click here to view the Credit Union Rulebook.
Please tick to confirm:*
I am employed by an employer whose workplace is within the common bond of No1 CopperPot Credit Union. I declare that the information provided is correct to the best of my knowledge. I request that you open an account in my name. I agree to be bound by the terms and conditions of the Credit Union's rules.
Please tick to confirm:*
I declare that the information provided is correct to the best of my knowledge. I request that you open an account in my name. I agree to be bound by the terms and conditions of the Credit Union's rules.
Signature*

Almost done!
How did you hear about us?*
Please give more information*

Marketing preferences No1 CopperPot Credit Union does NOT share your information with third party organisations for marketing purposes. However, we would like to send you information about our own products and services.
Please tick to confirm how you would like to receive this information from us:
By email
By post
By SMS

Save and continue later

Cookie	Duration	Description
_hjSession_2313981	30 minutes	No description
_hjSessionUser_2313981	1 year	No description
_mc_anon_id	past	No description
gpnf_form_session_46	7 days	No description
gpnf_form_session_47	7 days	No description
gpnf_form_session_57	7 days	No description
gpnf_form_session_67	7 days	No description
intercom-device-id-g0ntcggq	8 months 26 days 1 hour	No description
intercom-id-g0ntcggq	8 months 26 days 1 hour	No description
intercom-session-g0ntcggq	7 days	No description
xtc	1 year 1 month	No description

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NID	6 months	NID cookie, set by Google, is used for advertising purposes; to limit the number of times the user sees an ad, to mute unwanted ads, and to measure the effectiveness of ads.
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YSC	session	YSC cookie is set by Youtube and is used to track the views of embedded videos on Youtube pages.
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yt.innertube::nextId	never	This cookie, set by YouTube, registers a unique ID to store data on what videos from YouTube the user has seen.
yt.innertube::requests	never	This cookie, set by YouTube, registers a unique ID to store data on what videos from YouTube the user has seen.

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Hidden Test

Let's get started

Your loan purpose

Tell us about your creditors

Second loan purpose

Tell us about your creditors

The amount you wish to borrow

Repaying your loan

Additional details

Your details

Your ID

Your address

Contact details

Residential status

Employment details

Setting up payment

Your bank details

Personal finances

Monthly income

Monthly household expenditure

Loan declaration

Membership declaration

Almost done!