London Plus Credit Union

We are required by international tax regulations to confirm where our members are tax resident. Under the Common Reporting Standard (CRS) and the U.S. Foreign Account Tax Compliance Act (FATCA), financial institutions are required by law to collect this information, and members are also required by law to provide it. Completing this self‑certification allows us to meet these legal obligations.

Title *

Other

Family Name or Surname(s) *

First or Given name(s) *

Middle Name(s)

Date of Birth *

National Insurance Number *

Current Residential Address: Line 1 (House/Apt/Suite Name, Number, Street) *

Address Line 2 *

Address Line 3

Postal Code / ZIP code *

Country *

Town or City of Birth *

Place of birth

Country of Birth *

Part 1 - Personal Details

London Plus Credit Union

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