Online Adult Membership

Step 1 - About You

Membership of Dubco Ireland is open to all permanent, continuous and contract employees and their extended family members in the following categories:

Local Authorities
Special Needs Assistant members of Fórsa Trade Union
Fast Moving Consumer Goods (FMCG) Employees including
1. Wholesale and Retail Grocery Employees
2. Wholesale and Retail Pharmacy Employees
3. Employees in Pharma & Grocery Manufacturers
Dental Employees including Dentists, Orthodontists, Dental Nurses, Hygienists & Administrative Employees
Non-teaching Employees in all levels of the Education Sector including public & private organisations
Government Organisations including the Housing Finance Agency & Tusla
Members of the CSNA (Convenience Stores and Newsagents Association) and their Employees

If you do not fall under any of these categories, but have an extended family member who does, you will be eligible to join Dubco Ireland, if they join and recommend you.

Are you eligible to be a Dubco member? *YesNo

Please tick the box to show how you are eligible: *Place of workFamily member

If you have ticked no please review the criteria above.

Relationship to Existing Family Member? *

Name of family member *

Street Address *

City/Town *

County *

Phone *

Dubco may contact your family member to verify the relationship.

Membership Information Pack: *yesI confirm I have downloaded and understood the membership information pack and its terms and conditions.

Step 2 - Becoming a member

Becoming a Dubco Credit Union member is simple. However, you need to provide the following:

Proof of ID - must be in date

Passport
Driving Licence/Driver Qualification Card
EU National Identity Card (EU Country)
National Age Card issued by An Garda Siochana
Firearms Certificate

Proof of Address - dated within the last 6 months

Utility Bill / Confirmation
Statement from Bank / Credit Union (not Dubco)
Revenue Commissioners Correspondence
Document issued by Government Department showing your address and your PPS number
Voter Polling Card

Proof of PPS¹ number

P60, P45, P21, Payslip
PAYE Notice of Tax Credit
Correspondence from Revenue Quoting PPS Number
Medical Card, Drugs Payment Scheme Card, E111 Card

¹PPS number is not obligatory but would be appreciated. Dubco is obliged to ask for proof of PPS.

Verify and upload your identity documents *email a scanned copy to membership@dubco.ie

Step 3 - Applicant details

Name *

PPS Number *

Date of Birth *

Day

Month

Year

Age70

Phone/Mobile: *

Address *

Town *

County *

Eircode: *

Find your Eircode

Employer Name *

Occupation *

Employer Address *

From where do you derive your wealth? E.g. employment, savings, investments etc. (the source of wealth) *

For what purpose do you require the account? E.g. savings, loans, budgeting etc. (the business relationship) *

Step 4 - Declarations

Please tick the relevant box below:

Are you a Politically Exposed Person (PEP)1, or a close associate or family member of a Politically Exposed Person? *YesNo

If you’ve selected ‘Yes’, please explain why: *

I confirm I am and will be the Beneficial Owner1 of the funds in the account. *YesNo

If you’ve selected ‘No’, please explain why, and include the name and address of the Beneficial Owner: *

Name

Street Address

City/Town

County

I confirm that I am a Tax Resident1 in the Republic of Ireland Only. *YesNo

If you ticked ‘No’, please give the Tax Identification Number (TIN) & Country of Tax Residence below (proof of TIN will be required).

Tax Identification Number (TIN) *

Country of Tax Residence *

I confirm that I’ve read the Depositor Guarantee Scheme1 Information in the Membership Information Pack. *Yes

I confirm that I’ve read the European Union (Payment Services) Regulations 20182 Information in the Membership Information Pack. *Yes

¹For more information, please refer to page 2 of the Membership Information Pack.
²For more information, please refer to page 3 of the Membership Information Pack.

Step 5 - Marketing and other preferences

From time to time, Dubco Credit Union may wish to use your details to inform you of goods and/or services which may be of interest to you.

Dubco Credit Union will not forward your details to any third-party for marketing purposes.

I consent to the Dubco Credit Union informing me of their goods or services that may be of interest to me by:

Mobile: *

Email *

Other preferences, please tick the relevant box below:

Please include me in the Monthly Members’ Draw (currently €1 per week1). *YesNo

Please include me in the Death Benefit Insurance (DBI) Scheme (currently €4 per month). *YesNo

I wish to avail of Online Access via the web and the Mobile Banking App. *YesNo

I wish to receive Quarterly Statements via Internet Banking. *YesNo

Email *

I wish to receive an Annual e-AGM Notification (notification of AGM & motions via online services). *YesNo

Were you a member of Dubco previously? *YesNo

¹For more information, please refer to page 2 of the Membership Information Pack.
²Please note & subject to change the Death Benefit Insurance Scheme cost is voted upon at the AGM annually.

Step 6 - Regulatory requirements

- For the avoidance of doubt, this is not an application for credit as defined by the Consumer Credit Act, 1995. However, the information contained in this application together with the Dubco Consents to use and disclosure for the purposes of (i) the General Data Protection Regulation (GDPR) (Data Protection Acts 1988-2018) and s.71, Credit Union Act, 1997, and (ii) the Irish Credit Bureau and any other Credit Institution, may be used in conjunction with any and all future applications for Credit Facilities from Dubco Credit Union Limited the Member may submit.
- Type of Account Opened: Member should be aware that the Account opened will be treated as a ‘Special Share Account’. This means that the dividend due on this account will be credited net of DIRT (Deposit Interest Retention Tax) by the Credit Union. The tax applied will be the prevailing rate.
- The Payment Services Information / ‘Regulation 76 Information’ / ‘The European Union (Payment Services) Regulations 2018’ sets out the terms and conditions relating to electronic payments to and from Dubco accounts, including Share Accounts, Deposit Accounts, Loan Accounts and Budget (Bill Payment) Accounts.
- I hereby apply for membership of and agree to abide by the rules of Dubco Credit Union Limited and declare that the information given by me on this form is true and correct to the best of my knowledge. I understand that any false or misleading information given by me in connection with my application for membership with the Credit Union may result in termination of my membership, apart from any other legal sanctions that may apply
- I confirm I will notify the Credit Union in writing of any changes in the information which I have provided and any other relevant/material information of which I may become aware at any time after the date of this Declaration.

Consent *YesI understand that under the General Data Protection Regulation (GDPR), my consent may be required for the Credit Union to process personal data that it may have in its possession concerning me (including disclosure to third parties). I note that this personal data may include sensitive personal data, such as data about my health, within the meaning of the GDPR, the processing of which requires my explicit consent.

Consent *YesI also understand that under Section 71 of the Credit Union Act, 1997, the Credit Union, subject to exceptions listed in the Section, shall not disclose or permit to be disclosed, without my consent, any information that concerns an account or transaction of mine with the Credit Union.

Step 7 - Authority and indemnity for telephone or electronic instructions

This allows us to take instructions from you in relation to your account by phone or email.

Instructions by email will only originate from one of the following email addresses:

Personal Email

Work Email (optional)

Should I require you to transfer money from my Dubco account to my bank account by Electronic Funds Transfer, the following details are those I shall confirm when I instruct Dubco Credit Union Limited to do the transfer:

Bank name

Bank address

Account name

BIC (Bank Identifier Code)

IBAN (International Bank Account Number)

To: Dubco Credit Union Limited (The "Credit Union")

I refer to my Dubco account (s) and mandate (hereinafter referred to as “the Mandate”) between the Credit Union and myself governing the operation of my account(s) with the Credit Union.
Notwithstanding the terms of the Mandate or of any future mandate or other agreement or course of dealing between the Credit Union and myself
I hereby request and authorise the Credit Union (but do not oblige the Credit Union) to rely upon and act in accordance with any instruction or
communication which may from time to time be or purport to be given by telephone, facsimile or electronic transmission by myself.
The Credit Union shall be absolved of any and all responsibility for any loss or liability of any nature (direct or indirect) suffered by me as a result of any error in transmission of any telephone, facsimile or electronic instruction or communication or as a result of the Credit Union’s acting on any telephone, facsimile or electronic instruction or communication the Credit Union believes in good faith to have been made by me and the Credit Union is authorised to act without further enquiry upon any telephone, facsimile or electronic instruction or communication believed in good faith by the Credit Union to be an instruction or communication so given or made.
The terms of this Authority and Indemnity shall remain in full force and effect unless and until the Credit Union receives (and has reasonable time to act upon) a note of termination from me in writing save that such termination will not release me from my liability under this Authority and Indemnity in respect of any act performed by the Credit Union in accordance with the terms of this Authority and Indemnity prior to the expiry of such time.
Dubco Credit Union Limited reserves the right to request you to attend their office in person for such purposes and requirements as may be deemed necessary by Dubco Credit Union Limited.

Applicant ConsentAgree

Date

Step 8 - Nomination

In the event of your death, you may nominate a person (or persons) to be the beneficiary (or beneficiaries) of your Dubco Credit Union property, (which includes share and deposit accounts, and insurance proceeds), not exceeding the limit authorised by law. This will not form part of your estate. Any amount in excess of this will form part of your estate.
We advise you to review your nomination in the event your personal circumstances change - particularly marriage, divorce or separation. NB: A nomination is revoked by subsequent marriage but not by divorce/separation.

If you wish to complete a nomination form then:a. Print the nomination form here, complete and return to Dubco Credit Union orb. Please tick the box and a member of the Dubco staff will post a blank form to you

Step 9 - How to fund your new Dubco account

Funding your new account by: *Once off paymentOngoing payments

A member of our staff will contact you to arrange a lodgement to your new account; e.g. counter lodgement, card payment, EFT, etc.

Payment by: *Direct debitPayroll deduction

Payroll number *0 / 50

Frequency: *WeeklyFortnightlyMonthly

How much would you like paid into your Dubco account?

Total amount *

This is the total figure which will be taken out of your payroll going forward.

DIRECT DEBIT MANDATE - only complete if direct debit ticked above (tick below confirms mandate)
Creditor: Dubco Credit Union Limited, Little Green Street, Dublin 7. Creditor Identifier: IE98-ZZZ3-038-18
Please provide the details of the account you will use to fund your Dubco account:

Account name *

BIC (Bank Identifier Code) *

IBAN (International Bank Account Number) *

Preferred Collection Date *

CONSENT
By ticking the checkbox below, I hereby authorise you to implement the payment mandate selected at the top of this page;
Payroll mandate
Deduct the sums above from my pay/pension each payday until further notice. The money so deducted is to be credited to my account(s) with Dubco Credit Union Limited.
This mandate replaces any existing authorisation to transfer funds to Dubco Credit Union Limited.
Or
Direct debit mandate
(A) Send instructions to my bank to debit my account and
(B) For my bank to debit my account in accordance with the instructions from Dubco Credit Union Limited.
As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8
weeks starting from the date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank.

Mandate Consent *Agree

Date *

Online Adult Membership

Step 1 - About You

Membership of Dubco Ireland is open to all permanent, continuous and contract employees and their extended family members in the following categories:

If you have ticked no please review the criteria above.

CONTACT US

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