Apply Online for Membership Step 1 of 3 33% Account Type*- Select --SingleJointMinorProof of ID, Address and PPSN.*Please tick the following to confirm you have this documentation ready. PPS number (payslip, documentation from revenue, social/public services card, medical card ID – Passport, driving licence, ML10 form or Birth Cert (for U16 only) Address – Utility bill, bank statement or documentation from revenue (MUST BE DATED IN LAST 3 MONTHS) Are you already a member?*You are permitted to have one single and one joint account only.This is my first accountI already have an accountDo you live, work or study within our Common Bond area?*The western half of Waterford City to the boundary limit of Military Road, Barrack Street, Slivekeale Road, Keanes Road, Cleaboy Road and north to Carrickpherish Roundabout, also incorporating Gradedieu East, Gracedieu, Gracedieu Road, Morgan Street and Summerhill. The parishes of Ferrybank, Slieverue, Glenmore, Mullinavat, Kilmacow and Mooncoin, excluding that part of the parish of Mooncoin which lies west of a line drawn north by south through Mooncoin Catholic church.NoLiving in the areaWorking in the areaStudying in the area Account Holder DetailsFirst Name*As exactly stated on ID.Last Name*As exactly stated on ID.Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleN/AMarital status*SingleMarriedSeparatedDivorcedCo-HabitingWidowedMobile Phone*Email* Accommodation & Employment InformationAccommodation type*Home ownerRentingAt home with parentsOtherNationality*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweAddress* Street Address Address Line 2 City / Town / Village County Post Code Employment status*Employed Full-TimeEmployed Part-TimeSelf-employedNot employedHomemakerRetiredStudentDisabilityName of EmployerWhat company do you work for?Hit submit to send your application to us for processing. Please allow 2 working days for the application to process. You will receive an email confirming your application with details on how to activate your account with us.GDPR Data Protection Notice Online application*As a data controller, St. Dominic Credit Union Ltd must provide you, the data subject, with certain information at the time of collecting your personal data. This is to comply with Article 13 of the General Data Protection Regulations (GDPR). General Information 1. The identity and the contact details of the data controller are as follows: St. Dominic Credit Union Ltd., Summerhill Waterford Tel: 051 873867 E-Mail: email@example.com 2. The contact details of the data protection officer, where applicable, are as follows: Data Protection Officer, St. Dominic Credit Union Ltd., Summerhill Waterford Tel: 051 873867 E-Mail: firstname.lastname@example.org 3. The details provided by you, the data subject, will be used to register your interest to become a member at St. Dominic Credit Union. Upon receipt of further documentation e.g. proof of identity and proof of address etc., which you must bring with you in person to one of our offices, your account will be activated and you can then avail of the many services provided by St. Dominic Credit Union. 4. St. Dominic Credit Union may have to share your personal data with regulatory authorities or with law enforcement agencies, if requested. Information necessary to ensure fair and transparent processing 5. The personal data you provide St. Dominic Credit Union with relating to this application for membership, will continue to be stored for a period of 6 years after the date on which you cease to be a member of St. Dominic Credit Union. 6. You should be aware of your right to request access to, rectification of, erasure of or restriction of processing of personal data concerning you. You also have the right to object to processing as well as the right to data portability. 7. Where any part of the processing is based on consent or on explicit consent, you have the right to withdraw that consent at any time, without affecting the lawfulness of processing based on consent before its withdrawal. 8. You have the right to lodge a complaint with a supervisory authority, which in Ireland is the Data Protection Commissioner 21 Fitzwilliam Square Dublin 2 D02 RD28 Lo call: 1890 252 231 E-mail: email@example.com 9. The provision of personal data (e.g. name, address, telephone, e-mail etc.) is a contractual requirement to become a member, while the provision of identity documents is a statutory requirement under the Criminal Justice Acts 2010 (as amended). This information is necessary and failure to provide such personal data, could result in your application not being able to proceed. 10. Where St. Dominic Credit Union intends to further process your personal data for a purpose other than that for which the personal data was collected, St. Dominic Credit Union shall provide you, prior to that further processing, with information on that other purpose and with any relevant further information. This shall not apply where, and insofar as, you already have such information. I consent to you collecting my details above. NameThis field is for validation purposes and should be left unchanged.