Blackrock Credit Union Limited

1 Carysfort Avenue, Blackrock, Co.Dublin

Telephone: 01 283 1034 E-Mail: info@blackrockcu.ie

Please complete the form below

address details

If you have lived at your current address for less than 3 years, please provide details below

Regulatory Requirements

We are required by regulations to ask the following questions of, or seek the following declarations from all new members.

A politically exposed person is a person who holds, or has held within the previous year, a prominent public position (e.g. heads of state, high-ranking government or army officials, government minister, high court judge).

Business Relationship (Reason for opening account)

  I am opening an account to avail of current and future services of Blackrock Credit Union Ltd, such as Savings & Loans * 
  I confirm I am the beneficial owner of the funds in the account * 

If you are tax resident in another country, please provide your Tax Identification Number (TIN) and Country of Tax Residence:

This information is being sought for the purposes of reporting obligations under the Common Reporting Standard (CRS), as provided for by Section 891F of the Taxes Consolidation Act 1997.
The information required to be reported under the CRS, including name, address TIN, account number, account balance and payments on the account will be provided to the Revenue Commissioners and may be exchanged securely with another Competent Tax Authority in you jurisdiction of tax residence, but such information will at all times be treated with the strictest confidentiality in accordance with applicable data protection laws.
Only data that is legally required to be reported will be provided to the Revenue Commissioners. For more information on this, please speak to the credit union, contact Revenue at aeoi@revenue.ie or see http://www.oecd.org/tax/transparency/automaticexchangeofinformation.htm

about you

Please provide details of a nominee. A Nominee is someone that would inherit your savings with the credit union in the unfortunate event of your death.


As with any financial institution three forms of ID are required on joining:

Please use the upload facility below to provide the following:
- Photographic ID such as a passport or driving licence
- Proof of residence such as a recent bank statement or utility bill
- Evidence of your Tax Identification Number/PPS Number such as a tax cert, letter from social services or an official document from the Revenue Commissioners
- If membership is based on working rather than living in the area, a letter from your employer may also be required.

These documents can be in photo image (jpeg) or pdf document format

Marketing and communications

As part of improving our service to you, from time to time, we would like to inform you of goods. services, competitions and/or promotional offers available from us. We may wish to use different means when sending such marketing communications. Please now indicate by which methods, if any, you consent to being contacted by selecting each method of communication below

  Email Marketing
  Landline Call Marketing
  Mobile Call Marketing
  Post Marketing
  Text Marketing

Receipt of obligatory notices by email:

There are certain notices that credit unions are obliged to provide from time to time. If you would like to receive these obligatory, non-marketing communications by email (for example, notice of the Annual General Meeting). This will assist Credit Union in reducing its carbon footprint and will reduce costs. Please note that we maintain the right to contact members by such means as best available to us in relation to nonperforming loan or outstanding debt to the credit union, updating personal data, including by text or email.

  I consent to Blackrock Credit Union using my data as outlined in the privacy statement * 
  In making this application I apply for membership of Blackrock Credit Union Ltd and agree to abide by the rules. * 

European Communities (Payment Services) Regulations 2018 (the "Regulations")

  Please tick the box to confirm you have received your 'Framework Contract’ and associated information for the purposes of the Regulations.  
  I have read understand how my savings are protected under the Central Bank of Ireland Deposit Guarantee Scheme * 
 Credit Union deductions direct from my salary
 Borrowing from the credit union
 Saving with the credit union
 Volunteering with the credit union

To complete your application please ensure your Email address is correct and then select Apply below.