Scholarship Draw - Enniscorthy Credit Union Ltd

Name

Address

Town

County

Eircode

Mobile Number

Email Address (Personal not school email)

Confirm Email Address (Personal not school email)

Confirm Email Address

Date of Birth

Account Number

Secondary School Attended

College Name

Course Name

Course Duration

Date of Commencement (If applicable)

CAO Number / Student Number (If applicable)

Upload Proof of College (If applicable, we will make contact in October for proof if you do not currently have any)

Maximum file size: 10MB

General Consent

I hereby declare the above information provided to be true and correct at the time and date below. Enniscorthy CU will use the personal data provided as part of the Bursary Application solely for the purpose of administering the Bursary competition. The information provided will not be shared with any third parties outside of Enniscorthy CU, it is for the sole and exclusive use of Enniscorthy Credit Union Ltd.

I consent to Enniscorthy CU contacting me in relation to my bursary application

Yes

No

Privacy Consent

I hereby declare the above information provided to be true and correct at the time and date below. Enniscorthy CU will use the personal data provided as part of the Bursary Application solely for the purpose of administering the Bursary competition. The information provided will not be shared with any third parties outside of Enniscorthy CU, it is for the sole and exclusive use of Enniscorthy Credit Union Ltd.

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