Title of the document Online Banking Log-In

Local Debit Card Application

This form is for customers applying for a Local Debit Card on their Current Account

Before you apply, here are a few things we would like to make you aware off:

Local Debit Card Terms and Conditions

Customer Data Security

Website Legal Information

Privacy Policy

All compulsory fields are marked with ‘*’.

Please note - Businesses are eligible to two Local Debit Cards per Current Account, additional cards requested will incur a one-off fee.
Numbers cannot be printed on cards
Account holders should note that an Additional Card Fee (see Rates, Fees and Charges) will apply for each additional card requested. Where an Account Holder authorises an additional cardholder on their Account, the Bank will issue the additional Cards directly to the third parties identified here, and the named third parties will, in accepting and using the additional card, have accepted the Local Debit Card, and relevant Account, Terms and Conditions.


This application will not be accepted without a signature - please write it here or upload below.
Click or drag a file to this area to upload.
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