Student Loan

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SAAS

Student Awards Agency for Scotland
Gyleview House, 3 Redheughs Rigg, Edinburgh, EH12 9HH Telephone: 0845 111 1711 Fax: 0131 244 5887 website: www.saas.gov.uk

Application for a student loan for living costs in session 2008-2009
Your SAAS reference number (please fill in black ink): 1. Your personal details
Title Your National Insurance number

First name(s)

Surname

Country of birth

District or sub-district where your birth certificate was issued

Your bank or building society sort code --2. Loan amount ---

Your bank or building society account number

I want to apply for the student loan I am entitled to for academic year 2008-2009. The amount I want to apply for is: the highest amount available to me (please tick if appropriate) the amount of (write in the amount) 3. Loan contacts You must give us the names and addresses of TWO contacts, one of whom should normally be a relative, partner, next of kin or guardian. The contacts must NOT live at the same address. First contact (relative, guardian) Name: …………………………………………………. Relationship to you: ………………………………….. Address: ……………………………………………….. …………………………………………………………… ……………………………Postcode: ………………… Home phone number (Including area code) ……………………………. … Second contact Name: ………………………………………………. Relationship to you: ………………………………… Address: ……………………………………………. ………………………………………………………… ………………………….Postcode: ………………… Home phone number (Including area code) …………………………….. AB1Loan £ or



4. Bankruptcy and sequestration Are you bankrupt, or have you ever been declared bankrupt, or has your estate ever been temporarily taken form you? 5. Term-time address We only need to know your term-time address if it is different from your home address: ……………………………………………………………………………………………………………………… …………………………………………………………..Postcode: …………………………………………….. Do you want the Student Loans Company to send correspondence to this address rather than your home address? 6. Your age at the start of your course You only need to answer this question if you were aged 50 to 54 at the start of your course. After completing your course, do you plan to work? 7. Student Loan declaration (you must sign this) This loan is made under the Education (Scotland) Act 1980 and the regulations there under. • • • • • As far as I know, the information I have given on this form is complete and accurate. I will tell the Student Loans Company Limited immediately if my circumstances change in any way that might affect this application for support. I agree to repay any amounts that are lent to me, together with interest and any penalties and charges that apply, in line with the relevant legislation as amended from time to time. In the event that I leave the United Kingdom, I will tell SLC and provide them with my new and any subsequent contact details until my loan, together with interest and any penalties and charges that apply, is fully repaid. I agree that the law under which the loan(s)are made to me by SLC shall be governed by the law that applies to the place of my address as stated in this form (or the English, Scottish and Northern Irish courts where my address is outside the United Kingdom. I will submit to the jurisdiction of those courts, provided that this shall not limit SLC’s rights to take proceedings against me in another court of competent jurisdiction. I give permission for the SLC to confirm my National Insurance number and relevant information with the Department for Work and Pensions (DWP). If I do not know my National Insurance number, or if the DWP cannot confirm the number I give you, I give the DWP permission to trace my number and give it to SLC. Signature: ………………………………………………………………….. Date: ……………………….… Warning: If you make a false statement or declaration to get a loan, your application will not be valid and you may be prosecuted. Yes No Yes No Yes No



AB1Loan



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