Form. All students must sign the Student Declaration on page 16.

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1 Applicatio for Studet Fiace 2018/19 for EU Studets Form EU18N First ame(s) Surame/family ame Customer Referece Number (if you have oe) Please cotact Studet Fiace Services o before completig this form if; you have lived i the UK at ay time sice you were bor; or you are attedig a part-time or flexible Higher Educatio course icludig Iitial Teacher Traiig (ITT) i Eglad or Wales. You should complete this form if you: are startig a full-time or sadwich course i Higher Educatio; or are startig a full-time Iitial Teacher Traiig (ITT) course i Eglad, Wales or Norther Irelad; or will be studyig a part-time ITT course or flexible ITT course that lasts more tha six weeks i Norther Irelad; or will be startig a full-time distace learig course for reasos relatig to a disability; or will be startig a full-time distace learig course i Eglad or Wales for reasos ot relatig to a disability; or started a full-time distace learig course i Eglad or Wales, o or after 1 September 2012, for reasos ot relatig to a disability, ad this is the first time you have applied for Studet Fiace. You should ot complete this form if: you will be studyig a full-time distace learig course i Norther Irelad, for reasos ot relatig to a disability. If this is the case you should complete a Applicatio for Tuitio Fee Grat for part-time study (EUPTG1). o the first day of your 2018/19 academic year, you've bee livig i Eglad, Wales, Scotlad, Norther Irelad, the Chael Islads or the Isle of Ma for five years or more.! All studets must sig the Studet Declaratio o page 16. Deadlie This form should be retured withi 9 moths of the start of your academic year, or you may lose your right to apply for studet fiace. /B 1

2 1 Complete the form We ve provided support otes to help you so please refer to them each time you see this ico. 2 Sed evidece All studets must sed evidece to prove their idetity/atioality. Depedig o your circumstaces you may eed to sed us other evidece. Questios that may require evidece will have this ico ext to them. e You ca dowload a Evidece Fact Sheet for EU Studets ad Sposors from the website of the coutry you are studyig i: If you are studyig i Eglad go to If you are studyig i Wales go to If you are studyig i Norther Irelad go to Whe you sed evidece these ca be certified copies or origial documets. A certified copy is a photocopy of a origial documet which must have bee stamped, siged ad dated as beig a true copy of the origial by a perso of good stadig i the commuity, for example, a miister of religio, doctor, lawyer, civil servat, teacher/lecturer (ot college or uiversity admiistratio staff) or police officer. The perso certifyig the copy must ot be a relative ad must provide their ame, job title ad work address. You ca dowload a Certifier Checklist form olie which you should complete ad retur with ay certified evidece. 3 Sed us your form ad evidece Oce you ve completed the form, sed it together with all your evidece to the address below. Make sure that you pay the correct postage. Studet Fiace Services Studet Loas Compay PO Box 89 Darligto Couty Durham Eglad Uited Kigdom DL1 9AZ Iformatio about academic year Academic years begi i the autum, witer, sprig ad summer, ad last for 12 moths. The first day of the academic year is ot ecessarily the day o which you begi that year of your course. It is decided by the period durig which your year begis. The academic year starts o: 1 September, if your study begis betwee 1 August ad 31 December iclusive; 1 Jauary, if your study begis betwee 1 Jauary ad 31 March iclusive; 1 April, if your study begis betwee 1 April ad 30 Jue iclusive; or 1 July, otherwise. 2

3 how to complete this form 1sectio Use this sectio to help you fid out what sectios of the applicatio form you eed to complete. Coutry of study Which coutry will you be studyig i durig academic year 2018/19? Eglad Norther Irelad Wales Fiace available Tuitio Fee Loa Bursaries & Scholarships Fiace available Tuitio Fee Loa Bursaries & Scholarships Fiace available Tuitio Fee Loa Bursaries & Scholarships Tuitio Fee Grat If your course started o or after 1 September 2012 ad before 1 August 2018 Next Steps Complete sectios 1-5. Complete sectio 6 to tell us how much Tuitio Fee Loa you wat to borrow. Make sure you read ad sig the declaratio o pages 15 ad 16. Next Steps Complete sectios 1-5. Complete sectio 6 to tell us how much Tuitio Fee Loa you wat to borrow. Make sure you read ad sig the declaratio o pages 15 ad 16. Next Steps Complete sectios 1-5. Complete sectio 6 to tell us how much Tuitio Fee Loa you wat to borrow. If you do't wat a Tuitio Fee Loa ad oly wat to apply for a Fee Grat tick this box. Make sure you read ad sig the declaratio o pages 15 ad 16. 3

4 sectio a 2! persoal details This form must be completed i black ik. Please complete this sectio with the details exactly as stated o your birth certificate or passport. Title Mr Mrs Miss Ms Foreame(s) Surame(s)/family ame Sex Male Female Date of birth Place of birth (ame of tow or village) Coutry of birth Natioality b Have you ever had ay other loas from the Studet Loas Compay (SLC)? Yes No if No go to c If Yes, are you behid with the repaymets? Yes No c Cotact details Please give your curret home address. If you kow it, please also give your term-time correspodece address i the UK. Home address Term-time address Tow/City Coutry Postcode Home phoe umber (icludig coutry ad area code) Tow/City Coutry Postcode Date o which you will move to this address Mobile phoe umber address d Curret relatioship status Please tick oe box: Sigle Livig with a parter Married/civil partership Separated Divorced/dissolved civil partership Widowed/survivig civil parter Please give the date of marriage/civil partership 4

5 residece 3sectio a1 Are you a EU atioal? e Yes No if Yes go to b1 a2 Are you a family member of a EU atioal? e Yes No If Yes please give details how you are related to that family member for example, Mother. b1 Give details of your residece for the three years before the start of the first academic year of your course. For example, if your course begis 26/09/2018 we eed your residece details for the period 01/09/ /09/2018. You must provide the full address (iclude buildig ame ad/or umber, street ame, tow, regio, postcode ad coutry), exact dates you lived there ad why you were there. Full address icludig coutry Why were you there? From To From To From To If you require further space to provide your aswer, please cotiue o a separate sheet of paper ad retur it with this form. 5

6 3 cotiued sectio residece b2 At ay time sice 1 September 2015 has either of your parets, step-parets, guardias, husbad, wife or civil parter lived or worked outside the EEA or Switzerlad? e If Yes please give details below. Yes No Full address icludig coutry Why did they live there? From To From To From To 6

7 about your course ad uiversity or college sectio 4 a Uiversity or college details Uiversity or college ame ad address UCAS persoal idetificatio umber UCAS uiversity or college code UCAS campus code (if applicable) Postcode b Course details Course ame If you are followig a combied studies or modular course, please list all subjects beig studied UCAS course code Qualificatio you expect to gai (for example, BSc Physics) Course start date Course ed date (fial year of study) Full course legth (years) MONTH MONTH YEAR YEAR Year of course i 2018/19 Foudatio First year Secod year Third year Fourth year Other (give details) Full tuitio fee amout for the academic year 2018/19 If you are usure about the tuitio fee amout you will be charged, please cotact your uiversity or college for clarificatio. 7

8 4 cotiued sectio about your course ad uiversity or college If the course is frachised to aother uiversity or college, give their address below Postcode c Course type (please tick oe box): Full-time udergraduate Full-time postgraduate Iitial Teacher Traiig (ITT) Full-time distace learig Full-time foudatio degree Full-time ivolvig a placemet (sadwich course) Pre-registratio postgraduate healthcare course (oly applicable to studets studyig i Eglad) Other course types (oly applicable to studets studyig i Norther Irelad): Flexible postgraduate ITT Part-time udergraduate ITT Part-time ITT (excludig first degrees) Aswer both questios Number of weeks you will be studyig full-time i academic year 2018/19 e Number of weeks you will be o full-time teachig practice i academic year 2018/19 e d Term details Where will you sped most of your time i the academic year 2018/19? You should oly tick Work placemet if you will be o a work placemet that is a part of your UK course. Do ot cout periods of teachig practice as a placemet. If you are o a Iitial Teachig Traiig (ITT) course, tick Uiversity or college. You should oly tick Study abroad if you will be studyig outside of the UK as part of your UK course. Term 1 Uiversity or college Study abroad Work placemet Term 2 Uiversity or college Study abroad Work placemet Term 3 Uiversity or college Study abroad Work placemet if you ticked uiversity or college for all 3 terms go to sectio 5 8

9 about your course ad uiversity or college 4 cotiued sectio e Have you bee accepted oto the Erasmus exchage scheme? Yes No If so, how log for? Part year Full year if 'Yes' ad/or you ll be studyig abroad go to sectio 5 f Placemet details Where will your placemet be? Abroad UK Do t kow Placemet ame ad address Postcode 9

10 sectio 5 previous study ad other iformatio a1 if you will be studyig i Wales go to a3 Previous study Udergraduate ad postgraduate courses of higher educatio are those of HNC level or above. Where course details are requested, you should ot iclude A Level/AS Level examiatios or equivalet. Have you started a udergraduate or postgraduate course of higher educatio i ay coutry sice leavig school? Tick Yes eve if you did ot complete the course. Yes No if No ad you will be studyig i Eglad or Norther Irelad go to c1 a2 Please give course details below. State if this course was with or without hoours. Title/ qualificatio of course (for example, BA History or BA (Hos) History) Full-time, Part-time or Full-time distace learig Name of uiversity or college Tow/ coutry of uiversity or college Date started Date left Did you achieve a qualificatio? (MM YYYY) (MM YYYY) Yes No Yes No Yes No Yes No If you did ot achieve a qualificatio for ay course listed above, why was this? e If ay of the courses listed i the table above were etirely self-fuded at a private uiversity or college, state which oes i the box below. 10

11 previous study ad other iformatio 5 cotiued sectio if you will be studyig i Eglad or Norther Irelad go to c1 a3 Have you atteded ay full-time, Iitial Teacher Educatio (ITE) or sadwich courses of higher educatio i the UK sice you left school? Yes No a4 Have you bee awarded a hoours degree from a UK uiversity? Yes No If you aswered Yes to either a3 or a4, please give course details below. Do ot list courses below higher educatio level (for example, i the UK this might be A Level/AS Level examiatios or equivalet) Title of course (for example, BA History or BA Hoours History) Name of uiversity or college Date you started MONTH YEAR Date you left MONTH YEAR Did you fiish this course? Yes Yes Yes Yes No No No No If you did ot fiish ay course listed above why was this? e 11

12 b sectio 5 cotiued previous study ad other iformatio Have you applied for fiacial support for higher educatio before (for example, a grat or loa, tuitio fees or bursary icludig support for fees) from a local authority or ay other orgaisatio i the UK (for example, Departmet of Health)? If you applied for support ad did ot receive it, still tick Yes. Yes No if No go to c1 If Yes, give details below. Name of the local authority or orgaisatio you applied to What type of support did you receive? Period the support covered from to MONTH YEAR MONTH YEAR MONTH YEAR MONTH YEAR MONTH YEAR MONTH YEAR If ay of the periods of support you have give above ivolved a period of suspeded study where you did ot receive ay support, for example, if you received support from 2007 to 2011 but betwee 2008 ad 2009 you did ot receive support because you suspeded study that year, please give the suspesio date periods below ad give the reasos why you suspeded study. c1 Are you eligible to apply for ay bursary or award, excludig a social work bursary, for the academic year 2018/19 from ay of the followig? Natioal Health Service (NHS) Departmet of Health (DoH) Departmet of Health (Norther Irelad) Yes No c2 If Yes, is this bursary or award: Icome assessed No-icome assessed 12

13 ! loa request sectio Oly complete this sectio if you are applyig for a Tuitio Fee Loa. sectio 6 Customer Referece Number (if you have oe) Foreame(s) Surame(s) Do you have a UK Natioal Isurace umber? Yes No If so, please provide it here - - Tuitio Fee Loa You ca apply for a Tuitio Fee Loa to cover your fees. You ca fid out how much you ca apply for olie by visitig the website for the coutry you are studyig i. Check page 2 for iformatio o what website you eed to go to. Make sure you fid out from your uiversity or college how much they will be chargig you before you apply for a Tuitio Fee Loa. Amout of Tuitio Fee Loa you would like to apply for: Maximum available to you If you wish to apply for less tha the maximum available to you, please state the amout Tick Cotact details Please give the ames ad addresses of two cotacts. The cotacts you give must live at differet addresses ad will oly be cotacted if, for example, you move address ad do ot iform us. You must iform your cotacts that you are providig us with their details. Cotact 1 Cotact 2 Foreame(s) Surame(s) Relatioship to you Address Foreame(s) Surame(s) Relatioship to you Address Tow/City Postcode Coutry Phoe umber Tow/City Postcode Coutry Phoe umber 13

14 Privacy Notice The Studet Loas Compay (SLC) ad the Departmet for Educatio (if your place of study is i Eglad), the Welsh Miisters (if your place of study is i Wales), or the Departmet for the Ecoomy (if your place of study is i Norther Irelad) are joit Data Cotrollers uder the Data Protectio Legislatio. We hold iformatio for the purposes specified i our otificatio to the Iformatio Commissioer icludig determiig eligibility for studet fiace, assessig the maximum amout of fiacial support available, paymet of studet fiace ad the detectio ad prevetio of fraud, ad may use this iformatio for ay of these. For further details about the way your iformatio is used, who is resposible for it ad the rights you have i coectio with it, please refer to our full Privacy Notice available olie: If you are studyig i Eglad go to If you are studyig i Wales go to If you are studyig i Norther Irelad go to If you do t have iteret access, please call us ad we ca sed a copy to you: If you are studyig i Eglad call If you are studyig i Wales call If you are studyig i Norther Irelad call

15 Studet Declaratio! Before sigig ad returig your completed form, you should read the followig terms ad coditios ad the Privacy Statemet o page 14. Geeral Declaratio I cofirm that to the best of my kowledge ad belief, the iformatio I have give o this form is true ad complete ad I uderstad that if I have give the Studet Loas Compay false iformatio, or have ot give them complete iformatio, I may ot receive fiacial support, ay support I have had may be withdraw ad I could be prosecuted. I agree to give the Studet Loas Compay ay additioal iformatio they require to eable them to process my applicatio ad agree to tell them immediately if my circumstaces chage i ay way that might affect my etitlemet to fiacial support. I uderstad that if I do ot tell the Studet Loas Compay about ay chage i my circumstaces, which may affect my etitlemet, I may ot be eligible to receive ay outstadig istalmets or paymets that they have told me about, ad that I may have to repay all or part of the fiacial support I have already received i the year. I cofirm where I have provided ay persoal iformatio i relatio to a third party, I have iformed them of this. Loa Cotract Note: Where your place of study is i Eglad the term the leder meas the Secretary of State for Educatio; where your place of study is i Wales the term the leder meas the Welsh Miisters; where your place of study is i Norther Irelad the term the leder meas the Departmet for the Ecoomy. If you have applied for a course of study i Eglad you should read the guide to terms ad coditios at The followig declaratios apply to you I declare that: a I ackowledge ad agree that ay loa(s) made to me by the leder (which icludes ay persos exercisig fuctios o behalf of the Secretary of State pursuat to sectio 23(4) of the Teachig ad Higher Educatio Act 1998 as ameded from time to time or successor legislatio, the Act ) will be o the terms set out i these declaratios ad i Regulatios which are made uder sectio 22 of the Act as ameded from time to time. b If I breach ay of the terms uder which ay loa(s) will be made, I agree that I will be obliged to pay ay charges ad pealties which may apply uder the Teachig ad Higher Educatio Act 1998 ad the Regulatios made uder that Act, as ameded from time to time or successor legislatio ad/or Regulatios. c I agree to take all future actio requested by the leder ad provide the leder with all iformatio required to esure repaymet, i accordace with the Regulatios referred to i paragraph a. d I agree that from the date I submit this form util the date whe my loa(s), together with all ad ay iterest, pealties ad charges which apply, is fully repaid I will otify the leder of ay chages i the persoal details (icludig Natioal Isurace umber) ad cotact details I have provided as required i accordace with the Regulatios referred to i paragraph a. e I the evet that I leave the Uited Kigdom to reside outside the Uited Kigdom or that for ay other reaso I am outside the UK tax system, I udertake to iform the leder i accordace with the Regulatios referred to i paragraph a ad I udertake to provide the leder with my ew ad ay subsequet cotact details util my loa, together with all ad ay iterest, pealties ad charges which apply, is fully repaid. If you have applied for a course of study i Wales you should read the guide to terms ad coditios at The followig declaratios apply to you I declare that: f I ackowledge ad agree that ay loa(s) made to me by the leder (which icludes ay persos exercisig fuctios o behalf of the Welsh Miisters pursuat to sectio 23(4) of the Teachig ad Higher Educatio Act 1998 as ameded from time to time or successor legislatio, the Act ) will be o the terms set out i these Declaratios ad i Regulatios which are made uder sectio 22 of the Act as ameded from time to time. g If I breach ay of the terms uder which ay loa(s) will be made, I agree that I will be obliged to pay ay charges ad pealties which may apply uder the Teachig ad Higher Educatio Act 1998 ad the Regulatios made uder that Act, as ameded from time to time or successor legislatio ad/or Regulatios. h I agree to take all future actio requested by the leder ad provide the leder with all iformatio required to esure repaymet, i accordace with the Regulatios referred to i paragraph f. i I agree that from the date I submit this form util the date whe my loa(s), together with all ad ay iterest, pealties ad charges which apply, is fully repaid I will otify the leder of ay chages i the persoal details (icludig Natioal Isurace umber) ad cotact details I have provided as required i accordace with the Regulatios referred to i paragraph f. j I the evet that I leave the Uited Kigdom to reside outside the Uited Kigdom or that for ay other reaso I am outside the UK tax system, I udertake to iform the leder i accordace with the Regulatios referred to i paragraph f ad I udertake to provide the leder with my ew ad ay subsequet cotact details util my loa, together with all ad ay iterest, pealties ad charges which apply, is fully repaid. If you have applied for a course of study i Norther Irelad you should read the guide to terms ad coditios at The followig declaratios apply to you I declare that: k I ackowledge ad agree that ay loa(s) made to me by the Departmet for the Ecoomy, the leder (which icludes ay perso exercisig fuctios o behalf of the Departmet for the Ecoomy pursuat to Article 4 (3) of the Educatio (Studet Support) (Norther Irelad) Order 1998 as ameded from time to time or successor legislatio, the Order ) will be o the terms set out i the Loa Request Form icludig these Declaratios ad i Regulatios which are made uder Article 3 of the Order as ameded from time to time. l If I breach ay of the terms uder which ay loa(s) will be made, I agree that I will be obliged to pay ay charges ad pealties which may apply uder the Educatio (Studet Support) (NI) Order 1998 ad the Regulatios made uder that Order, as ameded from time to time or successor legislatio ad/or Regulatios. m I agree to take all future actio requested by the leder ad provide the leder with all iformatio required to esure repaymet, i accordace with the Regulatios referred to i paragraph k. 15

16 I agree that from the date I submit this form util the date whe my loa(s), together with all ad ay iterest, pealties ad charges which apply, is fully repaid I will otify the leder of ay chages i the persoal details (icludig Natioal Isurace umber) ad cotact details I have provided as required i accordace with the Regulatios referred to i paragraph k. o I the evet that I leave the Uited Kigdom to reside outside the Uited Kigdom or that for ay other reaso I am outside the UK tax system, I udertake to iform the leder i accordace with the Regulatios referred to i paragraph k ad I udertake to provide the leder with my ew ad ay subsequet cotact details util my loa, together with all ad ay iterest, pealties ad charges which apply, is fully repaid. The followig paragraphs apply to ALL studets: I declare that: p The particulars I have give i this form are correct. q I have read ad uderstood the guide to terms ad coditios available olie. r I ackowledge ad agree that i the evet that I have: (i) reached the age of 18 years; ad (ii) have etered ito oe or more agreemets for a loa uder sectio 22 of the Teachig ad Higher Educatio Act 1998 (ad relative secodary legislatio) before I reached the age of 18 years, upo sigig this declaratio I am agreeig to ratify ay ad all such studet loas. I uderstad that ratificatio of ay agreemet for a loa made with me before I reached the age of 18 years is a statutory precoditio of my eligibility for studet support after attaiig the age of 18 years. s I udertake to repay the leder ay loa(s) made to me, together with all ad ay iterest, pealties ad charges which apply. t I agree that ay loa(s) made to me as a cosequece of the acceptace of my applicatio is/are cotract(s) betwee me ad the leder which bids me from the paymet to me of the first loa advace ad that the repaymet of ay such loa(s), together with all ad ay iterest, pealties ad charges which apply, will be due by me to the leder as a debt. u I agree that I shall be obliged to make repaymet of my loa(s), together with all ad ay iterest, pealties ad charges which apply, to such address as shall be otified to me i writig ad that ay services i respect of my loa(s) may be provided at such address or other address(es) as the leder may from time to time determie ad that the service of providig the loa is provided at the leder s pricipal address. v I agree that ay actio for repaymet ad/or i respect of or i coectio with my loa(s) ad/or all ad ay iterest, pealties ad charges which apply, will be brought before the ordiary civil courts ad shall be govered by the geeral rules of civil procedure. w I agree that my request for a loa, the loa ad the cotract betwee me ad the leder shall be govered by the law of the place of my course of study as stated i this form. x I irrevocably agree that the courts of the part of the Uited Kigdom i which my place of study is situated shall have o-exclusive jurisdictio to hear ay actio or proceedigs arisig out of or i coectio with the loa ad the cotract betwee me ad the leder ad I irrevocably submit to the jurisdictio of those courts ad waive ay objectio to the jurisdictio of those courts, provided that this shall ot limit the leder s rights to take proceedigs agaist me i ay other court of competet jurisdictio. y I uderstad that the Studet Loas Compay will check my Natioal Isurace umber ad persoal details with the Departmet for Work ad Pesios (DWP). If I do ot kow my Natioal Isurace umber, or if the umber I provide caot be autheticated, DWP will trace ad give my umber to the leder. z If I have broke the terms of this cotract I agree that the leder may share iformatio held about me ad my accout with ay perso, icludig the govermet or a govermet agecy of aother coutry, who may assist i establishig my whereabouts ad/or i takig actio to recover outstadig loa amouts. Your applicatio for fiacial support may be delayed uless you sig ad date this Declaratio. By sigig this Declaratio you are cofirmig that you have read the terms ad coditios about the Tuitio Fee Loa, ad the Fee Grat if you are studyig i Wales, because they will affect you if you apply for them at ay time i academic year 2018/19. If you do t apply for the Tuitio Fee Loa or Fee Grat i 2018/19 their terms ad coditios will ot affect you. Your full ame (i BLOCK CAPITALS) Your sigature x Today's Date DAY MONTH YEAR Your decisio about bursary ad scholarship data sharig coset will ot affect your etitlemet to ay other fiacial support available. If you started your course i academic year 2006/07 or after you may be eligible for a bursary or scholarship. I order for your uiversity or college to determie ad pay ay o-repayable bursary or scholarship to which you may be etitled, we will share some of your persoal, fiacial ad course details as well as iformatio about your eligibility for studet fiace with them. Most uiversities ad colleges will ot pay bursaries ad scholarships if you do ot give coset. If you do ot wish your details to be shared for this purpose, please tick this box. 16

17 Checklist Before you retur this form please make sure that you have: 1 Aswered all questios that apply to you. Tick 2 Siged ad dated the Studet Declaratio o page 16. Tick 3 Icluded evidece of your idetity/atioality ad ay other evidece we eed with this form. Tick 4 Oce you ve completed the form, sed it together with all your evidece to the address below. Make sure that you pay the correct postage. Studet Fiace Services Studet Loas Compay PO Box 89 Darligto Couty Durham Eglad Uited Kigdom DL1 9AZ! Icorrect or icomplete forms will be retured to you which may delay paymets beig made to you. It ca take at least 6 weeks to assess your applicatio ad all the relevat evidece. We ll the sed you a letter showig the amout of fiacial support you ll receive. 17

18 1sectio Support otes how to complete this form Coutry of study If you are ot sure where you will be studyig durig academic year 2018/19 tick the box of the coutry you expect to be studyig i. If you choose to apply for a Tuitio Fee Loa for academic year 2018/19, the regulatios regardig repaymet of this loa are differet for each coutry. Tuitio Fee Loa REPAYABLE All studets ca apply for a Tuitio Fee Loa to cover the fees that are charged by their uiversity or college. If you are usure about the tuitio fee amout you will be charged, please cotact your uiversity or college for clarificatio. You may ot be eligible for a Tuitio Fee Loa if you already hold a UK degree. The Tuitio Fee Loa borrowed will be paid directly to the relevat uiversity or college, i three istalmets withi the academic year, oce your attedace is cofirmed. Coutry you will be studyig i Maximum Tuitio Fee Loa available Private uiversity or college (maximum Tuitio Fee Loa available) Eglad 9,250 6,165 Norther Irelad 4,160 4,160 Wales (course started o or after 1 September 2012 ad 4,450 6,165 before 1 August 2018) Wales (course started o or after 1 August 2018) 9,250 6,165 If you are studyig Eglad or Wales ad are i the first year of a graduate etry medical or detal programme course you ca apply for a Tuitio Fee Loa of up to 5,535 (if fee charged is 9,000). However, you will eed to pay the first 3,465 of the tuitio fee amout charged by your uiversity or college i your first year. You may receive fudig from the NHS for followig years. Bursaries ad Scholarships NON-REPAYABLE Bursaries ad scholarships are fiacial awards made by some uiversities ad colleges to provide additioal assistace to their studets. The amout offered would be at their discretio. Studets who started their course i academic year 2006/07 or after may be eligible for a bursary or scholarship from their uiversity or college. If you are eligible for a bursary or scholarship from your uiversity or college you will be assessed for this automatically ad you will be set a further form to complete. 18

19 how to complete this form1sectio Fee Grat NON-REPAYABLE If you will be studyig i Wales ad your course started o or after 1 September 2012 ad before 1 August 2018 you may be eligible for a Fee Grat if the tuitio fee charged by your uiversity or college is more tha 4,450. The Fee Grat amout is the differece betwee the maximum Tuitio Fee Loa available ( 4,450) ad the tuitio fee beig charged by the uiversity or college. For example; Tuitio fee charged (up to 9,250) - Tuitio Fee Loa maximum ( 4,450) = Fee Grat etitlemet (up to 4,800) You do't eed to apply for a Tuitio Fee Loa to receive a Fee Grat. However if you choose ot to apply for a Tuitio Fee Loa you will eed to pay the differece to your uiversity or college. Your Fee Grat will be paid directly to your uiversity or college i three istalmets withi the academic year. You will ot be eligible to receive the Fee Grat if you are udertakig a course at a private uiversity or college i Wales. You ca get more iformatio about studet fiace olie by visitig the website for the coutry you are studyig i. You ca order forms ad guides i Braille, large prit or audio by ig with your ame, address, Customer Referece Number alog with what form ad format you require to: brailleadlargefots@slc.co.uk or you ca telephoe us o Please ote, the above address ad telephoe umber ca oly deal with requests for alterative formats of forms ad guides. 19

20 sectio 2 persoal details b If you are behid with repaymets o a previous loa, you should ot apply for studet fiace util you have resolved this issue. If you have ay Mortgage Style (MS) Loas please call your debt ower o the telephoe umber show o the most recet correspodece that you have received from them. If you do ot kow who your debt ower is please call for advice. If you have ay outstadig Icome Cotiget Repaymet (ICR) loas, please call for advice. c If you provide a correspodece address the all correspodece we issue will be set to that address from the date you move (or moved) there. You ca update your correspodece address or your home address at ay time by cotactig Studet Fiace Services o d You are livig with a parter if you are sharig a home with your parter but you are ot married or i a civil partership. It does ot matter whether you are of the same sex or of the opposite sex. sectio 3 residece a1 If you aswer Yes to this questio, you must sed your valid atioal idetity card (if this is proof of your EU atioality). If you are ot i possessio of a atioal idetity card the we will also accept a passport or, if you are a British atioal, your birth certificate. We ca accept origial documets or a certified copy of the origial documet. e A certified copy is a photocopy of a origial documet which must have bee stamped ad siged as beig a true copy of the origial by a perso of good stadig i the commuity, for example, a miister of religio, doctor, lawyer, civil servat, teacher/lecturer (ot college or uiversity admiistratio staff) or police officer. The perso certifyig the copy must provide their ame, job title ad work address. If your ame has chaged from the ame that appears o your birth certificate or passport the please sed the relevat evidece cofirmig this ad give details of ay previous ames you have had o a separate piece of paper ad eclose it with this form. a2 If you aswer Yes to this questio, you must provide evidece to cofirm your family member is a EU atioal ad your relatioship to them by sedig their atioal idetity card or passport ad your birth certificate or marriage certificate (if this shows proof of their EU atioality ad your relatioship to them). b1 Please complete this questio i full icludig addresses, dates ad the reaso(s) you were livig there. See page 2 of the form for a descriptio of academic years. b2 Please complete this questio i full ad provide documetary evidece to cofirm whe e ad where your parets, step-parets, guardias, husbad, wife or civil parter lived or worked outside the EEA or Switzerlad. You will eed to sed i their tax documets, proof of residece ad copies of work cotracts. We will cotact you if we require further iformatio. e 20

21 about your course ad uiversity or college sectio 4 a b c e d f Uiversity or college details You should give details of your first choice. If you later accept a place o a differet course or at a differet uiversity or college, you must otify us immediately. If you do ot, it will delay your applicatio. Course details If the course details you give us ca t be cofirmed yet, your studet fudig may be delayed. If you are usure about the tuitio fee amout you will be charged, please cotact your uiversity or college. Course type Full-time udergraduate course For these courses you will atted uiversity or college o most days of the week ad for most weeks of the year (apart from weekeds ad the usual holidays). You must atted the course for at least 24 weeks i the academic year, uless it is the last academic year of the course, i which case you must atted for at least eight weeks. The course must also last for at least oe academic year. You will still be cosidered to be attedig your course eve if arragemets have bee made by your uiversity or college for you to take the course without havig to atted. Full-time postgraduate Iitial Teacher Traiig (ITT) course For these courses you must atted full-time, for either study or teachig practice, for a aggregate of at least six weeks i the year. If your periods of full-time study, icludig teachig practice, amout to less tha six weeks you may oly receive a reduced rate Tuitio Fee Loa. You will still be cosidered to be attedig your course eve if arragemets have bee made by your uiversity or college for you to take the course without havig to atted. Full-time distace learig Distace learig is a programme of study that comprises video, prited ad olie materials that allows studets to study at home with a tutor based elsewhere. Full-time foudatio degrees Foudatio degrees are employmet-related higher educatio qualificatios desiged to give you the skills eeded at the relevat professioal ad higher techicia level. They are desiged to be flexible to suit differet situatios, ad you ca complete foudatio degrees i two years if you study full-time. Full-time ivolvig a placemet ( sadwich course) This kid of course icludes full-time educatio at the uiversity or college, plus periods of idustrial or work placemet. Pre-registratio postgraduate healthcare course (oly applicable to studets studyig i Eglad) A postgraduate healthcare course is a desigated pre-registratio course i a allied health professio subject, ursig or midwifery that leads to a Postgraduate Diploma or Masters qualificatio. Other course types - (oly applicable to studets studyig i Norther Irelad) Flexible postgraduate/part-time udergraduate/part-time ITT course You will eed to provide a letter from your uiversity or college cofirmig the umber of weeks you will be o full-time study ad full-time teachig practice. Term details If you are studyig abroad you should speak to your uiversity or college to cofirm your tuitio fee. Placemet details The tuitio fee amout you may be charged will vary depedig o the type of placemet ad where i the UK the uiversity or college you ormally atted is located. If you re o a placemet you should speak to your uiversity or college who will be able to cofirm your tuitio fee. 21

22 sectio 5 previous study ad other iformatio If you're a qualified teacher because you've bee registered by the istitute for Learig as holdig Qualified Teacher Learig ad Skills status (QTLS), you may be able to apply for a Tuitio Fee Loa for a further teacher traiig course. a1 This icludes ay udergraduate or postgraduate course you have atteded whether it was i the UK or overseas. Examples of udergraduate higher educatio courses you should tell us about iclude: DipHE, HND ad Foudatio Degree, ad similar courses from outside the UK. Itegrated Masters Degrees. Examples of postgraduate courses you should tell us about iclude: PgDip MA MSc MBA or equivalets. a2 If you did ot fiish your course due to compellig persoal reasos (which does ot iclude e reasos of academic performace aloe), you must give full details i this sectio ad sed the ecessary documetary evidece to support the reasos you give. A self-fuded course is oe that was studied at a private uiversity or college ad o support of ay kid was paid either to you or the uiversity or college to meet tuitio fee or maiteace costs for the duratio of the course. a4 If you did ot fiish your course due to compellig persoal reasos (which does ot iclude e reasos of academic performace aloe), you must give full details i this sectio ad sed the ecessary documetary evidece to support the reasos you give. c1 If you are eligible to apply for a social work bursary from the Natioal Health Service Busiess Services Authority (NHSBSA) or Social Services Ispectorate you should aswer o to this questio because this is a separate bursary to those offered by the NHS or DoH. c2 If you are eligible to receive a o-icome assessed bursary the you are ot eligible for ay other studet fiace uless you are a secoded studet studyig a health related course ad you have bee advised that you caot apply for ay bursary at all, either icome or oicome assessed. If you are usure about your eligibility for a bursary, cotact the NHS Pesios Agecy Studet Grat Uit helplie o

23 loa request sectio sectio 6 If you have previously worked i the UK you will fid your Natioal Isurace umber o: a Natioal Isurace umber card or letter; a payslip; a Icome Tax documet such as a P45 or P60; or a form from your local Jobcetre Plus, Jobcetre or Social Security Office. If you have a Natioal Isurace umber but caot fid it, you should cotact HM Reveue & Customs (HMRC) Natioal Isurace Registratios helplie o If you do ot have a Natioal Isurace umber you should leave the Natioal Isurace umber box blak. Please let us kow as soo as you get oe. Tuitio Fee Loa The maximum tuitio fee amout you are charged may vary depedig o which coutry you study i. Your Tuitio Fee Loa will be paid directly to your uiversity or college i three istalmets withi the academic year. You will be liable for your Tuitio Fee Loa from the first day of each term ot the date whe the istalmet is paid to your uiversity or college. Liability date % of total Tuitio Fee Loa that you will be liable for First day of Term 1 25% First day of Term 2 50% First day of Term 3 100% If you are usure whe your term starts please cotact your uiversity or college. Each paymet is made after we receive cofirmatio from your uiversity or college that you are i attedace at the start of each term. Iterest will be charged from the day we pay the Tuitio Fee Loa to your uiversity or college. Applyig for a loa at a later date or chagig the amout requested You ca apply for a Tuitio Fee Loa at ay time i the academic year provided you are withi the time limit. The time limit for applyig is usually 9 moths from the start of your academic year. To apply for a Tuitio Fee Loa, or to chage the amout you origially requested, you ca dowload a Tuitio Fee Loa Request form olie by visitig the website for the coutry you are studyig i. Studet Declaratio If you have applied for a course of study i Eglad ad you receive a Tuitio Fee Loa, there is a legally bidig cotract betwee you ad the Secretary of State. The Declaratios are a itegral part of your cotract with the Secretary of State. Additioal terms of the cotract are to be foud i Regulatios made uder sectio 22 of the Teachig ad Higher Educatio Act 1998, as ameded from time to time, or successor legislatio. If you have applied for a course of study i Wales ad you receive a Tuitio Fee Loa, there is a legally bidig cotract betwee you ad the Welsh Miisters. The Declaratios are a itegral part of your cotract with the Welsh Miisters. Additioal terms of the cotract are to be foud i Regulatios made uder sectio 22 of the Teachig ad Higher Educatio Act 1998, as ameded from time to time, or successor legislatio. If you have applied for a course of study i Norther Irelad ad you receive a Tuitio Fee Loa, the legally bidig cotract is betwee you ad the Departmet for the Ecoomy. The Loa Request Form icludig the Declaratios are a itegral part of your cotract with the Departmet for the Ecoomy. Additioal terms of the cotract are to be foud i Regulatios made uder Article 3 of the Educatio (Studet Support) (Norther Irelad) Order 1998 as ameded from time to time, or successor legislatio. 23

24 If you caot sig the form it must be siged o your behalf by your Power of Attorey. The Power of Attorey letter must be set with the applicatio before a sigature from that Power of Attorey will be accepted. Chage of circumstaces You must otify the Studet Loas Compay about ay chage i your circumstaces, which may affect your etitlemet to fiacial support. To tell us about ay chages i your circumstaces you must complete a Chage of Circumstaces form (EUCO1). This form is available olie. The most commo chage of circumstace for studets would be if: you are abset from the course for more tha 60 days because of illess; you are abset for ay other reaso; you leave, abado or are expelled from the course; you stop attedig the course ad do ot ited, or are ot allowed, to retur for the rest of the academic year; you trasfer to a differet course at the same, or a differet, uiversity or college; you trasfer from a full-time to a part-time course; you repeat part or all of a year of your course; or the date of the start or ed of your course chages. Iformatio about data sharig for bursary ad scholarship purposes Uiversities ad colleges may offer fiacial awards such as bursaries or scholarships to their studets. To help them admiister these awards (i.e. to determie eligibility ad etitlemet to, ad if relevat pay, a bursary or scholarship - bursary admiistratio purposes ) they will ask the Secretary of State (if your place of study is i Eglad), the Welsh Miisters (if your place of study is i Wales) ad the Departmet for the Ecoomy ad the Educatio Authority (if your place of study is i Norther Irelad) ad the Studet Loas Compay for access to iformatio you provide i coectio with this applicatio for studet fiace (whether o this form or at a later date). We will share the relevat iformatio with them, uless you idicate that you do ot wish us to do so by tickig the box o the Declaratio. If you do ot give coset for us to share this iformatio, the paymet of ay bursary or scholarship to which you may be etitled will be delayed. Please cotact the uiversity or college if you require further iformatio about their bursaries ad scholarships. 24

Refer to the guidance notes when you see this icon. The notes will give you extra information to help you complete the form correctly.

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