Application for extension of residence permit

Size: px
Start display at page:

Download "Application for extension of residence permit"

Transcription

1 Application for extension of residence permit Instructions For the extension of your residence permit you will need to do the following: 1) You need to complete the digital Osiris application and upload the following documents: Antecedents Certificate (see appendix) A copy of your passport A copy of both sides of your current residence permit Proof of financial means (see below) Proof of health insurance If applicable: Official transcripts of all previous institutions in the Netherlands at which you have studied 2) Send or hand in hardcopy documents: After we have checked and approved your digital documents, please send the hardcopy versions (containing authentic stamps and signatures) of the financial documents and forms and the antecedents certificate to: Utrecht University Or you can hand them in at: International Office/Visa UU for U Student Services, P.O. Box Heidelberglaan 6, Utrecht 3508 TC Utrecht (on work days hrs) 3) You must pay the residence permit fee of 161,-. Please pay this amount into the ABN AMRO bank account in the name of Universiteit Utrecht, Postbus 80125, 3508 TC Utrecht. IBAN number: NL26ABNA Or Account number: Swift/BIC Code: ABNANL 2A Address bank: Daalsesingel 71 Postbus GB Utrecht The Netherlands Please quote your student number, VVR and your name as it is stated in your passport. We must have received the documents and payment at least two months prior to the expiry date of your current residence permit. The Visa office can only process your request if they receive all of the requested documents, and you have met the requirements for satisfactory academic progress (see download?token=k8wfz9jv) Financial Means The financial means you must prove to have at your disposal consist of two parts: 1) The tuition fee 2) Living expenses For the extension of your residence permit you must provide proof that you can cover both the tuition fee and your living expenses for the first 12 months of your enrolment. Below you can find an overview of the ways in which you can prove your financial means. 1) The tuition fee To prove you can cover the tuition fee you must hand in a recent bank statement or bank declaration (signed and stamped by the bank) of a Dutch bank account in your own name with the amount of the tuition fee in it. 2) Living expenses. The total amount you must prove to have at your disposal for living expenses for the first 12 months of your enrolment is ,-. (The required minimum monthly amount is 900,-)

2 Below is an overview of the documentation you can submit to meet the requirements regarding the proof for living expenses. NOTE: If you hold a Dutch bank account with the total amount of the tuition fee + living expenses in it, you can submit a recent bank statement of this account. Then you will have covered the proof of financial means. We cannot emphasize enough that the IND is very strict. If your documents do not meet the following requirements exactly, your application may be denied, or will at the very least be seriously delayed. Please note that it is possible to combine funds from A, B and C. A. If you have been awarded a scholarship, provide proof of the award We recommend that you use the Scholarship form (see appendix), as this meets all of the IND criteria. If you use an award letter instead, it must include the name and address of the organisation awarding the scholarship, your name, your date of birth, the exact study period (dd/mm/yyyy) to which the scholarship applies (e.g. from until ) and the exact amount of money that has been allocated. The letter must be signed and certified with a stamp of the organisation awarding the scholarship. B. If you rely on your own financial resources, provide one of the following documents: 1. A recent bank statement of an account in your name (a copy or the original) or 2. An original recent declaration from the bank or 3. A recent internet print-out of your bank account signed and certified with a stamp of the bank C. If you rely on financial sources from a sponsor outside the Netherlands (e.g. your parents), provide the following documents: 1a. A recent bank statement of an account in the sponsor s name (a copy or the original) or 1b. An original recent declaration from the bank. AND 2. A letter from the sponsor, confirming that he/she is willing to financially support you during your study period in the Netherlands. We recommend using the Financial Statement form (see appendix), or make sure all the information from this form is included in the letter. The period of sponsoring (e.g. from until ) must be the same as your period of study in the Netherlands, and the amount that will be transferred monthly to your account in the Netherlands must meet the minimum requirements for the intended study period AND 3. A copy of the identity card/passport of the sponsor IMPORTANT: Criteria for a bank statement or declaration from a bank The IND only accepts documents that meet the following criteria: - Original document; copies or internet print-outs are not accepted - Less than 2 months old - No indication there is a hold on the funds (e.g. no term / time deposits or share portfolio) - The balance must meet the minimum criteria AND contain all of the following 6 items: - Name and address of the bank - Currency - Name of the account holder - Balance - Account number - Date

3 Official transcripts (only for students not currently enrolled at Utrecht University) As you may know, Universities in the Netherlands are required to assess the academic progress of students with a residence permit for study purposes. Your academic progress at your previous institution can be an important indicator for your study success at Utrecht University. We therefore take your academic progress at previous Dutch institutions into account when evaluating your request for extension of your residence permit. We ask you to send us official transcripts of the previous study (or studies) you have undertaken in the Netherlands. An official transcript must be issued by the university at which you studied. The transcript or copy of the transcript must carry an original stamp and original signature of that university. The transcript must contain all the courses you have taken during your programme of study, with the results obtained and the number of credits per course.

4 Appendix Antecedents Certificate This certificate only needs to be completed if the foreign national is 12 years of age or older. 1 Certificate > Please tick the applicable situation I certify that: I have never been sentenced to imprisonment or a custodial measure for committing a crime; I have never been sentenced to perform community service for committing a crime; I have never been imposed an unconditional fine for committing a crime; I have never accepted an out-of-court settlement for committing a crime; I have never been imposed a penalty order by a public prosecutor for committing a crime; I am currently not subject to prosecution for committing a crime; I have never been responsible for one of the following categories of acts as referred to in Article 1F of the 1951 Refugee Convention: a crime against peace, a war crime, a crime against humanity, a serious non-political crime (for example murder or terrorism), or acts contrary to the purposes and principles of the United Nations (for example terrorist acts); and I am aware of the fact that a sentence for committing a crime may result in a refusal or termination of the right of residence. I have not submitted any incorrect data during earlier residence procedures; I did not reside in the Netherlands illegally in the past; I am not subject to any entry ban. I am unable to certify the above for the following reasons: 2 Signing (by the foreign national) I have completed this form truthfully. 2.1 Name 2.2 Place and date Place Day Month Year 2.3 Signature Please note! If this antecedents certificate has not been completed truthfully, this will have consequences for your right of residence.

5 SCHOLARSHIP CERTIFICATE On behalf of the Board of Governors of: Name educational institute: Undersigned declares hereby that: Surname student: Given names student: Nationality: Date of birth: will receive during the period: Starting date / / End date : / / a monthly scholarship of: The scholarship is funded by: Name institute or company: In the frame of: Scholarship programme: Date: Name: Signature: Name Institute or Company funding the student Stamp educational institute: Address: Postal code + city: Telephone number:

6 FINANCIAL STATEMENT SPONSOR FORM I, the undersigned, Name: First name: Born on: Day / Month / Year Place of Birth: Nationality: Passport number or number of identity card (please send copy of passport or identity card with this statement) Tel.: Address: Zip code: Country: hereby declare that I will financially support the following student: Name: First name: Born on: Day / Month / Year Place of Birth: Nationality: Passport nr during his/her studies in the Netherlands. I hereby guarantee that I will transfer a minimum allowance of per month from (Start date): Day /Month / Year until (End date): Day /Month / Year I hereby enclose a recent bank statement (not older than three months) proving that I have enough funds to transfer the amount in the period mentioned. Date: Day / Month / Year Signature:

Proof of financial means requirements Contents

Proof of financial means requirements Contents Proof of financial means requirements Contents Proof of financial means requirements...1 Introduction...2 What is the amount of money that I need to prove?...2 How do I prove that I have enough money?...2

More information

INTERNATIONAL STUDENT CERTIFICATION OF FINANCES

INTERNATIONAL STUDENT CERTIFICATION OF FINANCES INTERNATIONAL STUDENT CERTIFICATION OF FINANCES 2019-20 The purpose of the Certification of Finances is to help colleges and universities obtain complete and accurate information about the funds available

More information

National Film & Television School ( the School ) Anti-Money Laundering Policy 1

National Film & Television School ( the School ) Anti-Money Laundering Policy 1 National Film & Television School ( the School ) Anti-Money Laundering Policy 1 1. Introduction The Proceeds of Crime Act 2002, Money Laundering Regulations 2007 and Terrorism Act 2002 set out the obligations

More information

I-20 Request Form for F-1 Visa

I-20 Request Form for F-1 Visa I-20 Request Form for F-1 Visa Congratulations on your admission to CCA! Now that you have been accepted, the next step is to fill out this I-20 Request Form and submit it, along with supporting documentation,

More information

LINGNAN UNIVERSITY Office of Mainland and International Programmes

LINGNAN UNIVERSITY Office of Mainland and International Programmes IMPORTANT NOTES Please read the following carefully before you fill in the application. 1 Use of Information in the Application The information provided by an applicant will be used for the following purposes:

More information

Canadian Application for Form I-20 and Certification of Financial Responsibility

Canadian Application for Form I-20 and Certification of Financial Responsibility Canadian Application for Form I-20 and Certification of Financial Responsibility IMPORTANT: The information on the following pages explains how to become eligible for F-1 student status in the United States.

More information

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines DCU Summer Scholars 2018 Summer Programme (2-week) Application Form For Secondary School Students (12-17 years) Application Deadlines Early Application Deadline Friday, 26 th January 2018 Financial Aid

More information

Please address all correspondences to the Director: Finance, and always quote your student number. Private Bag X5050 THOHOYANDOU 0950

Please address all correspondences to the Director: Finance, and always quote your student number. Private Bag X5050 THOHOYANDOU 0950 STUDENT FEES 2018 CORRESPONDENCES Please address all correspondences to the Director: Finance, and always quote your student number. Postal Address: CALENDARS University of Venda Private Bag X5050 THOHOYANDOU

More information

Early Learning Payment application

Early Learning Payment application Early Learning Payment application Early Learning Payment is available to families who are enrolled in a Family Start or Early Start programme. It helps pay the cost of early childhood education for children

More information

J-1 Internship Program Overview

J-1 Internship Program Overview J-1 Internship Program Overview Welcome to the J-1 Visa information site of International Educational Exchange, Inc. In this section, you will learn more about how to apply for a J-1 visa in the Intern

More information

1. The name on the Financial Declaration MUST match the spelling and format as it exists on your passport.

1. The name on the Financial Declaration MUST match the spelling and format as it exists on your passport. Overview The International Applicant Financial Declaration is required before a Certificate of Eligibility for a student visa can be issued. Admitted students are advised to fill out the form and print

More information

DCU Summer Scholars Application Form 2019

DCU Summer Scholars Application Form 2019 DCU Summer Scholars Application Form 2019 PLEASE TYPE OR PRINT LEGIBLY IN INK. BE SURE TO COMPLETE ALL INFORMATION Student Information CTYI Student No. (as per mailing envelope) Full Name Last Name First

More information

Claim for the refund of OASI contributions

Claim for the refund of OASI contributions Federal Old-Age and Survivors Insurance OASI Claim for the refund of OASI contributions IMPORTANT INFORMATION Documents to be enclosed with your request: Copy of the OASI certificate. Copy of the official

More information

DECISION. Article 1. Article 2

DECISION. Article 1. Article 2 Pursuant to Article 45, paragraph (5) of the Credit Institutions Act (Official Gazette 117/2008), Article 29 and Article 43, paragraph (2), item (9) of the Act on the Croatian National Bank (Official Gazette

More information

Personal Details. For Office Use Only. Address. Phone number. 1/9 Application Form

Personal Details. For Office Use Only. Address. Phone number. 1/9 Application Form For Office Use Only Application received by Date received D D M M Y Y Y Y Address Phone number 1/9 Application Form Please complete all sections of this application form clearly in black ink and BLOCK

More information

Student Financial Declaration Form

Student Financial Declaration Form Student Financial Declaration Form As part of its responsibilities to the Australian Government and as a participant in the new Streamlined Visa Processing (SVP) arrangements, Australian National College

More information

THE APPLICATION FORM FOR BACHELORS 1, 2, 3 BEDROOMS FLAT IN 2018 R650

THE APPLICATION FORM FOR BACHELORS 1, 2, 3 BEDROOMS FLAT IN 2018 R650 THE APPLICATION FORM FOR BACHELORS 1, 2, 3 BEDROOMS FLAT IN 2018 R650 LEASE APPLICATION (SUBJECT TO AVAILIBILITY ) Application Form for Flats DATE AGENT website : www.nulandspropertiesinvestment.co.za

More information

I-20 APPLICATION $ 2,470 TOTAL $ 65,840

I-20 APPLICATION $ 2,470 TOTAL $ 65,840 I-20 APPLICATION In order for us to issue a Certificate of Eligibility (Form I-20) for you to use to apply for an F-1 visa at a U.S. Embassy or Consulate, you must complete PAGE 3 of this form to document

More information

Complete this form if you wish to withdraw part or all of your benefit from the Plan or you wish to begin a pension in the Plan.

Complete this form if you wish to withdraw part or all of your benefit from the Plan or you wish to begin a pension in the Plan. Benefit Payment Request Form Complete this form if you wish to withdraw part or all of your benefit from the Plan or you wish to begin a pension in the Plan. MEMBER DETAILS Surname: Given Name: Residential

More information

Including a partner form

Including a partner form Including a partner form If you get a benefit from Work and Income and now have a partner, your partner will need to be included in your benefit and may get payments as well. If you and your partner are

More information

REGULATIONS FOR THE PAYMENT OF UNIVERSITY FEES

REGULATIONS FOR THE PAYMENT OF UNIVERSITY FEES REGULATIONS FOR THE PAYMENT OF UNIVERSITY FEES Document Title: Document Author: Responsible Person and Department: Approving Body: Regulations for the Payment of University Fees Carole Trantham Simon Day,

More information

Application Form Multi Currency Account (EUR USD RMB)

Application Form Multi Currency Account (EUR USD RMB) Application Form Multi Currency Account (EUR USD RMB) With this form you can apply for the Multi Currency Account. Please pay attention: the Multi Currency Account can not process Direct Debit transactions

More information

Kenyan evisa. Thank you for requesting an application pack for a Tourist/Business visa for Kenya

Kenyan evisa. Thank you for requesting an application pack for a Tourist/Business visa for Kenya Kenyan evisa Thank you for requesting an application pack for a Tourist/Business visa for Kenya Checklist: PLEASE DO NOT APPLY MORE THAN 3 MONTHS BEFORE YOUR PROPOSED DATE OF TRAVEL 1x Completed application

More information

Helpline Ministry of Social Development PO Box 1556 Wellington 6140 New Zealand

Helpline Ministry of Social Development PO Box 1556 Wellington 6140 New Zealand Special Needs Grant International Custody Dispute Payment If you need help filling in this form, please phone 0800 559 009 within New Zealand, or +64 9 913 0300 outside New Zealand. Who can get this payment

More information

You can either be self-funded or have an official financial sponsor and different evidence is required.

You can either be self-funded or have an official financial sponsor and different evidence is required. Updated July 2014 Student Immigration Team Student Services Centre Updated April 2017 Financial Requirements A Guide for Tier 4 Visa Applications As part of your Tier 4 visa application you must provide

More information

Don t return this page

Don t return this page Student Allowance/Student Loan/Scholarship Overseas study application form Complete this form if you want to apply for a Student Allowance/Student Loan/Scholarship for overseas study. You can also apply

More information

INSTRUCTIONS FOR THE ONLINE APPLICATION FOR THE POSTGRADUATE PROGRAM «Language Education for Refugees and Migrants» (LRM)

INSTRUCTIONS FOR THE ONLINE APPLICATION FOR THE POSTGRADUATE PROGRAM «Language Education for Refugees and Migrants» (LRM) INSTRUCTIONS FOR THE ONLINE APPLICATION FOR THE POSTGRADUATE PROGRAM «Language Education for Refugees and Migrants» (LRM) Period of Submission: 22/6/2016 to 22/7/2016 FOR THE ACADEMIC YEAR 2016-2017 Attention:

More information

1. Personal Details and Academic History Compulsory

1. Personal Details and Academic History Compulsory Registration form for CAIA Programs PLEASE NOTE: CATEGORY 1 TO 4 MUST BE COMPLETED BY ALL STUDENTS. 1. Personal Details and Academic History Compulsory Mr Mrs Miss Ms Other Initials Surname First Name/s

More information

Small Business Credit Card New Business Credit Card Account Relationship

Small Business Credit Card New Business Credit Card Account Relationship Small Business Credit Card New Business Credit Card Account Relationship New Account Opening Packet Contents 1. Mastercard BusinessCard Application (required for each applicant) 2. Certification & Directive

More information

CUBA TRAVEL RESERVATION FORM

CUBA TRAVEL RESERVATION FORM Please read carefully the instructions below and make sure all of the paperwork / passport information is filled in, signed, and submitted to the address below: U.S. regulations require that each traveler

More information

The term customer includes a student, individual, company, partnership or organisation that has outstanding fees or charges owed to the School.

The term customer includes a student, individual, company, partnership or organisation that has outstanding fees or charges owed to the School. Credit Management Policy 2017/2018 CONTENTS Section Item Page No. 1. Introduction 1 2. Policy Background 1 3. General Principles 2 4. Student Debt Penalties 3 4.1 Tuition Fees & Tuition related fees and

More information

ACCEPTANCE FORMS FOR BABSON COLLEGE INTERNATIONAL PROGRAMS

ACCEPTANCE FORMS FOR BABSON COLLEGE INTERNATIONAL PROGRAMS ACCEPTANCE FORMS FOR BABSON COLLEGE INTERNATIONAL PROGRAMS All forms in this packet should be returned to Global Program Services, Nichols Hall, by the date indicated by your program manager. Failure to

More information

2017 Financial Need Bursary Application Form

2017 Financial Need Bursary Application Form 2017 Financial Need Bursary Application Form. Name of Applicant 1 P a g e B u r s a r y A p p l i c a t i o n F o r m F i n a n c i a l N e e d U p d a t e d 2 0 1 7 Dear Applicant We have received your

More information

Application Form. Subscription in EUR Direct via TARGET II Swift Code: BSUILULL

Application Form. Subscription in EUR Direct via TARGET II Swift Code: BSUILULL Application Form This form is for the exclusive use of investors (the Investor ) subscribing to Amundi Money Market Fund which has appointed AMUNDI Luxembourg as Management Company and CACEIS Bank Luxembourg

More information

THE APPLICATION FORM IS VALID FOR 30 Days

THE APPLICATION FORM IS VALID FOR 30 Days THE APPLICATION FORM IS VALID FOR 30 Days LEASE APPLICATION (SUBJECT TO AVAILIBILITY ) Application Form for Bachelors DATE AGENT : Nulandsproperties@gmail.com : Contact 083 940 4123 Central, Sunnyside

More information

Simplified Student Visa Framework (SSVF) Genuine Temporary Entrant (GTE) Questionnaire

Simplified Student Visa Framework (SSVF) Genuine Temporary Entrant (GTE) Questionnaire Simplified Student Visa Framework (SSVF) Genuine Temporary Entrant (GTE) Questionnaire This questionnaire is to be completed by ALL students applying to study at APSI. In order to assist APSI to assess

More information

Registered Pension Schemes Dependant s Benefit Election Form. Form

Registered Pension Schemes Dependant s Benefit Election Form. Form Registered Pension Schemes Dependant s Benefit Election Form Form Policyholder/Member details (Office use) Policyholder/Member Policy number(s) Scheme name Electing a benefit option Please read the enclosure,

More information

CTY Ireland Summer Programme (3-week) Application Form. For Year Olds With exceptional academic ability OVERSEAS STUDENTS

CTY Ireland Summer Programme (3-week) Application Form. For Year Olds With exceptional academic ability OVERSEAS STUDENTS CTY Ireland 2017 Summer Programme (3-week) Application Form For 12-17 Year Olds With exceptional academic ability OVERSEAS STUDENTS Application Deadlines Early Application Deadline Friday, 27 th January

More information

BRITISH INTERNATIONAL SCHOOL

BRITISH INTERNATIONAL SCHOOL BRITISH INTERNATIONAL SCHOOL FEES, TERMS & CONDITIONS OF ADMISSION Terms and Conditions of Admission: Last Updated: Jan 2016 Parents are advised to read in full the School s terms and conditions before

More information

General conditions for your life insurance

General conditions for your life insurance General conditions for your life insurance 2012 Introduction This introduction is not part of the conditions. The conditions start with the contents. What are these conditions for? You have a life insurance

More information

for 2010 as well and the situation did not change in relation to a specific question, you may simply state idem where appropriate.

for 2010 as well and the situation did not change in relation to a specific question, you may simply state idem where appropriate. The Tax Shop Keizersgracht 209 1016 DT Amsterdam Tel: +3120 26 109 26 info@thetaxshop.nl http://www.thetaxshop.nl BTW: NL130508445.B02 Bank: ING 81.57.099 KvK: 57818908 Client questionnaire Dutch personal

More information

West Virginia State University

West Virginia State University West Virginia State University Office of Student Financial Assistance 2015 2016 Verification Worksheets V-5 Aggregate Verification Group Your 2015 2016 Free Application for Federal Student Aid (FAFSA)

More information

TB Evenlode Investment Funds ICVC OEIC Investment

TB Evenlode Investment Funds ICVC OEIC Investment TB Evenlode Investment Funds ICVC OEIC Investment Account Opening and Initial Investment Application Form For private investor use only This application form is for private investors who do not already

More information

IN-PERSON RECERTIFICATIONS

IN-PERSON RECERTIFICATIONS IN-PERSON RECERTIFICATIONS IMPORTANT NOTE: WE HAVE BEEN TEXTING CUSTOMERS IN NEED OF RE-CERTIFICATION, NOTIFYING THEM THAT THEY CAN RE-CERTIFY AT ANY LIFE WIRELESS RETAILER. OUR GOAL IS THAT WE WILL NOTIFY

More information

Details of dependants - Retirement/Pension Funds

Details of dependants - Retirement/Pension Funds Details of dependants - Retirement/Pension Funds Please read the following information carefully before completing the form Sanlam is considering a death claim. The member who died was a member of a retirement

More information

EUPTL1 2018/19. 1 your personal details. Tuition Fee Loan application form for new part-time EU students studying in Wales

EUPTL1 2018/19. 1 your personal details. Tuition Fee Loan application form for new part-time EU students studying in Wales EUPTL1 2018/19 Tuition Fee Loan application form for new part-time EU students studying in Wales Who should complete this form? Complete this form if your course start date is on or after 1 September 2014

More information

INTERNATIONAL STUDENT FINANCIAL CERTIFICATION

INTERNATIONAL STUDENT FINANCIAL CERTIFICATION 2017-2018 INTERNATIONAL STUDENT FINANCIAL CERTIFICATION INSTRUCTIONS: Please complete all sections of this form in full. Signature of applicant, sponsor and bank must be included. Failure to complete all

More information

EUPTLC. 2018/19 Tuition Fee Loan application form for continuing part-time EU students studying in Wales. 1 your personal details

EUPTLC. 2018/19 Tuition Fee Loan application form for continuing part-time EU students studying in Wales. 1 your personal details EUPTLC 2018/19 Tuition Fee Loan application form for continuing part-time EU students studying in Wales Who should complete this form? Complete this form if your course start date is on or after 1 September

More information

Technical Advisor Registration Form

Technical Advisor Registration Form Technical Advisor Registration Form Please ensure the following before submitting your application: You have read and fully understood this registration form before submitting signed application to SEAI

More information

Re-application (within 52 weeks) form

Re-application (within 52 weeks) form Re-application (within 52 weeks) form Why not re-apply online? Go to www.workandincome.govt.nz If you need more information go to our website or call us on 0800 559 009. Did you know you can do this online?

More information

Rolls-Royce UK Pension Fund (the scheme) Transfer to an overseas pension arrangement

Rolls-Royce UK Pension Fund (the scheme) Transfer to an overseas pension arrangement Rolls-Royce UK Pension Fund (the scheme) Transfer to an overseas pension arrangement This six-page form must be fully completed before a transfer of benefits from the Rolls-Royce UK Pension Fund (RRUKPF)

More information

Canada / Mexico Agreement

Canada / Mexico Agreement Canada / Mexico Agreement Applying for Mexican Benefits Here is some important information you need to consider when completing your application. Please ensure you sign the application. If you are signing

More information

A) Class. B) Team and motorcar information. Registration form for The 100 Miles of Amsterdam December 17 th 2017

A) Class. B) Team and motorcar information. Registration form for The 100 Miles of Amsterdam December 17 th 2017 Registration form for The 100 Miles of Amsterdam December 17 th 2017 A) Class Sport class More competitive, serious navigating, prices Touring class Enjoying the route, detailed road book B) Team and motorcar

More information

Change of Details Notification Form

Change of Details Notification Form Please return this completed form to: State Street Australia Limited Attention: Unit Registry Level 14 420 George Street SYDNEY NSW 2000 Australia email: ssaltrading@statestreet.com Change of Details Notification

More information

You are responsible for informing us promptly of any change in circumstances that would cause you to answer the questions below differently.

You are responsible for informing us promptly of any change in circumstances that would cause you to answer the questions below differently. Notification form for exempt payment service providers (as referred to in Section 2:3d of the Financial Supervision Act [Wet op het financieel toezicht Wft] in conjunction with Section 1a of the Exemption

More information

Account Application Form for private individuals Corporate Banking

Account Application Form for private individuals Corporate Banking Credit Europe Bank N.V. Karspeldreef 6A, 1101 CJ Amsterdam P.O. Box 12036, 1100 AA Amsterdam Tel: +31 (0)20 35 76 300 Fax: +31 (0)20 35 76 301 Trade Register Amsterdam 33256675 www.crediteuropebank.com

More information

BROKERAGE ACCOUNT AGREEMENT - INDIVIDUALS

BROKERAGE ACCOUNT AGREEMENT - INDIVIDUALS www.efghermes.com BROKERAGE ACCOUNT AGREEMENT - INDIVIDUALS Account No. Individual Details Name: (First. Middle. Last) Identification Number: SDC Number: Type: [ID, Passport, etc. ] Issuing Date: D/M/Y

More information

Momentum Corporate Preservation Funds Beneficiary nomination form

Momentum Corporate Preservation Funds Beneficiary nomination form Momentum Corporate Preservation Funds Beneficiary nomination form ou may nominate any person to receive any part of the benefit that will be paid from the Fund if you die. This should include your spouse

More information

Remortgage of. We should be pleased to act on your behalf in connection with your proposed remortgage of the above property.

Remortgage of. We should be pleased to act on your behalf in connection with your proposed remortgage of the above property. PLEASE COMPLETE THIS LETTER WHERE INDICATED BY A DOTTED LINE AND RETURN ALONG WITH T s & C s, ID, CLIENT INFORMATION AND CHEQUE Date: Estimate Ref:.. Name(s)... Correspondence Address. Dear Client(s) Remortgage

More information

STUDENT AGREEMENT. 2. If you are enrolled in such a partner course you will be bound by the terms and conditions of this Agreement.

STUDENT AGREEMENT. 2. If you are enrolled in such a partner course you will be bound by the terms and conditions of this Agreement. STUDENT AGREEMENT The following terms and conditions constitute the agreement between you (the undersigned) and ( EPI ) for the provision of your course ( Agreement ). Partner Courses 1. In some cases,

More information

INDIVIDUAL ACCOUNT OPENING APPLICATION (KYC)

INDIVIDUAL ACCOUNT OPENING APPLICATION (KYC) All fields are mandatory PERSONAL DETAILS First Name: Last Name: Place of Birth: Date of Birth: Country of Residence: Nationality: ADDRESS DETAILS Address (Street and house number): Town/City: Postal/

More information

ENDOWMENT APPLICATION

ENDOWMENT APPLICATION ENDOWMENT APPLICATION Instructions 1. This application and supporting documentation must be emailed to instruct@ashburtoninvest.co.za. 2. Please complete all relevant sections of this application in order

More information

Payment instruction form

Payment instruction form Payment instruction form Please complete and sign this form to provide your payment instructions. Mail the completed form to: Plum Super, Reply Paid 63, Melbourne Vic 8060. If you need assistance in completing

More information

Section 2 Applicant Details and Establishment (see Section 2 in the Guide) 2A Name of Applicant. 2B Business Address of Applicant

Section 2 Applicant Details and Establishment (see Section 2 in the Guide) 2A Name of Applicant. 2B Business Address of Applicant ROAD HAULAGE OPERATOR LICENCE APPLICATION FORM This is an application form for a Road Haulage Operator Licence, and for all the appropriate documents for vehicles to be authorised under the licence. Please

More information

Cigna Health and Life Insurance Company Connecticut Individual and Family Plan Enrollment Application / Change Form

Cigna Health and Life Insurance Company Connecticut Individual and Family Plan Enrollment Application / Change Form Primary Applicant Name Enrollment Form ID Cigna Health and Life Insurance Company Connecticut Individual and Family Plan Enrollment Application / Change Form Section A. Type of Application New Enrollment

More information

First Card Application for First Card agreement Part 1

First Card Application for First Card agreement Part 1 Part 1 must always be filled in First Card Application for First Card agreement Part 1 To be filled in by First Card FC customer no FC agreement no We hereby apply for the following services: Travel Account

More information

Personal Pension Plan. Release / Retirement Form

Personal Pension Plan. Release / Retirement Form Personal Pension Plan Release / Retirement Form Applicant s Details Surname Forename(s) Mr/Miss/Mrs/Other Marital Status Date of Birth Contact Tel Address Postcode Tax Free Cash Option Under Jersey Income

More information

International Student Offer Acceptance form

International Student Offer Acceptance form International Student Offer Acceptance form Representative/agent stamp IF APPLICABLE Read these instructions carefully before you complete the acceptance form. This acceptance, together with your letter

More information

General insurance, actuarial, statistical and policy advice to the insurance industry, self-insurers and accident compensation schemes, and

General insurance, actuarial, statistical and policy advice to the insurance industry, self-insurers and accident compensation schemes, and TITLE: Taylor Fry Analytics & Actuarial Consulting Internship Scheme SUPERVISOR: Martin Fry (Director) INSTITUTION: Taylor Fry Analytics & Actuarial Consulting, Level 6, 52 Collins Street, Melbourne VIC

More information

Non-Resident Alien Frequently Asked Questions

Non-Resident Alien Frequently Asked Questions Materials Management: Payroll Time and Attendance Unit Non-Resident Alien Frequently Asked Questions TAX FILING: DO I NEED TO FILE / WHEN DO I FILE? What happens if I fail to file my taxes? If you owe

More information

Temporary Accommodation Assistance Application

Temporary Accommodation Assistance Application Temporary Accommodation Assistance Application If you need help with this form call us on % 0800 673 227. Please read this before you start If you are a Canterbury homeowner who has had to leave your home

More information

Confirmation of Participation

Confirmation of Participation Confirmation of Participation studyabroad@ausm.community 773.583.7728 ausm.community 3460 W. Lawrence Ave Chicago, IL 60625 By submitting the last page of this Confirmation of Participation form you agree

More information

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION PLEASE READ THESE INSTRUCTIONS CAREFULLY This is an interactive

More information

(As In Passport) Surname Passport No. Date of Birth D D M M Y Y Y Y Nationality Gender Male Female

(As In Passport) Surname Passport No. Date of Birth D D M M Y Y Y Y Nationality Gender Male Female APPLICATION FORM POLITEKNIK UNGKU OMAR IPOH, PERAK DARUL RIDZUAN MALAYSIA http://www.puo.edu.my Student s ID: Academic Session/Year: PROGRAME OFFERED (Tick Your Choice) 1. Diploma in Civil Engineering

More information

Tuition Fee Loan application form

Tuition Fee Loan application form Tuition Fee Loan application form for continuing part-time EU students 2017/18 About this form Who should complete this form? Complete this form if you re: a continuing part-time European Union (EU) student

More information

Individual/Joint Application Checklist

Individual/Joint Application Checklist Individual/Joint Application Checklist This is an exciting time for Westpac Broking we are in the process of appointing our service provider, Australian Investment Exchange Ltd, to act as the new sponsoring

More information

Asgard Personal Protection Package

Asgard Personal Protection Package Asgard Personal Protection Package Insurance Account Amendment Super & Stand-Alone Use this form if you are a member of Asgard Personal Protection Package and you wish to change your contact details or

More information

FEES BOOKLET SCHOOL FEE REGULATIONS FOR THE ROTTERDAM INTERNATIONAL SECONDARY SCHOOL

FEES BOOKLET SCHOOL FEE REGULATIONS FOR THE ROTTERDAM INTERNATIONAL SECONDARY SCHOOL FEES BOOKLET SCHOOL FEE REGULATIONS FOR THE ROTTERDAM INTERNATIONAL SECONDARY SCHOOL 2016-2017 Instalment Payments GRADE 6, 7, 8, 9 New Families* Returning Families** School Fee 2016/2017 6900 6400 6900

More information

This form is to be used for the refund of fees in special circumstances. It cannot be used for altering academic results.

This form is to be used for the refund of fees in special circumstances. It cannot be used for altering academic results. APPLICATION FORM REFUND OF DEBT IN SPECIAL CIRCUMSTANCES Fee paying domestic and international students This form is to be used for the refund of fees in special circumstances. It cannot be used for altering

More information

New South Wales Electrical Superannuation Scheme Benefit Payment Form

New South Wales Electrical Superannuation Scheme Benefit Payment Form Please complete and return form to: NESS, Locked Bag 20, Parramatta NSW 2124 Internet: www.nesssuper.com.au Please write in BLOCK letters and use a BLUE or BLACK pen. This request will be invalid if unsigned,

More information

Anti-Money Laundering Policy

Anti-Money Laundering Policy Anti-Money Laundering Policy Status Final Owner Finance Source location University website Last approved n/a Consultation Brodies LLP, BUFDG Approving body Audit Committee Version 1 Date of Approval 12

More information

PURCHASE ASSISTANCE PROGRAM COMMUNITY DEVELOPMENT DEPARTMENT

PURCHASE ASSISTANCE PROGRAM COMMUNITY DEVELOPMENT DEPARTMENT PURCHASE ASSISTANCE PROGRAM COMMUNITY DEVELOPMENT DEPARTMENT CITY OF NORTH LAUDERDALE 701 SW 71 AVENUE NORTH LAUDERDALE, FLORIDA 33068 If you have not owned a home in the past three years and are interested

More information

Attach documentation if your personal details have changed

Attach documentation if your personal details have changed Withdrawal Form Please use BLOCK LETTERS and black ink. Complete this form to apply for a lump sum withdrawal. Send your completed form to: Australian Ethical Super, Locked Bag 20013, Melbourne VIC 3001

More information

Independent Verification Worksheet Tracking Group (V5)- Aggregate

Independent Verification Worksheet Tracking Group (V5)- Aggregate 2017-2018 Independent Verification Worksheet Tracking Group (V5)- Aggregate Your 2017 2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The

More information

Third Party Agreement for personal account(s)

Third Party Agreement for personal account(s) Third Party Agreement for personal account(s) Important information for completing this form: The Account Holder(s) and Third Party applicant(s) should fully complete this form using black ink and block

More information

2018/19. Disabled Students Allowances. Application for DSA1. This form is also available from

2018/19. Disabled Students Allowances. Application for DSA1. This form is also available from DSA1 2018/19 Application for Disabled Students Allowances This form is also available from www.gov.uk/studentfinance Find us on facebook.com/sfengland Follow us on twitter.com/sf_england SFE/DSA1/1819/A

More information

DS-2019 Application for School of Health and Medical Sciences Programs

DS-2019 Application for School of Health and Medical Sciences Programs DS-2019 Application for School of Health and Medical Sciences Programs This application is for exchange students from partner universities that will participate in the School of Health and Medical Sciences

More information

can also apply online at: If you have applied for student finance before, please provide your Customer Reference Number

can also apply online at:   If you have applied for student finance before, please provide your Customer Reference Number DSA1 You can also apply online at: www.studentfinancewales.co.uk Application for Disabled Students Allowances (DSAs) 2016/17 Your forename(s) Your surname If you have applied for student finance before,

More information

Qualification Awarding body Year

Qualification Awarding body Year Application for Registration as an Chartered Tax Adviser (CTA) Student 2018 Personal Details Title: Surname: First Name: Work Telephone Number: Mobile Telephone Number: E-mail (A valid e-mail address is

More information

Instructions for completing the ID Theft Affidavit

Instructions for completing the ID Theft Affidavit Instructions for completing the ID Theft Affidavit To make certain that you do not become responsible for any debts incurred by an identity thief, you must prove to each of the companies where accounts

More information

DEPENDENT VERIFICATION WORKSHEET TRACKING GROUP V1 - STANDARD

DEPENDENT VERIFICATION WORKSHEET TRACKING GROUP V1 - STANDARD 2017-18 DEPENDENT VERIFICATION WORKSHEET TRACKING GROUP V1 - STANDARD Your 2017-2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. To verify

More information

Thank you for downloading this information.

Thank you for downloading this information. Thank you for downloading this information. For more information, advice or for a free quote, please contact our global head office at the address below who will redirect you to a regional office located

More information

University Programme Division UK CPR M4: Payment and Refund of Student Fees Version 2.14

University Programme Division UK CPR M4: Payment and Refund of Student Fees Version 2.14 University Programme Division UK CPR M4: Payment and Refund of Student Fees Version 2.14 1. Introduction This document sets out the Navitas policy and procedure for the payment and refund of student fees

More information

using this deed with any policy that is not an RL360 Services policy or governed by the law of the Isle of Man

using this deed with any policy that is not an RL360 Services policy or governed by the law of the Isle of Man Servicing Draft Deed of Assignment of Life Policy By Gift Important notes The assignment of a life policy may have tax implications. Independent taxation advice should be sought on the tax implications

More information

Health Professions Student Loan Application

Health Professions Student Loan Application St. John s University Office of Student Financial Services Health Professions Student Loan Application 2018-2019 Directions: Complete all pages of the enclosed Health Professions Student Loan Application.

More information

Transition to Work Grant

Transition to Work Grant Transition to Work Grant CLIENT NUMBER Please read this before you start The Transition to Work Grant can help with costs associated with looking for or moving into work. It can help pay for clothes, transport

More information

Guide to completing Points Based System Appendix 8 (August 2013) Tier 4 (General) Student Self-Assessment Form

Guide to completing Points Based System Appendix 8 (August 2013) Tier 4 (General) Student Self-Assessment Form Guide to completing Points Based System Appendix 8 (August 2013) Tier 4 (General) Student Self-Assessment Form Last updated 1 August 2013 When you apply in your home country for a Tier 4 student visa you

More information

Verification Worksheets Dependent Student-Tracking Group V5

Verification Worksheets Dependent Student-Tracking Group V5 2018-2019 Verification Worksheets Dependent Student-Tracking Group V5 Your 2018-2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says

More information

1. Personal Details and Academic History Compulsory

1. Personal Details and Academic History Compulsory Registration form for ICB Face to Face Courses PLEASE NOTE: CATEGORY 1 TO 4 MUST BE COMPLETED BY ALL STUDENTS. 1. Personal Details and Academic History Compulsory Mr Mrs Miss Ms Other Initials Surname

More information

*NEWACCT* BUSINESS ACCOUNT APPLICATION Institutional Advisor Services. General Instructions

*NEWACCT* BUSINESS ACCOUNT APPLICATION Institutional Advisor Services. General Instructions General Instructions By completing and signing this application the account owner is establishing an account subject to the terms and conditions made available by your advisor and at trustamerica.com/tca

More information