EU11N. Application for Student Finance 2011/12. for EU Students. Form. First name(s)

Transcription

1 Application for Studnt Financ 2011/12 for EU Studnts Form EU11N First nam(s) Surnam/family nam Customr Rfrnc Numbr (if you hav on) If you hav bn rsidnt in th UK at any tim sinc birth, plas contact th EU Customr Srvics Tam on bfor complting this form. This form should b compltd in conjunction with th Support nots at th back of this form. Th nots will giv you xtra information to hlp you complt th form corrctly. Incorrct or incomplt forms will b rturnd to you which may dlay paymnts bing mad to you. All applicants MUST sign th Studnt Dclaration on pag 15. Plas also mak sur! that if you ar rqusting a Tuition F Loan you sign th Dclaration on pag 14. For furthr information plas go to You should complt this form if you ar starting on on of th following courss in England, Wals or rthrn Irland: A full-tim or sandwich cours of highr ducation A full-tim Initial Tachr Training (ITT) cours If you ar studying in rthrn Irland and will b on: A part-tim ITT cours A flxibl ITT cours that lasts at last six wks You should not b complting this form if any of th following apply to you: You normally liv in England, Wals, Scotland, rthrn Irland, th Channl Islands or th Isl of Man. If this is th cas, you should contact whichvr of th following organisations is rlvant: - Studnt Financ England (SFE) - Studnt Financ Wals (SFW) - Th Studnt Awards Agncy for Scotland (SAAS) - Studnt Financ rthrn Irland (SFni) - Th Education Dpartmnt of Gurnsy, Jrsy or th Isl of Man You ar studying on a distanc larning cours for a rason which is not rlatd to a disability. If this is th cas you should instad complt an EUPTG1 form to apply for studnt financ. Th EUPTG1 form will b availabl from August You ar, or will b attnding a part-tim or flxibl Highr Education cours, including Initial Tachr Training (ITT), in England or Wals. In som circumstancs, you may qualify for hlp if you ar taking a part-tim or flxibl cours. For mor information you should contact th EU Customr Srvics Tam on EU/11N/1112 1

2 Dadlin This form should b rturnd within 9 months of th start of your acadmic yar, or you may los your right to apply for studnt financ. Acadmic yar Acadmic yars bgin in th autumn, wintr, spring and summr, and last for 12 months. Th first day of th acadmic yar is not ncssarily th day on which you bgin that yar of your cours. It is dcidd by th priod during which your yar bgins. Th acadmic yar starts on: 1 Sptmbr, if your study bgins btwn 1 August and 31 Dcmbr inclusiv; 1 January, if your study bgins btwn 1 January and 31 March inclusiv; 1 April, if your study bgins btwn 1 April and 30 Jun inclusiv; or 1 July, othrwis. For xampl, if you start your yar of study on 4 Octobr 2011, your acadmic yar runs from 1 Sptmbr 2011 until 31 August 2012.! Instructions This form must b compltd in ink. Answr all th qustions. If you lav any qustion blank w will not b abl to procss your application. If a qustion dos not apply to you, plas ntr 'n' or 'N/A' as th answr. Plas rfr to th Support nots at th back of this form ach tim you s this icon. Furthr information about th vidnc rquird can b found in th Support nots and will b markd with this icon. Documntary vidnc accptabl for individual countris can b locatd at Whn supplying us with documntary vidnc you can snd in original documnts or a crtifid copy. A crtifid copy is a photocopy of an original documnt which must hav bn stampd and signd as bing a tru copy of th original by an official: a ministr of rligion, doctor, lawyr, civil srvant, tachr/lcturr, polic officr. Th prson crtifying th copy must not b a rlativ and must provid thir nam, job titl, addrss and contact tlphon numbr. You must rmmbr to sign th Dclaration on pag 15 othrwis your application for studnt financ may b dlayd. Plas also mak sur that if you ar rqusting a Tuition F Loan you sign th Dclaration on pag 14. Rturn this form to th EU Customr Srvics Tam, Studnt Loans Company, PO Box 89, Darlington, County Durham, England, Unitd Kingdom, DL1 9AZ. If you hav any qustions or problms, plas contact th EU Customr Srvics Tam on n Plas rmmbr to pay th corrct postag. 2 EU/11N/1112

3 financ availabl 1 sction Plas rad this sction bfor complting th rst of th form. This will hlp you undrstand which typs of studnt financ you can apply for. Typ of financ Tuition F Loan n Sctions to b compltd Th whol form, including th Loan Rqust Form. Bursaris and Scholarships n Sctions 2-5 If you choos to apply for a Tuition F Loan for acadmic yar 2011/12, th Rgulations rgarding rpaymnt of this loan ar diffrnt for ach country. Whr will you b studying in acadmic yar 2011/12? England rthrn Irland Wals Tick Tick Tick! You must rmmbr to sign th Dclaration on pag 15 othrwis your application for studnt financ may b dlayd. Plas also mak sur that if you ar rqusting a Tuition F Loan you sign th Dclaration on pag 14 as wll. EU/11N/1112 3

4 a 2 prsonal sction dtails! This form must b compltd in ink. Plas complt this sction with th dtails as xactly statd on your birth crtificat or passport. Titl Mr Mrs Miss Ms Fornam(s) Surnam(s)/family nam Sx Mal Fmal Dat of birth Plac of birth (nam of town or villag) Country of birth Nationality b Hav you vr had any othr loans from th Studnt Loans Company (SLC)? If, ar you bhind with th rpaymnts? c Did you rciv a loan from th SLC whn you wr undr 18? If, hav you signd crdit agrmnts for all of thm? d Contact dtails Plas giv your currnt hom addrss. If you know it, plas also giv your trm-tim corrspondnc addrss in th UK. n Hom addrss Trm-tim addrss n if go to d Town/City Country Postcod Hom phon numbr (including country and ara cod) Town/City Country Postcod Dat on which you will mov to this addrss Mobil phon numbr addrss Marital status Plas tick on box: Singl Living with a partnr n Plas giv th dat of marriag/civil partnrship Marrid/civil partnrship Sparatd Divorcd/dissolvd civil partnrship Widowd/surviving civil partnr 4 EU/11N/1112

5 rsidnc 3 sction a1 Ar you an EU national? n if go to b1 a2 Ar you a family mmbr of an EU National? If plas giv dtails how you ar rlatd to that family mmbr.g Mothr. b1 Giv dtails of your rsidnc for th thr yars bfor th start of th first acadmic yar of your cours. For xampl, if your cours bgins 27/09/2011 w nd your rsidnc dtails for th priod 01/09/ /09/2011. You must provid th full addrss (includ building nam and/or numbr, strt nam, town, rgion, postcod and country), xact dats you livd thr and why you wr thr. n Full addrss including country Why wr you thr? From To From To From To If you rquir furthr spac to provid your answr, plas giv th dtails rqustd abov on th additional nots sction at th back of this form. EU/11N/1112 5

6 sction 3 continud rsidnc b2 At any tim sinc 1 Sptmbr 2008 has ithr of your parnts, stp-parnts, guardians, husband, wif or civil partnr livd or workd outsid th EEA or Switzrland? n If plas giv dtails blow. Full addrss including country Why did thy liv thr? From To From To From To 6 EU/11N/1112

7 sction 4 about your cours and your univrsity or collg a Univrsity/collg dtails Univrsity/collg nam and addrss n Postcod UCAS prsonal idntification numbr UCAS univrsity/collg cod UCAS campus cod (if applicabl) b Cours dtails Cours nam If you ar following a combind studis or modular cours, plas list all subjcts bing studid UCAS cours cod Qualification you xpct to gain (.g. BSc Physics) Cours start dat Cours nd dat (final yar of study) Full cours lngth (yars) Yar of cours in 2011/12 Foundation First yar Scond yar Third yar Fourth yar Othr (giv dtails) Full tuition f amount for th acadmic yar 2011/12 n If you ar unsur about th tuition f amount you will b chargd, plas contact your univrsity or collg for clarification. EU/11N/1112 7

8 sction 4 about continud your cours and your univrsity or collg If th cours is franchisd to anothr univrsity/collg, giv th addrss of th othr univrsity/collg Postcod c Cours typ (plas tick on box): Full-tim undrgraduat Full-tim postgraduat Initial Tachr Training (ITT) Full-tim distanc larning Full-tim foundation dgr Full-tim involving a placmnt (sandwich cours) n Othr cours typs (Only applicabl to studnts studying in rthrn Irland) Flxibl postgraduat ITT Part-tim undrgraduat ITT Part-tim ITT (xcluding first dgrs) Answr both qustions Numbr of wks you will b studying full-tim in acadmic yar 2011/12. Numbr of wks you will b on full-tim taching practic in acadmic yar 2011/12. d Hav you bn awardd a stat-fundd plac on a danc and drama cours at a privatly-fundd institution? 8 EU/11N/1112

9 sction 4 about your cours and your univrsity or collg continud Whr will you spnd most of your tim studying in th acadmic yar 2011/12? You should only tick 'placmnt in th UK or abroad' if you will b on a work placmnt that is a part of your UK cours. Do not count priods of taching practic as a placmnt. If you ar on an Initial Taching Training (ITT) cours, tick 'Univrsity or collg'. You should only tick 'study abroad' if you will b studying outsid of th UK as part of your UK cours. Trm 1 Univrsity or collg Study abroad Placmnt in th UK or abroad Trm 2 Univrsity or collg Study abroad Placmnt in th UK or abroad Trm 3 Univrsity or collg Study abroad Placmnt in th UK or abroad If you hav tickd 'Univrsity/collg' and/or 'Study abroad' for all 3 trms go to sction 5 f Placmnt dtails Whr will your placmnt b? Abroad UK Don t know Placmnt nam and addrss, if known Postcod If your placmnt is abroad, hav you bn accptd onto th ERASMUS xchang schm? If, how long is this placmnt for? Part yar Full yar EU/11N/1112 9

10 5 prvious sction study and othr information a1 If you will b studying in Wals go to a5 Prvious study Courss of highr ducation ar thos of HNC lvl or abov. Whr cours dtails ar rqustd, you should not includ A Lvl/AS Lvl xaminations or quivalnt. Hav you startd an undrgraduat or postgraduat cours of highr ducation in any country sinc laving school? Tick vn if you did not complt th cours. n if and you will b studying in England or rthrn Irland go to c a2 Did you achiv a qualification? if go to a4 a3 a4 Was th lvl of th qualification(s) achivd qual to or highr than th lvl of cours you ar now applying for? Plas giv cours dtails blow. Plas stat if this cours was with or without honours. Do not mntion any cours that you studid part-tim whr you did not achiv a qualification; or any cours that was ntirly slf-fundd at a privat univrsity or collg whr you did not achiv a qualification. n Titl of cours Nam of Town and country Dat Dat Did you (.g. BA History univrsity of univrsity or startd lft achiv a or BA Honours or collg collg qualification History) n (MM YYYY) (MM YYYY) If you did not achiv a qualification for any cours listd abov, why was this? 10 EU/11N/1112

11 prvious study and othr information sction 5 continud If you will b studying in England or rthrn Irland go to c a5 Hav you attndd any full-tim, initial tachr training (ITT) or sandwich courss of highr ducation sinc you lft school? a6 Hav you bn awardd an honours dgr from a UK univrsity? If you answrd to ithr a5 or a6, plas giv cours dtails blow. Do not list A Lvl/AS Lvl xaminations or quivalnt. Titl of cours (for xampl, BA History or Nam of univrsity Dat you Dat you Did you finish BA Honours History) or collg startd lft this cours? If you did not finish any cours listd abov, why was this? n EU/11N/

12 b sction 5 prvious continud study and othr information Hav you applid for financial support for highr ducation bfor (for xampl, a grant or loan, tuition fs or bursary including support for fs) from a local authority or any othr organisation in th UK (for xampl, Dpartmnt of Halth)? If you applid for support and did not rciv it, still tick. If, giv dtails blow. if go to c Nam of th local What typ of support Priod th support covrd authority or organisation did you rciv? you applid to from to If any of th priods of support you hav givn abov involvd a priod of suspndd study whr you did not rciv any support, for xampl, if you rcivd support from 2002 to 2006 but btwn 2004 and 2005 you did not rciv support bcaus you suspndd study that yar, plas giv th suspnsion dat priods blow and giv th rasons why you suspndd study. c Ar you ligibl to apply for any bursary or award, xcluding a social work bursary for th acadmic yar 2011/12 from any of th following?: National Halth Srvic (NHS) Dpartmnt of Halth (DoH) Dpartmnt of Halth, Social Srvics and Public Safty (DHSSPS) n If, is this bursary or award incom assssd or non-incom assssd? Incom assssd n-incom assssd If you wish to apply for a Tuition F Loan plas complt th Tuition F Loan Rqust Form on pag 13 and sign th Dclaration on pag 14.! You must sign th Dclaration on pag 15 whthr you ar applying for a Tuition F Loan or not. 12 EU/11N/1112

13 EU Tuition F Loan Rqust Form 2011/12 Rmmbr you must complt this form if you want to apply for a Tuition F Loan. Customr Rfrnc Numbr (if you hav on) Fornam(s) n Surnam(s) UK National Insuranc Numbr - - Tuition F Loan n You can apply for up to a maximum of 3,375 dpnding on your circumstancs. You should find out how much your univrsity or collg is charging bfor you apply for a Tuition F Loan. Amount of Tuition F Loan you would lik to apply for: Maximum availabl to you If you wish to apply for lss than th maximum availabl to you, plas stat th amount. Contact dtails Plas giv th nams and addrsss of two contacts. Th contacts you giv must liv at diffrnt addrsss and will only b contactd if, for xampl, you mov addrss and do not inform us. You must inform your contacts that you ar providing us with thir dtails. Contact 1 Contact 2 Fornam(s) Fornam(s) Tick Surnam(s) Rlationship to you Addrss Town/City Surnam(s) Rlationship to you Addrss Town/City Postcod Postcod Country Country Phon numbr! Phon numbr You MUST now rad th following Dclaration and sign on pag 14. Dclaration by th studnt rqusting a loan n t: Whr your plac of study is in England th trm th lndr mans th Scrtary of Stat for Businss, Innovation and Skills; whr your plac of study is in Wals th trm th lndr mans th Wlsh Ministrs; whr your plac of study is in rthrn Irland th trm th lndr mans th Dpartmnt for Employmnt and Larning. If you hav applid for a cours of study in England th following Dclarations apply to you: I dclar that: a I acknowldg and agr that any loan(s) mad to m by th lndr (which includs any prsons xrcising functions on bhalf of th Scrtary of Stat pursuant to sction 23(4) of th Taching and Highr Education Act 1998 as amndd from tim to tim or succssor lgislation, th Act ) will b on th trms st out in th Loan Rqust Form including ths Dclarations and in Rgulations which ar mad undr sction 22 of th Act as amndd from tim to tim. b If I brach any of th trms undr which any loan(s) will b mad, I agr that I will b obligd to pay any chargs and pnaltis which may apply undr th Taching and Highr Education Act 1998 and th Rgulations mad undr that Act, as amndd from tim to tim or succssor lgislation and/or Rgulations. c I agr to tak all futur action rqustd by th lndr and provid th lndr with all information rquird to nsur rpaymnt, in accordanc with th Rgulations rfrrd to in paragraph a. EU/11N/

14 ! You MUST now rad and sign th following Dclaration. d I agr that from th dat I submit this form until th dat whn my loan(s), togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid I will notify th lndr of any changs in th prsonal dtails (including National Insuranc Numbr) and contact dtails I hav providd as rquird in accordanc with th Rgulations rfrrd to in paragraph a. In th vnt that I lav th Unitd Kingdom to rsid outsid th Unitd Kingdom or that for any othr rason I am outsid th UK tax systm, I undrtak to inform th lndr in accordanc with th Rgulations rfrrd to in paragraph a and I undrtak to provid th lndr with my nw and any subsqunt contact dtails until my loan, togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid. If you hav applid for a cours of study in Wals th following Dclarations apply to you: I dclar that: f I acknowldg and agr that any loan(s) mad to m by th lndr (which includs any prsons xrcising functions on bhalf of th Wlsh Ministrs pursuant to sction 23(4) of th Taching and Highr Education Act 1998 as amndd from tim to tim or succssor lgislation, th Act ) will b on th trms st out in th Loan Rqust Form including ths Dclarations and in Rgulations which ar mad undr sction 22 of th Act as amndd from tim to tim. g If I brach any of th trms undr which any loan(s) will b mad, I agr that I will b obligd to pay any chargs and pnaltis which may apply undr th Taching and Highr Education Act 1998 and th Rgulations mad undr that Act, as amndd from tim to tim or succssor lgislation and/or Rgulations. h I agr to tak all futur action rqustd by th lndr and provid th lndr with all information rquird to nsur rpaymnt, in accordanc with th Rgulations rfrrd to in paragraph f. i I agr that from th dat I submit this form until th dat whn my loan(s), togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid I will notify th lndr of any changs in th prsonal dtails (including National Insuranc Numbr) and contact dtails I hav providd as rquird in accordanc with th Rgulations rfrrd to in paragraph f. j In th vnt that I lav th Unitd Kingdom to rsid outsid th Unitd Kingdom or that for any othr rason I am outsid th UK tax systm, I undrtak to inform th lndr in accordanc with th Rgulations rfrrd to in paragraph f and I undrtak to provid th lndr with my nw and any subsqunt contact dtails until my loan, togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid. If you hav applid for a cours of study in rthrn Irland th following Dclarations apply to you: I dclar that: k I acknowldg and agr that any loan(s) mad to m by th Dpartmnt for Employmnt and Larning, th lndr (which includs any prson xrcising functions on bhalf of th Dpartmnt for Employmnt and Larning pursuant to Articl 4 (3) of th Education (Studnt Support) (rthrn Irland) Ordr 1998 as amndd from tim to tim or succssor lgislation, th Ordr ) will b on th trms st out in th Loan Rqust Form including ths Dclarations and in Rgulations which ar mad undr Articl 3 of th Ordr as amndd from tim to tim. l If I brach any of th trms undr which any loan(s) will b mad, I agr that I will b obligd to pay any chargs and pnaltis which may apply undr th Education (Studnt Support) (NI) Ordr 1998 and th Rgulations mad undr that Ordr, as amndd from tim to tim or succssor lgislation and/or Rgulations. m I agr to tak all futur action rqustd by th lndr and provid th lndr with all information rquird to nsur rpaymnt, in accordanc with th Rgulations rfrrd to in paragraph k. n I agr that from th dat I submit this form until th dat whn my loan(s), togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid I will notify th lndr of any changs in th prsonal dtails (including National Insuranc Numbr) and contact dtails I hav providd as rquird in accordanc with th Rgulations rfrrd to in paragraph k. o In th vnt that I lav th Unitd Kingdom to rsid outsid th Unitd Kingdom or that for any othr rason I am outsid th UK tax systm, I undrtak to inform th lndr in accordanc with th Rgulations rfrrd to in paragraph k and I undrtak to provid th lndr with my nw and any subsqunt contact dtails until my loan, togthr with all and any intrst, pnaltis and chargs which apply, is fully rpaid. Th following paragraphs apply to ALL studnts: I dclar that: p Th particulars I hav givn in this form ar corrct. q I hav rad and undrstood Studnt Loans: A guid to trms and conditions availabl at r I undrtak to rpay th lndr any loan(s) mad to m, togthr with all and any intrst, pnaltis and chargs which apply. s I agr that any loan(s) mad to m as a consqunc of th accptanc of my application is/ar contract(s) btwn m and th lndr which binds m from th paymnt to m of th first loan advanc and that th rpaymnt of any such loan(s), togthr with all and any intrst, pnaltis and chargs which apply, will b du by m to th lndr as a dbt. t I agr that I shall b obligd to mak rpaymnt of my loan(s), togthr with all and any intrst, pnaltis and chargs which apply, to such addrss as shall b notifid to m in writing and that any srvics in rspct of my loan(s) may b providd at such addrss or othr addrss(s) as th lndr may from tim to tim dtrmin and that th srvic of providing th loan is providd at th lndr's principal addrss. u I agr that any action for rpaymnt and/or in rspct of or in connction with my loan(s) and/or all and any intrst, pnaltis and chargs which apply, will b brought bfor th ordinary civil courts and shall b govrnd by th gnral ruls of civil procdur. v I agr that my rqust for a loan, th loan and th contract btwn m and th lndr shall b govrnd by th law of th plac of my cours of study as statd in this form EU11N. w I irrvocably agr that th courts of th part of th Unitd Kingdom in which my plac of study is situatd shall hav non-xclusiv jurisdiction to har any action or procdings arising out of or in connction with th loan and th contract btwn m and th lndr and I irrvocably submit to th jurisdiction of thos courts and waiv any objction to th jurisdiction of thos courts, providd that this shall not limit th lndr's rights to tak procdings against m in any othr court of comptnt jurisdiction. x I undrstand that th Studnt Loans Company will chck my National Insuranc Numbr and prsonal dtails with th Dpartmnt for Work and Pnsions (DWP). If I do not know my National Insuranc Numbr, or if th numbr I provid cannot b authnticatd, DWP will trac and giv my numbr to th lndr. y If I hav brokn th trms of this contract I agr that th lndr may shar information hld about m and my account with any prson, including th govrnmnt or a govrnmnt agncy of anothr country, who may assist in stablishing my whrabouts and/or in taking action to rcovr outstanding loan amounts. Your signatur r Dat 14 EU/11N/1112

15 ! This dclaration MUST b signd by all applicants Dclaration n Your application for financial support may b dlayd unlss you sign and dat this Dclaration. I confirm that to th bst of my knowldg and blif, th information I hav givn on this form is tru and complt and I undrstand that if I hav givn th Studnt Loans Company fals information, or hav not givn thm complt information, I might b rfusd financial support, or I may b proscutd and my financial support withdrawn. I agr to giv th Studnt Loans Company any additional information thy rquir to nabl thm to procss my application and agr to tll thm immdiatly if my circumstancs chang in any way that might affct my ntitlmnt to financial support. I undrstand that if I do not tll th Studnt Loans Company about any chang in my circumstancs, which may affct my ntitlmnt, I may not b ligibl to rciv any outstanding instalmnts or paymnts that thy hav told m about, and that I may hav to rpay all or part of th financial support I hav alrady rcivd in th yar. I agr that in th vnt of rciving an ovrpaymnt of financial support, I may hav to rpay any of this ovrpaymnt in full. Your dcision about bursary and scholarship data sharing consnt will not affct your ntitlmnt to any othr financial support availabl. If you startd your cours in acadmic yar 2006/07 or aftr you may b ligibl for a bursary or scholarship. In ordr for your univrsity or collg to dtrmin and pay any non-rpayabl bursary or scholarship to which you may b ntitld, w will shar som of your prsonal, financial and cours dtails as wll as information about your ligibility for studnt financ with thm. Most univrsitis and collgs will not pay bursaris and scholarships if you do not giv consnt. n If you do not wish your dtails to b shard for this purpos, plas tick this box. Your full nam (in BLOCK CAPITALS) Your signatur r Dat! Plas consult th chcklist on pag 24 to nsur your application is complt. EU/11N/

16 Data Protction Act 1998 Th Studnt Loans Company (SLC) is a Data Controllr undr th Data Protction Act W hold information for th purposs spcifid in our notification to th Information Commissionr including dtrmining ligibility for studnt financ, assssing th maximum amount of financial support availabl, paymnt of studnt financ and th dtction and prvntion of fraud, and may us this information for any of ths. Th Dpartmnt for Businss, Innovation and Skills (BIS), if your plac of study is in England, th Wlsh Ministrs, if your plac of study is in Wals or th Dpartmnt for Employmnt and Larning (DEL), if your plac of study is in rthrn Irland, is a joint Data Controllr for your information. If fals or inaccurat information is providd and fraud is idntifid, dtails may b passd to fraud prvntion agncis to prvnt fraud and mony laundring. W may shar th information you hav givn us with othr organisations including BIS (if your plac of study is in England), th Wlsh Ministrs (if your plac of study is in Wals) or DEL (if your plac of study is in rthrn Irland), othr Govrnmnt bodis and your univrsity or collg, for ths purposs. W may also gt information about you from othr organisations. If so, it will only b for th purposs dscribd and as th law prmits us to do. For mor dtaild information about with whom w shar your information and for what purpos, go to 16 EU/11N/1112

17 Support ts financ availabl sction 1 Tuition F Loan REPAYABLE NON-INCOME ASSESSED You may not b ligibl for a Tuition F Loan if you alrady hold a UK honours dgr. If you ar undrtaking a cours at a univrsity or collg in England, Wals or rthrn Irland that is charging variabl or flxibl tuition fs up to a maximum of 3,375, you will b abl to tak out a Tuition F Loan to covr som or all of ths fs (dpnding on how much you ar chargd and how much you wish to borrow). If you ar undrtaking a cours at a univrsity or collg in England, Wals or rthrn Irland that is not charging variabl or flxibl tuition fs thn th tuition f chargabl could b any amount up to a maximum of 1,345. You can apply for a Tuition F Loan to covr this cost. If you ar undrtaking a cours at a privat univrsity or collg thn you may b chargd mor than 3,375 for tuition fs. You can still apply for a Tuition F Loan up to th maximum of 3,375 if your cours is on that qualifis for tuition f support. Th Tuition F Loan borrowd will b paid dirctly to th rlvant univrsity or collg onc your attndanc is confirmd. Bursaris and Scholarships NON-REPAYABLE Bursaris and scholarships ar financial awards mad by som univrsitis and collgs to provid additional assistanc to thir studnts. Th amount offrd would b at thir discrtion. If you ar ligibl for a bursary or scholarship from your univrsity or collg you will b assssd for this automatically. You will b snt a furthr form to complt. If you want furthr information about studnt financ plas rfr to: Studnt Loans: A guid to trms and conditions availabl onlin at You can ordr forms and guids in Braill, larg print or audio by mailing with your nam, addrss, customr rfrnc numbr along with what form and format you rquir to: braillandlargfonts@slc.co.uk or you can tlphon us on Plas not, th abov mail addrss and tlphon numbr can only dal with rqusts for altrnativ formats of forms and guids. EU/11N/

18 prsonal dtails b If you ar bhind with rpaymnts on a prvious loan, you should not apply for studnt financ until you hav rsolvd this issu. If you hav any outstanding mortgag styl loans, plas call for advic. sction 2 If you hav any outstanding Incom Contingnt Rpaymnt (ICR) loans, plas call for advic. d If you provid a corrspondnc addrss thn all corrspondnc w issu will b snt to that addrss from th dat you mov (or movd) thr. You can updat your corrspondnc addrss or your hom addrss at any tim by contacting th EU Customr Srvics Tam on You ar living with a partnr if you ar sharing a hom with your partnr but you ar not marrid or in a civil partnrship. It dos not mattr whthr you ar of th sam sx or of opposit sx. If you will b undr 25 at th start of th acadmic yar, and you ar marrid or in a civil partnrship, plas snd your original or crtifid copy of your marriag crtificat or civil partnrship documntation with th application. Your documnt will b rturnd to you. If you hav ntrd into an ovrsas civil partnrship or quivalnt lgal rlationship with a sam-sx partnr, w will contact you to lt you know whthr this will b rcognisd for studnt financ purposs. If you ar divorcd or sparatd, or if you hav bn in a civil partnrship which has bn dissolvd, you should snd a crtifid copy of th dcr absolut, dissolution ordr, or a lttr from your solicitor confirming your status. Any original documnts will b rturnd to you. If you ar widowd or a surviving civil partnr, plas snd th original or crtifid copy of th dath crtificat. rsidnc sction 3 a1 If you answr ys to this qustion, you must snd your valid national idntity card (if this is proof of your EU nationality). If you ar not in possssion of a national idntity card thn w will also accpt a passport or, if you ar a British or Irish national, your birth crtificat. W can accpt original documnts or a crtifid copy of th original documnt. A crtifid copy is a photocopy of an original documnt which must hav bn stampd and signd as bing a tru copy of th original by an official: a ministr of rligion, doctor, lawyr, civil srvant, tachr/lcturr, polic officr. Th prson crtifying th copy must provid thir nam, job titl, addrss and contact tlphon numbr. If your nam has changd from th nam that appars on your birth crtificat or passport thn plas snd th rlvant vidnc confirming this and giv dtails of any prvious nams you hav had on a sparat pic of papr and nclos it with this form. a2 If you answr ys to this qustion, you must provid vidnc to confirm your family mmbr is an EU national and your rlationship to thm by snding thir national idntity card, passport or birth crtificat (if this shows proof of thir EU nationality and your rlationship to thm). 18 EU/11N/1112

19 rsidnc b1 Plas complt this qustion in full including addrsss, dats and th rason(s) you wr living thr. sction 3 S pag 2 of this form for a dscription of acadmic yars. b2 Plas complt this qustion in full and provid documntary vidnc to confirm whn and whr your parnts, stp-parnts, guardians, husband, wif or civil partnr livd or workd outsid th EEA or Switzrland. You will nd to snd in thir tax documnts, proof of rsidnc and copis of work contracts. W will contact you if w rquir furthr information. about your cours and your univrsity or collg sction 4 Univrsity/collg dtails a You should giv dtails of your first choic. If you latr accpt a plac on a diffrnt cours or at a diffrnt univrsity or collg, you must notify us immdiatly. If you do not, it will dlay your application. Cours dtails b If you ar unsur about th tuition f amount you will b chargd, plas contact your univrsity or collg for clarification. Cours dtails c Full-tim undrgraduat cours For ths courss you will attnd univrsity or collg on most days of th wk and for most wks of th yar (apart from wknds and th usual holidays). You must attnd th cours for at last 24 wks in th acadmic yar, unlss it is th last acadmic yar of th cours, in which cas you must attnd for at last ight wks. Th cours must also last for at last on acadmic yar. You will still b considrd to b attnding your cours vn if arrangmnts hav bn mad by your univrsity or collg for you to tak th cours without having to attnd. Full-tim postgraduat Initial Tachr Training (ITT) cours For ths courss you must attnd full-tim, for ithr study or taching practic, for an aggrgat of at last six wks in th yar. If your priods of full-tim study, including taching practic, amount to lss than six wks you may only rciv a rducd rat Tuition F Loan. You will still b considrd to b attnding your cours vn if arrangmnts hav bn mad by your univrsity or collg for you to tak th cours without having to attnd. Full-tim distanc larning Distanc larning is a programm of study that compriss vido, printd and on-lin matrials that allows studnts to study at hom with a tutor basd lswhr. Full-tim foundation dgrs Foundation dgrs ar mploymnt-rlatd highr ducation qualifications dsignd to giv you th skills ndd at th rlvant profssional and highr tchnician lvl. Thy ar dsignd to b flxibl to suit diffrnt situations, and you can complt foundation dgrs in two yars if you study full-tim. Full-tim involving a placmnt ( sandwich cours) This kind of cours includs full-tim ducation at th univrsity or collg, plus priods of industrial or work placmnt. EU/11N/

20 sction 4 about your cours and your univrsity or collg Othr cours typs - (Only applicabl to studnts studying in rthrn Irland) Flxibl postgraduat/part-tim Undrgraduat/Part-tim ITT cours You will nd to provid a lttr from your univrsity or collg confirming th numbr of wks you will b on full-tim study and full-tim taching practic. d Plas snd th official lttr indicating that you hav bn offrd a stat-fundd plac on a danc and drama cours at a privatly fundd institution. sction 5 prvious study and othr information a1 This includs any undrgraduat or postgraduat cours you hav attndd whthr it was in th UK or ovrsas. Exampls of undrgraduat highr ducation courss you should tll us about includ: DipHE, HND and Foundation Dgr, and similar courss from outsid th UK. Intgratd Mastrs Dgrs. Exampls of postgraduat courss you should tll us about includ: PgDip MA MSc MBA or quivalnts. a3 If you ar unsur of th lvl of your xisting qualification, plas contact your univrsity or collg whr you compltd th cours, which may b abl to hlp. a4 A slf-fundd cours is on that was studid at a privat univrsity or collg and no support of any kind was paid ithr to you or th univrsity or collg to mt tuition f or maintnanc costs for th duration of th cours. If you did not finish your cours du to complling prsonal rasons (which dos not includ rasons of acadmic prformanc alon), you must giv full dtails in this sction and snd th ncssary documntary vidnc to support th rasons you giv. a6 If you did not finish your cours du to complling prsonal rasons (which dos not includ rasons of acadmic prformanc alon), you must giv full dtails in this sction and snd th ncssary documntary vidnc to support th rasons you giv. c If you ar ligibl to apply for a social work bursary from th National Halth Srvic Businss Srvics Authority (NHSBSA) or Social Srvics Inspctorat you should answr no to this qustion bcaus this is a sparat bursary to thos offrd by th NHS, DoH or DHSSPS. If you ar ligibl to rciv a non-incom assssd bursary thn you ar not ligibl for any othr studnt financ unlss you ar a scondd studnt studying a halth rlatd cours and you hav bn advisd that you cannot apply for any bursary at all, ithr incom or non-incom assssd. If you ar unsur about your ligibility for a bursary, contact th NHS Pnsions Agncy Studnt Grants Unit on EU/11N/1112

21 EU Tuition F Loan Rqust Form If you hav prviously workd in th UK you will find your National Insuranc Numbr on: a National Insuranc Numbr card; a payslip; an incom tax documnt such as a P45 or P60; or a form from your local Jobcntr Plus, Jobcntr or Social Scurity Offic. If you hav a National Insuranc Numbr but cannot find it, you should contact HM Rvnu & Customs (HMRC) National Insuranc Rgistrations hlplin on If you do not hav a National Insuranc Numbr you should lav th National Insuranc Numbr box blank. Plas lt us know as soon as you gt on. Tuition F Loan This loan is paid dirctly to your univrsity or collg onc thy confirm your attndanc on th cours. Applying for a loan at a latr dat or changing th amount rqustd You can apply for a Tuition F Loan at any tim in th acadmic yar providd you ar within th tim limit. Th tim limit for applying is usually nin months from th start of your acadmic yar. To apply for a Tuition F Loan, or to chang th amount you originally rqustd, you can download a Tuition F Loan Rqust form at or contact th EU Customr Srvics Tam to hav on snt to you. Dclarations If you hav applid for a cours of study in England and you rciv a Tuition F Loan, thr is a lgally binding contract btwn you and th Scrtary of Stat. Th Loan Rqust Form including th Dclarations ar an intgral part of your contract with th Scrtary of Stat. Additional trms of th contract ar to b found in Rgulations mad undr sction 22 of th Taching and Highr Education Act 1998, as amndd from tim to tim, or succssor lgislation. If you hav applid for a cours of study in Wals and you rciv a Tuition F Loan, thr is a lgally binding contract btwn you and th Wlsh Ministrs. Th Loan Rqust Form including th Dclarations ar an intgral part of your contract with th Wlsh Ministrs. Additional trms of th contract ar to b found in Rgulations mad undr sction 22 of th Taching and Highr Education Act 1998, as amndd from tim to tim, or succssor lgislation. If you hav applid for a cours of study in rthrn Irland and you rciv a Tuition F Loan, th lgally binding contract is btwn you and th Dpartmnt for Employmnt and Larning. Th Loan Rqust Form including th Dclarations ar an intgral part of your contract with th Dpartmnt for Employmnt and Larning. Additional trms of th contract ar to b found in Rgulations mad undr Articl 3 of th Education (Studnt Support) (rthrn Irland) Ordr 1998, as amndd from tim to tim, or succssor lgislation. EU/11N/

22 Dclaration If you cannot sign th form it must b signd on your bhalf by your Powr of Attorny. Th Powr of Attorny lttr must b snt with th application bfor a signatur from that Powr of Attorny will b accptd. Chang of circumstancs You must notify th Studnt Loans Company about any chang in your circumstancs, which may affct your ntitlmnt to financial support. To tll us about any changs in your circumstancs you must complt a chang of circumstancs form (EUCO1). This form is availabl at Th most common chang of circumstanc for studnts would b if: you ar absnt from th cours for mor than 60 days bcaus of illnss; you ar absnt for any othr rason; you lav, abandon or ar xplld from th cours; you stop attnding th cours and do not intnd, or ar not allowd, to rturn for th rst of th acadmic yar; you transfr to a diffrnt cours at th sam, or a diffrnt, univrsity or collg; you transfr from a full-tim to a part-tim cours; you rpat part or all of a yar of your cours; or th dat of th start or nd of your cours changs. Information about data sharing for bursary and scholarship purposs Univrsitis and collgs will b offring financial awards such as bursaris or scholarships to thir studnts. To hlp thm administr ths awards (i.. to dtrmin ligibility and ntitlmnt to, and if rlvant pay, a bursary or scholarship - bursary administration purposs ) thy will ask th Scrtary of Stat (if your plac of study is in England), th Wlsh Ministrs and your Local Authority (if your plac of study is in Wals) and th Dpartmnt for Employmnt and Larning and your Education and Library Board (if your plac of study is in rthrn Irland) and th Studnt Loans Company for accss to information you provid in connction with this application for studnt financ (whthr on this form or at a latr dat). W will shar th rlvant information with thm, unlss you indicat that you do not wish us to do so by ticking th box on th Dclaration. If you do not giv consnt for us to shar this information, th paymnt of any bursary or scholarship to which you may b ntitld will b dlayd. Plas contact th univrsity or collg if you rquir furthr information about thir bursaris and scholarships.! Plas consult th chcklist on pag 24 to nsur your application is complt. 22 EU/11N/1112

23 Additional nots If you ar providing xtra information blow plas clarly mark what sction and qustion numbr th information is about. EU/11N/

24 Chcklist Bfor you rturn this form plas mak sur that: PN1 You hav answrd all th qustions that apply to you Tick Your signatur: X You hav signd and datd th Dclaration on pag 15 Tick Your signatur: X If you ar applying for a Tuition F Loan you hav signd and datd th Dclaration(s) on pag 14. Tick You hav includd all th vidnc w nd with this form, including valid vidnc of your nationality. Tick! Incorrct or incomplt forms will b rturnd to you which may dlay paymnts bing mad to you. Within 6 wks of rturning your compltd application form with all th rlvant vidnc, you will b snt a lttr showing th amount of financial support you will rciv. Plas rmmbr to pay th corrct postag. You must rturn your compltd form to th addrss shown blow. EU Customr Srvics Tam, Studnt Loans Company, PO Box 89, Darlington, County Durham, England, Unitd Kingdom, DL1 9AZ. 24 EU/11N/1112