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ROTTERDAM SCHOOL OF MANAGEMENT, ERASMUS UNIVERSITY – ING BANK LOAN In order to apply for the ING MBA Loan, please fill out this form electronically, then print it out and sign the completed form and send it to the RSM at the address at the end of the form along with all the required further documentation. Please note that incomplete application packages will not be processed. _______________________________________________________________________________________ I would like to apply for the ING MBA Loan in relation to my participation in the Full-time International MBA Programme at RSM starting in January 2012. Personal Details Name (First Name, Family Name): Date of Birth (dd/mm/yy): Place of Birth (City/Country): Nationality: Current Address Street: Postal Code/City: Country: Phone: Mail Address in the Netherlands (if available) Street: Postal Code/City: Country: Home Phone: Marital Status: Married/Single If married, the name of your partner: Present Employer Company: Address: Job Title: Current Annual Salary in Euros: Date of employment: (from dd/mm/yyyy to dd/mm/yyyy): Previous Employer Company: Address: Job Title: Annual Salary in Euros: Date of employment: (from dd/mm/yyyy to dd/mm/yyyy): Financial obligations abroad Rent/mortgage (Euros): Loan (Euros): Other financial obligations (Euros): I certify that the information given in my application for the loan is complete and accurate to the best of my knowledge. The ING Bank may verify any and all parts of my application materials. Furthermore, I authorise the ING Bank to automatically deduct the monthly owed amount directly from my bank account. Date: __________________________ Applicant’s Signature: _____________________________________ (Please print out and sign the completed form) Note: To apply for the loan, you need to submit the following documents to the RSM Financial Aid Office: Completed ING Loan Application Form Copy of your passport Letter of acceptance to the Full-Time International MBA Programme at RSM Erasmus University Bank statement in your own name showing proof of savings of €10,000 minimum to cover your living expenses during the programme* A letter of reference from your current employer confirming your most recent annual salary and dates of employment** A current salary slip *During your MBA study at Rotterdam School of Management, Erasmus University, in addition to the tuition fees, you will have additional costs related to your study including various fixed and periodic/one-off payments. The cost of this (excluding housing) is estimated at €10,000 for the 12 month duration of your studies. **The ING Bank reserves the right to refuse a loan to any candidate whose salary they deem too low to be able to fulfil the repayment requirements, taking into account the possibility of a higher salary on completion of the MBA. Decisions will be made on a case by case basis. Your personal details will be recorded in the central database of the ING Client Administration Nederland BV. Your personal details will (including, but not withstanding, during and after your MBA study) be transferred between RSM and ING Bank in accordance and in agreement with the privacy act and financial arrangement ING Bank – RSM. Send your completed application form to: Rotterdam School of Management Erasmus University Attention: Mrs. D.C. Chasney-van Dijk Financial Aid Office Room J3-40/J-Building Burg. Oudlaan 50 3062 PA ROTTERDAM The Netherlands Please ensure that your application is complete before sending it. Incomplete applications will not be processed.
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