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APPLICATION FOR DEFERMENT OF STUDENT LOAN

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					           APPLICATION
                     FORDEFERMENT STUDENT
                                OF      LOANRqPAYMENT
                                              Pt.l 1 AS E l :' l ' U R v [O P .O. B OX 4033, GLA S GOW , G52 4X L
                                                        R
                                                                                        ' rrt.E P H ot\' E
                                                                                                          0870 606 0704




                                                                                                                   lqen Aggqun! Nqmbc$j.




    i         Irt order to bc cligiblc lor dcfcrn'rcnt your gross inconrc last month must not bc morc than €2181 ...*........            ....
                                                                                                                                            .
    +                                                                                                                                  A
    z.       artd lour avcragc liross nrortthlvirrcorirclbithis nronLlr                     and the next two montlrs nlust also be (or 4
                                                                                                                                                                      I
                                                                                                                                                                     ld


    =        likcly to_       bc) r'totrnorc than f2161                 If you rvishro appty for defermenr, pleasecomplete this                                      f.i


    :        f or nt . . l[ ' ap p ro v c d , S tu d c n t L o a n s C o rnpany Lrd w i l l -i ri nt deferment of-repaymenf of' your ;
    :                     )
             loar r ( slbr a p c ri o d o l ' l 2 mo n l trs .                                                                                                       L
                                                                                                                                                                     L,n
    a                                                                                                                                                                n
 -                           PLEASE FILL IN ALL APPLICABLE SECTIONS AN.P SIGN WHEFE INDICATED
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                                                                                                                                                                     4




                                                     BOR R OW E R ' SC E R TIFIC A TE A N D W A R R A N TY
                  I rel'trfr J.'r(l rr,;ur.ur r.othc strde:rt lpanr Cor:rpant I.:Dritcd as lbl]urvr:
                                       'l
                             (;rl          lte r,tcr),tle <lirclorerl ovsl'lcal'coruplircs nry gross incorrrc and I hed no othcr itrcomc lr-rt nronth
                                                    'Exclurlcri llcncfitr,
                                       icx(cpt                              u rlcrcritrcrl lt norc ovcrlcafl
                                       'lir
                             1l:)             tirr' best oi t:tt knorrledgc.rrrd be,liei'.r:ry nver:rge gross rnonlhl;- incornc fb: thrs month and
                                       t:lc :lcxl lri(, ulolllhs rriil rrr.rt,o:" rs urrlikcly to, cxsccd f2161

                 I ttr<lcrrt;rtrd that Studcrrt l.r,r:rnrCorrrpany Llnrited will rely on this Certificatc, lnrl on thc information givcn overlcaf, in granting
                 .|tr1.<igfcr|1lCl).l{)ireI);tln1elli,rlJclrvcvct.,lalsourtdcrstandtltatthcCullrparryrcsgrvqslhcrighttorcquiret.urthcrirtfrrrnrati<rirlur<oi
                 '.rr\'cril1' lhr'itrlirlrtr:r:ion which
                                                          I lravc lrmvirltrl, and I authorire thc org.rnisationsor perrorr; fionr whom my income ir dcrived to
                 grr't. tlrc (irrngr;rrrv suclr conlirrnati(rr (rr. irrlbrrrratiurt lbgu! tlurt tllceutc ru tlrc Corup.ury nr.ly lcqucJt.
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u.               'l'his                                                                                                                                        vt
-                     a1>plication  nlust be signed by the borrorver or if signed by a rhird parry musr be l'i
                 accomPaniedby rvritten confirmation c.g. Poryer ol' Attorney authorising the third parly to L
+
ta               Inakc financial arrangctnens on the borrotver'sbelralf'.                                             ,
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              I v A RNI NG - l f )' o u k n o w i n g l yo r re c k l e s sl gi ve fal sei nfbnnal i on,cri mi nal proceedi ngs
                                                                             y                                                ma]' be
                             institutcdagainstyo\r. Mis-starernenls                  may also resultin civil proceedingsagairlsr    you.

                                                                          Tirlc
           If your namc
           and/'oraddress                                       lior0ltilatru,.t:

           havc changcd                                             5urnarnc
           plcasccomplete
                                                                  r\drlrr:rr
           ALL details                                     Hourc No./N;trrte

           opposite in                                                  Strgul
           block capitals
                                                                 TowrvCiry

                                                                        'l'or-n
                                                                 Port


                                                                    Port(odc


         Ilrrhil:     I cl


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                 i(,2il(4                                                                                        2EtJrOcurbcr 20Ol     lrue ?
                                        PLEASE REFER TO ENCLOSED SAMPLE SHEET BEFORE COMPLETING


                STATE BENEFITS                                                                 UNEARNED INCOME
                NB-lf living from partner's beneflrts then a third party support
                letter is required


                     Cross one box only per line               Amount                                 ";::'-lni:lnT'lfff
                                                                                                                    "i'#"
  ,;iH'""T r rr[-Tln
                     weekly fortnightly monthly


         r                                                                          rd Party
                                                                                           Support
                                                                                                 [--l             I          tr     I
                                                                                   EducationalGrants[_l
         r tr lflTln
  l ncapacity
  tsenefit
                                                                                                                  I          I


  lj*::i:^.drensr
               r                           r rl-lTl;l
  lnvalid Care
  Allowirnce
                       I r                 r'[:][ll                                Career Develooment
                                                                                   /Other Loan
                                                                                                '
                                                                                                       I

  lncome Support
                       I I                 r'[l]ll]                                Maintenance


                      n I I rl-.-:l-]
                                                                                   Payments
  Housing Benefit


  Child Benefit
                      I D I rl]:-ll'f-]l                                           Savings/



  One Parent
  Benefit
                      r I I f[:lll[:                                                                                                       tttt




  orher(seeNorE)[l tr rll:ln
              I                                                                      PLEASEENCLOSEWRITTEN CONFIRMATION
                                                                                     FROM RELEVANT AUTHORITY FOR EACH
     please specify below:
                                                                                     ITEM OF UNEARNBD INCOME
                                                                                               If you are a student and your only income is from a
                                                                                               Student Loan for the current academic year please
                                                                                               provide your Student Support Notification Number:


     NOTE:                                                                               The first instalment of your loan must have been paid
     War Pension, Long Term lncapacity Benefit, Short Term                               to be classed as income.
     Incapacity Benefit (at the higher rate), Severe Disablement
     Allorvance, Disabled Persons Tax Credit, Industrial
     Injuries Benefit, Disability Living Allowance, Severe                                       GROSSMONTHLY EARNINGS FROM
     Disability Premium and Disabiliry Premium are not taken                                     EMPLOYMENT
     into consideration when determining income level but
     MUST be stated.                                                                      Cross one only
                                                                                                                            If other please specify       Amount of
                                                                                          f Sterling Euro   Other
                 Local DWP Office to stamp below                                                                                                      other currency

                to confirm receipt of benefits stated                                         TTT
                                                                                               Cross one only
                                                                                   Weekly Fortnightly  4 Weekly

                                                                                      rrr
                                                                                          ARE YOU                     If self employed please enclose laresr
                                                                                      SELF-EMPLOYED?                  financial accounr OR tax assessmenr OR
                                                                                                                      confirmation of enterprise allowance OR
                                                                                              YES I                   professional verification of income i.e. letter
                                                                                                                      from accountant, solicitor etc.

                                                                                     Pleaseenclose last 3 months payslips.If unable to provide
                                                                                     3 months payslips then pleas^e  6nclose a siened antj dated
                                                                                     letter frgrm employe-r oir he_adedp_ape1  cdnfirming gross
                                                                                     income for each of the last three chlehdar months.
                                                                                     Employer's Name




                                                                                     Telephone No.

                                                                                                 EMPLOYER'S DETAILS MUST BE STATED




27DEFZ   l3/l l/2006 Version 0001

				
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