DIRECT LOANS 201718 LOAN CONFIRMATION FORM PLEASE COMPLETE CLEARLY

  4(4) THE BOARD OF DIRECTORS’ OF AB
  DIRECTORAATGENERAAL PREVENTIE JEUGD EN SANCTIES DIRECTIE SANCTIE
DATE ATTN MEDICAL DIRECTOR PHYSICIAN NAME MD INSTITUTIONINSURANCE COMPANY

DIRECTED BY MICHAEL DOWSE STARRING
POSITION LOCAL SERVICE DIRECTOR HOURS 13 HOURSWEEKS
0 AS PER THE POLICIES AND DIRECTIVES

Application for US Federal Aid while studying at University College London



DIRECT LOANS 2017/18
Loan Confirmation Form


DIRECT LOANS 201718 LOAN CONFIRMATION FORM PLEASE COMPLETE CLEARLY


Please complete clearly in blue/black ink or typescript. Ensure ALL sections are completed.


1. STUDENT DETAILS

Surname


First Names


Title (Mr/Ms)


DoB (mm/dd/yyyy)


SSN


Email




2. PROGRAMME DETAILS

Program Title


Mode of Study

Full-Time/Part-Time (delete as appropriate)

Year (1st, 2nd, 3rd)




3. LOAN AMOUNTS TO BE REQUESTED

Loan Type

Enter Amount in US$ or write Maximum Eligibility

Direct Unsubsidised


Direct Graduate Plus



4. ADDITIONAL FUNDING

Description

Amount of Funding US$ or GBP£

Towards/Use








5. Checklist – Please ensure each of the following documents is included when returning this form to SAS:

Completed

Documents to be enclosed:


Copy of MPN for each loan


Copy of Notification of Entrance Counselling


Copy of credit check results for Plus loan (if applicable)


6. APPLICANT’S DECLARATION


I confirm that all information provided here is true and accurate to the best of my knowledge . I confirm that I will inform the School immediately of any funding or income not included in my Free Application for Federal Student Aid (FAFSA) and in the Student Aid Report (SAR) provided to the Student Funding Office. I understand that earned income must be included in the FAFSA and may affect my Estimated Family Contribution (EFC). I undertake to provide the School with a new Student Aid Report should my financial circumstances change substantially. I undertake to inform the School of any additional funding (e.g. scholarship) allocated to me that is not currently included in my FAFSA, SAR and this form. I understand that failure to make Satisfactory Academic Progress will affect my loan eligibility. I agree to inform the Student Aid Administrator if there are any changes to my enrolment status.



Your Signature Date:…………………..


IMPORTANT: IF EMAILING THIS SHEET, YOU MUST ELECTRONICALLY SIGN THIS SHEET OR IT WILL BE INVALID.



Please return electronically to
[email protected] or by mail to:


Financial Aid Administrator

School of Advanced Study Registry

University of London

Senate House

Malet Street

London

WC1E 7HU












Office use only


SAR


MPN Sub/Unsub


Counselling


Letters


Student No.


MPN Plus


NSLDS


Email Confirmation


Tuition


Credit Check


COD


Reply Slip


Start Date


End Date


Graduation Date





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