Application maintenance Version 2

1Personal details

2Residence

3About your course and university or college

4Previous study and other information

5Loan request section

6Dependent and independent students

7Student financial questions

8Special Support

9Parents’ Learning Allowance, Childcare Grant and Adult Dependants’ Grant

10About your family

11Terms and Conditions

12Financial details for tax year 2019-20 for parents and partners

Title*
- Mr
- Mrs
- Miss
- Ms
Forename(s)*
Surname*
Any other names you may be known by
Sex*
- Male
- Female
Date of birth*
MM slash DD slash YYYY
Place of birth (the name of the town or village)*
Nationality*
National Insurance number*
Do you hold a UK passport?*
- Yes
- No
Provide the following details from your UK passport, which must be currently validand notexpired (this is the easiest way for you to verify your identity and means you do not need to sendus your passport). We will share the passport details you provide with HM Passport Office to confirm that they’re valid. If your passport is not valid or has expired go to b3.
Passport number*
Forename(s)*
Surname*
Date of issue*
MM slash DD slash YYYY
Date of expiry*
MM slash DD slash YYYY

Please provide name of the company where you are working.*
You can create a share code under this link. Please click create a share code 'for someone else' not an employer.
Provide your expiry date of pre-settled status*
DD slash MM slash YYYY
Share code*
How many adresses you had in last 3 years?*
Please enter a number greater than or equal to 1.
Full address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Why where you there?*
Full address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Why where you there?*
Other addresses*
Full Address Post Code From (DD/MM/YYYY) To (DD/MM/YYYY) Reason
Full address*

Give details of your residence for the five years before the start of the first academic year of your course
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Why where you there?*
Full address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Why where you there?*
Full address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Why where you there?*

Sort code*

Provide us with sort code and account number where the money from Student Finance will be send
Account number*
Would you like to apply for Maintenance Loan?*
- Yes
- No
Would you like to apply for Tutition fee?*
- Yes
- No

Give details of any children who will be wholly or mainly financially dependent on you during thisacademic year.
Child’s full name Date of birth (DD MM YYYY) Relationship to you Who will they live with?

Name and address of your employer or your benefit office	Did you work full or part-time	From (MM YYYY)	To (MM YYYY)	Amount of salary wages or benefit you have received (state whether it was weekly, monthly or yearly

Financial details for tax year 2019-20 for parents and partners

Full Address	Post Code	From (DD/MM/YYYY)	To (DD/MM/YYYY)	Reason

Child’s full name	Date of birth (DD MM YYYY)	Relationship to you	Who will they live with?