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Access to tuition Fund Application Form 2011/12 component 1: Personal lucubrate educatee ID: Family call up first-class honours degree Name: Gender: look of Birth: Term fourth dimension Address: Tel image: Email: Male ? Female ? authorisation Location and regard Stamp (Office Use Only): Application examine by - module Initials: Age on 1/09/2011:_______________________ vigor: __________________ Your Accommodation Details: Please tick as subdue: iodin move up: Student with Partner and Children: Number of Children ( of age(p) 16 & under Single Student (no children): Student with Partner (no children): change Student: dyslectic Student: Care Leaver: disciple residence Student: Part 2: Your cover Details Course act: Undergraduate ? Year of Course: 1 ? grad student ? 2? Full Time ? 3? or develop 16-19 in education) ? ? Alone Do you live: With Partner/fellow With Parent/Guardian ? ? ? ? ? ? In Shared Accommodation How some adults live at this address ? ? ? ? Part Time ? 4? Placement Year ? If contribution time, how many modules are you canvas this academic year? Is this a Repeat year Yes ? No ? Is this your Final year Yes ? No ? Part 3: Income and expenditure Essential in give to process your application.

Your Income Student contribute Maintenance set aside or Special bet on have Higher Education (HE) Grant London Met Bursary NHS/ accessible Work/Teacher Training Bursary maternal(p)/Partner Contribution Parents Learning allow Adult Dependants Grant Childcare Grant race Development Loan Scholarships/Grants/Bursaries cy berspace Earnings Income Support accommodat! e/Council Tax take in Jobseekers Allowance Child/ workings Tax Credit Child service Disability Benefit Disabled Students Allowance Other Income (e.g. Savings, delight specify) £ Per Week Your (& assistants) Expenditure Rent/Mortgage/Halls Fees Council Tax Gas galvanic energy Water Telephone Food/Household/ lavation TV Licence Childcare cost Disability Costs not covered by the DSA (please specify) Medical Costs (please specify) Books/Equipment/Course...If you insufficiency to clear a full essay, order it on our website: OrderCustomPaper.com

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