Student Loan Form

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National Student Loan Scheme (Ongoing) April 2013


Department of Higher Education
Please fill in the form clearly in BLOCK LETTERS. Please read carefully the regulations and procedures stipulated in the Usoolu for assistance before filling the application form. Please submit the documents mentioned in the last page of this form. The application will be cancelled if any of these items are missing. Please submit one application per candidate. Overseas Select a category Local

1.YOUR PERSONAL DETAILS Mr. Mrs. Miss. Date of Birth: Nationality: Sex: Male

Female

Full Name as in ID:

ID No:

Marital Status: Single Married

2.APPLIED / LEVEL a.Diploma (Level 5, 6) c. b.Bachelors Degree (Level 7, 8) c. Masters Degree (Level 9)

Course Name (ongoing candidates):

3.YOUR HOME DETAILS Present Address in full: Home Tel: Email: Permanent address in full: Mobile:

4.YOUR RELATIVES DETAILS RELATIVE NO. 1 who could provide information about you Name: Relationship: Home Address: Tel: Workplace and Address: Tel:

RELATIVE NO. 2 who could provide information about you Name: Relationship: Home Address:

Workplace and Address:

Tel:

Tel:

5.YOUR FINANCIAL GUARANTORS DETAILS Name: Relationship: Address: Contact No: Signature:

ID Card No:

National student loan Scheme April 2013

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6.TO BE FILLED BY THE INSTITUTE/UNIVERSITY Field of study (or course name) Start Date d/m/y End Date d/m/y Duration (In months) Remaining Duration (In months) Number of modules failed so far Grades of best 2 modules of most recent semester

Institution/Country

Level

Signature: Name of the Official: Designation: Stamp:

7.APPLICANTS DECLARATION I certify that the information provided about me in this application is correct. I acknowledge that the supply of incomplete or false information may lead to my disqualification and if it is false information it will cause me to be blacklisted. If my application is accepted, I undertake to abide by the regulations stipulated in the Usoolu for this scheme. Name: Signature: Date:

Please check whether your application is complete and the following documents are included: Supporting Documents to be submitted with the application form
Original or attested copies of the institute/university letter (If the application form does not have the original university stamp) stating that the applicant is a current student of the institute or university (after 29 April 2013 date). Name of the course, duration of the course, course commencement date and course end date (including month of the year), number of modules failed so far (if any), grades (HD, DN, CR, PP) of the last semester must be stated in the university document. As the course duration will be calculated in months for the selection purposes, the university document must clearly state this dates in months. National Identity card copy of the applicant and the financial guarantor

NOTE 1:

List of areas of study and scoring system will be available on our website. www.dhe.gov.mv

National student loan Scheme April 2013

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