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APPLICATION FORM CONTINUING LOAN STUDENTS

DATE: ____________________________

The Head
Student Loan Agency
Ministry of Finance
Turkeyen Campus

Dear Sir/Madam,
I hereby apply for a loan of __________________________________________________________
___________________________________________ dollars ($_______________________) in
order to continue a course in _________________________________________ in the Faculty of
________________________ at the University of Guyana during the Academic Year 2011/2012.
NAME:

__________________________________________

REGISTRATION NO:

__________________________________________

CURRENT MAILING ADDRESS:

__________________________________________
__________________________________________

AGE LAST BIRTHDAY:

__________________________________________

TELEPHONE NO:

__________________________________________

LOAN ACCESSED FOR A


PREVIOUS COURSE OF STUDY?

Yes ______________

No _______________

IF YES, STATE - COURSE OF STUDY: __________________________________________


- LAST ACADEMIC YEAR: __________________________________________

_______________________________________

SIGNATURE OF APPLICANT
FOR OFFICE USE ONLY
The applicant has previously obtained loans as follows: Academic Year

Course of Study

Outstanding Documentation

_________________

__________________________________

________________________

_________________

__________________________________

________________________

_________________

__________________________________

________________________

_________________

__________________________________

________________________

_________________

__________________________________

________________________

DATE:

___

CHECKED BY:

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