2002-2003 Institutional Student Information Record ****************************************************************************************** * IMPORTANT: Read ALL information to find out what to do with this

Report. * ****************************************************************************************** OMB Number: 1845-0008 CHRISTOPHER DOE JANUARY 28, 2002 319 W ELM ST LOS ANGELES CA 90016 EFC 2068 C 006 If you need additional help with your ISIR, contact your school Financial Aid Administrator (FAA) or the Federal Student Aid Information Center at 1-800-4FED-AID (1-800-433-3243). If your address changes, contact your school or call 1-800-4FED-AID to make the correction on your record. 149 Based on the information we have on record for you, your EFC is 2068. Your school will use this number to determine what types of aid and how much you are eligible for. You may be eligible to receive a Federal Pell Grant and other federal student aid. 161 We could not match your information with the Department of Veterans Affairs (VA) because you did not give us your full name, date of birth and/or signature. 143 Your citizenship status has been confirmed by the Immigration and Naturalization Service (INS) and you meet the citizenship requirements for federal student aid.

Page

1 of 6

001-01-0001 DO 03

G-1

2002-2003 Institutional Student Information Record Student ID 001-01-0001 DO 03 EFC Dependency Status Net Worth of Investments Net Worth of Business/Farm Cash, Savings, and Checking No. of Months VA Benefits Received Monthly VA Educational Benefits STEP THREE (THE STUDENT) (Q52 - Q58) Born Before 1-1-1979? Master's/Doctorate Prog. in 2002-2003? Is Student Married? Have Children You Support? Dependents Other Than Children/Spouse? Orphan or Ward of the Court? Veteran of U.S. Armed Forces? 2068 C D 0 0 0 0 NO NO NO NO NO NO NO

STEP ONE (THE STUDENT) (Q1 - Q35) Name CHRISTOPHER DOE Address: 319 W ELM ST LOS ANGELES CA 90016 Social Security Number 001-01-0001 Date of Birth 12/18/1982 Permanent Home Phone # E-mail Address ima.student@electricu.edu Driver's License # NONE Citizenship Status U.S. CITIZEN Alien Registration Number Marital Status UNMARRIED Marital Status Date Enroll Plan Summer 2002 NOT ATTENDING Enroll Plan Fall 2002 NOT ATTENDING Enroll Plan Wint 2002-3 NOT ATTENDING Enroll Plan Spring 2003 1/2 TIME Enroll Plan Summer 2003 NOT ATTENDING Father's Educational Level HIGH SCHOOL Mother's Educational Level HIGH SCHOOL State of Legal Residence CA Legal Resident before 1-1-1997? YES Legal Residence Date 09/1983 Are You Male? NO Register for Selective Service? Degree/Certificate ASSOC. GENERAL Grade Level in College 3rd YR/JUNIOR HS Diploma or GED Received? NO First Bachelor's Degree by 7-1-2002? NO Interested in Student Loans? YES Interested in Student Employment? NO Drug Conv Affecting Elig? NO STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) Tax Return Filed? WILL FILE Type of 2001 Tax Return Used 1040 Eligible to File 1040A or 1040EZ? Adjusted Gross Income 101400 U.S. Income Tax Paid 310 Exemptions Claimed 00 Student's Inc Earned From Work 101400 Spouse's Inc Earned From Work Total from Worksheet A 0 Total from Worksheet B 0 Total from Worksheet C 0

STEP FOUR (PARENTS) (Q59 - Q83) Marital Status Father's/Stepfather's SSN 901-48-8578 Father's Last Name DOE Mother's/Stepmother's SSN 801-48-8578 Mother's Last Name D'ARCY-CALDERON Number of Family Members Number in College in 2002-2003 State of Legal Residence Legal Residents before 1-1-1997? Legal Residence Date Age of Older Parent Tax Return Filed? WILL FILE Type of 2001 Tax Return Used FOREIGN Eligible to File 1040A or 1040EZ? Adjusted Gross Income U.S. Income Tax Paid Exemptions Claimed Father's Inc Earned From Work Mother's Inc Earned From Work Total from Worksheet A 0 Total from Worksheet B Total from Worksheet C Net Worth of Investments 0 Net Worth of Business/Farm 0 Cash, Savings, and Checking 0 STEP FIVE (STUDENT HH) (Q84 - Q85) Number Family Members Number in College in 2002-2003 01 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans Page 2 of 6

G-2

2002-2003 Institutional Student Information Record Student ID 001-01-0001 DO 03 Last Name DOE STEP SIX (Q86 - Q97) School #1 001224 Housing #1 W/PARENT(S) School #2 000000 Housing #2 W/PARENT(S) School #3 000000 Housing #3 W/PARENT(S) School #4 015549 Housing #4 W/PARENT(S) School #5 003154 Housing #5 W/PARENT(S) School #6 003051 Housing #6 W/PARENT(S) EFC 2068 C

OFFICE INFORMATION DRN 2068 Primary EFC Type 1 Secondary EFC Type STEP SEVEN (Q98 - Q102) Processed Date 01/28/2002 Date Application Completed 01/21/2002 Application Source RENEWAL WEB Signed By APPLICANT ISIR Transaction Type ELEC. CORR. Preparer's SSN Source of Correction Preparer's EIN Federal School Code Indicator 001224 Preparer's Signature Reject Override Codes: B: N: W: Assumption Override Codes: 1: 2: 3: 4: 5: 6: -----------------------------------------------------------------------------------------FAA Information Early Analysis Flag Date ISIR Received 01/29/2002 Rejects Met: Verification Flag N System Generated Indicator Dependency Override FAA Adjustment Duplicate Request Transaction Receipt Date 01/23/2002 Correction # Applied To Reprocessing Code Application Receipt Date 01/22/2002 Processed Record Type Input Record Type Paid EFC Type Primary EFC Mon 1 1807 Mon Mon 2 1840 Mon Mon 3 1873 Mon Mon 4 1906 Mon Mon 5 1939 Mon Mon 6 1972 PRIMARY 2068 7 2005 8 2038 10 2128 11 2188 12 2248 Pell Elig Flag Secondary EFC Mon 1 Mon Mon 2 Mon Mon 3 Mon Mon 4 Mon Mon 5 Mon Mon 6 Y 7 8 10 11 12 Intermediate TI 148650 ATI 13528 STX 11890 EA 0 IPA 11750 AI 13370 CAI DNW -348000 NW 0 APA 35100 Values PCA 0 AAI 13370 TSC TPC 294 PC 0 STI 0 SATI 0 SIC 1774 SDNW 0 SCA 0 FTI 0 Duplicate SSN Flag Subsequent App Flag

Auto Zero EFC Flag EFC Change Flag NO CHANGE SNT Flag NO Match Flags: SSN 4 SSA INS PRI INS Ver. No. NSLDS Transaction Number Comments: 006,149,161,143,029,137 SS N 1

NSLDS 4 VA INS SEC. CONF. SS Registration Flag NSLDS Database Results Flag 1

*=assumption h=highlight flag #=corrected this trans @=corrected previous trans Page 3 of 6

G-3

2002-2003 Institutional Student Information Record CHRISTOPHER DOE 001-01-0001 2002-2003 NSLDS FINANCIAL AID HISTORY Processed: 01/28/2002 This page contains your previous financial aid information, which is contained in the National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use it to determine your eligibility. ****************************************************************************************** #Overpayment: Contact: Discharged: Defaulted Loan Sat. Active Post Screening Loans: Repayment: Bankruptcy:N Reason: Pell: N FSEOG: N Perkins: ****************************************************************************************** Aggregate Amounts Outstanding Pending Total: #FFEL/Direct Loans: Prin. Bal.: Disb(s): Subsidized Loans: $ 1,313 $ 0 $ 1,313 Unsubsidized Loans: $ $ 0 $ 0 Combined Loans: $ $ 0 $ 1,313 FFEL Consol. Loans: $ 0 $ 0 Perkins Loans: Outstanding Principal Bal.: $ 0 Current Year Loan Amount: $ 0 ****************************************************************************************** #Pell Payment Data: Sch.Code: 00305100 Tran: 01 Sch.Amt:$ 732 Award Amt:$ 732 Disb.Amt:$ 183 Rem.Amt:$ 549 %Sch.Used: 25.00 As Of: 08/12/2000 Pell Verification Flag: EFC: 2068 Sch.Code: 00305100 Tran: 01 Sch.Amt:$ 332 Award Amt:$ 332 Disb.Amt:$ 166 Rem.Amt:$ 166 %Sch.Used: 50.00 As Of: 09/12/2000 Pell Verification Flag: EFC: 2068 Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt: %Sch.Used: As Of: Pell Verification Flag: EFC: ****************************************************************************************** Loan Detail: Net Loan Begin End GA School Grade Contact/ Amount Date Date Code Code Level Cntct Type Additional Loan Capitalized Date of Amt of Unsub Type Interest Last Disb Last Disb #FFEL Stafford Subsidized 1,334 06/18/1990 08/10/1990 741 00319700 ABC SCHCONTC Neither Defaulted NO 06/18/1990 $91334 Status Code RP as of 12/01/1992 100 Outstanding Bal. $810 as of 09/30/1996 Direct Consolidation Unsub $ 7,692 06/19/1996 06/19/1997 PLUS Recent NO 88888800 ABC SCHCONTC 06/19/1996 $7692 100 $

Status Code RP as of 07/31/1996 Outstanding Bal. $7,692 as of 11/30/1996 #FFEL Stafford Unsubsidized $

2,053 03/18/1996 09/16/1996 706 00121600 ABC SCHCONTC PLUS Defaulted NO 03/18/1996 $2053 Status Code RP as of 01/01/1997 190 Outstanding Bal. $2,053 as of 12/31/1996 225 04/16/1990 06/29/1990 706 02520200 ABC SCHCONTC PLUS Recent NO 04/16/1990 $225 Status Code DU as of 11/30/1992 706 Outstanding Bal. $245 as of 06/30/1997 Page 4 of 6 001-01-0001 DO 03 FFEL Stafford Subsidized $

G-4

2002-2003 Institutional Student Information Record CHRISTOPHER DOE 001-01-0001 2002-2003 NSLDS FINANCIAL AID HISTORY (Cont.) Processed: 01/28/2002 This page contains your previous financial aid information, which is contained in the National Student Loan Data System (NSLDS). Your Financial Aid Administrator will use it to determine your eligibility. ****************************************************************************************** Loan Detail: Net Loan Begin End GA School Grade Contact/ Amount Date Date Code Code Level Cntct Type Additional Loan Capitalized Date of Amt of Unsub Type Interest Last Disb Last Disb 5,500 09/08/1993 05/19/1994 800 01320800 ABC SCHCONTC Health Prof NO 09/08/1993 $5500 Status Code RP as of 11/30/1994 173 Outstanding Bal. $5,575 as of 03/31/1997 2,035 08/19/1992 06/14/1993 706 00129400 ABC SCHCONTC Both Discharged NO 08/19/1992 $2035 Status Code ID as of 08/19/1992 006 Outstanding Bal. $2,035 as of 12/31/1996 MPN Information Direct Loan MPN: No MPN on File FFEL Stafford Subsidized $ FFEL Stafford Subsidized $

Page

5 of 6

001-01-0001 DO 03

G-5

2002-2003 Institutional Student Information Record Student ID Last Name READ, SIGN, AND DATE If you are the student, by signing this application you certify that you (1) will use federal and/or state student financial aid only to pay the cost of attending an institution of higher education, (2) are not in default on a federal student loan or have made satisfactory arrangements to repay it, (3) do not owe money back on a federal student grant or have made satisfactory arrangements to repay it, and (4) will notify your school if you default on a federal student loan. If you are the parent or the student, by signing this application you agree, if asked, to provide information that will verify the accuracy of your completed form. This information may include your U.S. or state income tax forms. Also, you certify that you understand that the Secretary of Education has the authority to verify information reported on this application with the Internal Revenue Service and other Federal agencies. If you purposely give false or misleading information, you may be fined $20,000, sent to prison, or both. Everyone whose information is given on this form should sign below. The student (and at least one parent, if parent information is given) MUST sign below. Student __________________________________________________ Date: _______________ Parent __________________________________________________ Date: _______________ 001-01-0001 DO 03 DOE EFC 2068 C

Page

6 of 6

G-6