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Students Loan Bureau Statement of Affairs

Last Name NAME First Name M.I

Guarantor TRN Martial Status Single/Divorced/ Widowed

Date of Birth

Day

Month

Year

Sex

Male

Married

/

/
Female Common Law Separated

Home Phone Number

Work

Cell

E-Mail

Last Name Name of Spouse

First Name

M.I

Number of Dependents

Guarantor's Relationship to applicant

Present Address

How Long

year

months

Own/Rent

year

months

Previous Address

How Long

year

months

Own/Rent

year

months

Present Employment

How Long

year

months

Employment address

Occupation/Position

How Long

year

months

Previous Employment

How Long

year

months

Name of Spouse's Place of Employment

How Long

year

months

Occupation/Position of spouse

How Long

year

months

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Attorney at law Page 2 of 2 . Do you currently have a savings account (s)? If yes. Are you the holder of a credit card? If yes. bonds or any other financial instruments 2. please state the amount currently owing. *Year & Model 4. Do you own any property? If yes. Total Surplus/Loss Total I certify the above information to be true and correct. The undersigned consents to the obtaining of such information by the SLB from any credit reporting agency or other source as the SLB may require at any time in connection with the credit hereby applied for and to the disclosure of any information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations. Address 4. the institution with which you have said loan and the amount repaid monthly. please state the amount currently owing. Date: ______________________________ Signature: __________________________________________ Guarantor Signature Witness: ____________________________________________ JP. *stocks. Kindly indicate the total value of furniture and appliances own by you.. please state the current balance and the institution (s) at which the funds are being held. Light. *Name of Institution (s) 2. model and value of same. bonds or any other financial instruments? If yes. *Institution (s) 5. the institution with which you have said loan and the amount repaid monthly. *Appliances & Furniture 5. etc). please indicate the address. water. 3. if any. Are you in possession of a motor vehicle which is registered in your name? If yes. Kindly indicate the total value paid on utilities *(eg. Do you have any personal loan (s) which you are currently repaying? If yes. telephone. please state the amount paid each month. the value and the name of the co-owner if the property is jointly owned. please state the maximum value of same. please indicate the year. *Name of Institution (s) and Purpose for loan Monthly Payments (Average) $ Approximate Balance Amount J $ $ 1. Are you the holder of any marketable security such as stocks. the institution with which you have said card and the amount repaid monthly.Financial Statement as at ________/________/________ (Please complete the sections which apply to you) Approximate Value J $ Assets $ Liabilities 1. Medical Practitioner. Do you have a mortgage repaying? If yes. Have you rented the property in which you reside or contribute to monthly rental payment? If yes. *Address & owner (s) 3. please state please state the value of same and the institution (s) at which the funds are being held.