HIGHER EDUCATION STUDENTS' LOANS BOARD

(BODI YA MIKOPO YA WANAFUNZI WA ELIMU YA JUU)

HESLB House, 1 Kilimo Street, TAZARA Area, Mandera Road.

P. O. Box 76068, Dar es Salaam, Tanzania
Tel: (General) +255 22 2669036/2669037; Fax: +255 22 2669039;
E-mail: info@heslb.go.tz; Website: www.heslb.go.tz

STUDENTS LOAN APPEAL FORM (SLAF1) Form # :113749A98861

1 : Personal Particulars

Surname: KALEKWA
Other names : MARIAM S
Form Four Index # : S3794.0098.2019

2 : University Admission Details

Academic Year : 2022/2023 Year of Study : 1

Institution : NIT
Program of Study : BHRM

3 : Contact and Address Details

Email : Mobile Phone : 0623173623

Street/Village : Ililika Ward : Nyarugusu
Postal Address : P.O. Box
District of Birth : Geita Region of Birth: Geita
District of Residence : Geita Region of Residence: Geita

4 : Appellant's Basis of Appeal

I am appealing against :
1. Insufficient Loan Amount Awarded:
I am appealing because :
1. Partial Orphan (Lost Either of the Parents)
2. I was given a wrong loan amount

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6 : Attachments Checklist

You have attached the following evidences to support your appeal:

1. Birth Certificate of Appellant
2. Death certificate of deceased parent

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