APPENDIX XX

Reference, Proof of Address & Source of Funds Form for

Tertiary Students - Local & Overseas

To be completed by either a Lecturer, Department Head or Hall Manager

Date: __________________________ National Commercial Bank Jamaica Limited

I hereby confirm that___________________________________________________________with Student ID#_______________________

(Enter student’s name)

Is enrolled at (Name of School) _________________________________________________________.and is currently pursuing a ____

year- Diploma /Degree /Post Grad /Doctorate /Pre-University Programme.

The present address of the student is _________________________________________________________________________________

(Enter student’s address)

 He/she is employed on campus on a Part Time Basis and earns $..................................... fortnightly/monthly

 To the best of my knowledge he/she is a full-time student however receives funds from the following sources:

 Friends & Family  Odd jobs  Scholarship award/ Financial aid

Referee Information

NAME OF REFEREE: ___________________________________________

ADDRESS: _______________________________________________________________________________________________________

_______________________________________________________________________________________________________

OCCUPATION: __________________________________ TELEPHONE#: _________________________________

Yours truly, STAMP HERE

___________________________________
(Referee’s Signature)

FOR OFFICIAL USE ONLY

We confirm that the information above has been checked in accordance with laid down procedures.

Account Number:

Authenticated by: _________________________ Date: _____________________________

December 2020