EU/PR1A/1415/A

1
EUPR1
Continuing Students
aForm
Application for
Student Finance
academic year 2014/15
!
Instructions
This form must be completed in ink.
Answer all the questions that apply to you on this form.
Please refer to the Support notes at the back of this form each time you see this icon. n
You must read and sign the declaration on pages 7 and 8.
Please remember to pay the correct postage.
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Application for Student Finance - academic year 2014/15.
Did you start your course in or before 2009/10?
(Or were you a gap year student who started your course in 2010/11?)
If yes, the tuition fee support you can get changes depending on where you will be
studying:
If you are studying at a university or college in England you can apply for a Tuition Fee
Loan to cover the amount of tuition fees that your university or college will charge you,
up to a maximum of 3,465.
If you are studying at a university or college in Northern Ireland you can apply for a
Tuition Fee Loan to cover the amount of tuition fees that your university or college will
charge you, up to a maximum of 3,685.
If you are studying at a university or college in Wales that is charging flexible fees you
will be liable to pay 1,380 of the total fee charged. You may choose to fund this amount
by applying for a repayable Tuition Fee Loan. You may also be eligible to receive a
Welsh Tuition Fee Grant of up to a maximum of 2,085 to help fund any remaining
flexible fee amount above 1,380.
Did you start your course in 2010/11 or 2011/12?
If yes, the tuition fee support you can get changes depending on where you will be
studying:
If you are studying at a university or college in England or Wales you can apply for a
Tuition Fee Loan to cover the amount of tuition fees that your university or college will
charge up to a maximum of 3,465 You will not be eligible to apply for a Welsh Tuition
Fee Grant.
If you are studying at a university or college in Northern Ireland you can apply for a
Tuition Fee Loan to cover the amount of tuition fees that your university or college will
charge you, up to a maximum of 3,685.
Did you start your course on or after 1st September 2012?
If yes, you can get a Tuition Fee Loan to cover tuition fees up to:
9,000 for full-time students, including full-time distance learning students*
6,000 for full-time students studying an approved course at a private university or
college
*If you are studying at a university or college in Wales then the Tuition Fee Loan is capped
at 3,685. You may also be eligible for a Welsh Fee Grant of up to a maximum of 5,315
to help fund any remaining fee amount above 3,685.
Any tuition fee support you apply for will be paid directly to your university or college on your
behalf.
Important information
If you are eligible to apply for a non-income assessed bursary from the National Health
Service (NHS), Department of Health or the Department of Health, Social Services and Public
Safety (DHSSPS) excluding the social work bursary, then you should not complete this form
as you will not be eligible for financial support through Student Finance Services.
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1
section
Personal details
Customer Reference Number
a

Please complete this section with the details exactly as stated on your birth certificate or passport.
Title Mr Mrs Miss Ms Forename(s)
Surname(s)/family name
Sex Male Female Date of birth
Place of birth (name of town or village)
Country of birth
Nationality
YEAR MONTH DAY
b Contact details
Tell us your term-time correspondence address in the UK and your home address.
Term-time address
Town/City
Country
Postcode
Home address
Town/City
Country
Postcode
Mobile phone number
Email address

University or college

Course

Campus

Course year
I have changed (or will be changing) university or college.
I have changed (or will be changing) my course but am staying
at the same university or college.
I am (or will be) repeating a study period.
I am (or will be) leaving my course.
I am (or will be) suspending my study.
a
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2
section
About your course
Tick
Tick
Tick
Tick
Tick

If any of the course details above have changed since your initial application, please tell us
what has changed:
Please give details of any changes you have indicated and the reasons for these in
the space below.
We may send you another form asking for more details about these changes.
Changes
If you have indicated any changes above, please ensure that your university or college
also notifies Student Finance Services of these changes.

2
section
About your course
Term 1 University or college Study abroad Work placement
Term 2 University or college Study abroad Work placement
Term 3 University or college Study abroad Work placement





Abroad UK Dont know

Postcode

Yes No
Part year year
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b
Give the full tuition fee amount that your university or college is charging
for the course you will be studying in academic year 2014/15.
If you are unsure about the tuition fee amount you will be charged, please contact your
university or college for clarification.
c Where will you spend most of your time in the academic year 2014/15?
You should only tick Work placement if you will be on a work placement that is a part of your
UK course. Do not count periods of teaching practice as a placement.
If you are studying an Initial Teacher Training (ITT) course, tick University or college.
You should only tick Study abroad if you will be studying outside of the UK as part of your
UK course.
if you have ticked University or
college for all 3 terms go to section 3
d

Have you been accepted onto the ERASMUS exchange scheme?


If so, how long for? Full
if Yes and/or youll be
studying abroad go to section 3


e1 If you will be on a placement, will your placement be based abroad or in the UK?
e2 If you know where your placement will be, give the name, address and postcode of your
placement.
Yes No

Income assessed Non-income assessed

3
section

Other information
a Are you eligible to apply for any bursary or award, excluding a social work bursary, for the
academic year 2014/15 from any of the following?
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-

-

Yes No


tick
National Health Service (NHS)
Department of Health (DoH)
Department of Health, Social Services and Public Safety (DHSSPS)
n
If Yes, is this bursary or award income assessed or non-income assessed?
section
4
Tuition Fee Loan Request for
academic year 2014/15
a Amount of Tuition Fee Loan you would like to apply for:
Maximum available to you
If you wish to apply for less than the maximum
available to you, please state the amount.
!
Please read Support notes to find out more about Tuition Fee Loan payments,
interest and your liability.
n
For information on the amount of Tuition Fee Loan you can borrow, please see page 2.
b Do you have a National Insurance number?
If so, please provide it here
!
Please make sure you have completed this form fully and have read, signed
and dated the declaration on pages 7 and 8.

Declaration: for all students
n
!
Please read the following declaration and sign on page 8. We will not be able to process your
application for student finance unless you do so.
General declaration
I confirm that to the best of my knowledge and belief, the information I have given on this form is true and
complete and I understand that if I have given the Student Loans Company (SLC) false information, or have
not given them complete information, I may not receive financial support, any support I have had may be
withdrawn and I could be prosecuted.
I agree to give SLC any additional information they require to enable them to process my application and agree
to tell them immediately if my circumstances change in any way that might affect my entitlement to financial
support.
I understand that if I do not tell SLC about any change in my circumstances, which may affect my entitlement,
I may not be eligible to receive any outstanding instalments or payments that they have told me about, and
that I may have to repay all or part of the financial support I have already received in the year.
I agree that in the event of receiving an overpayment of financial support, I am obligated to repay any of this
overpayment in full.
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If you started your course in academic year 2006/07 or after you may be eligible for a bursary or scholarship.
In order for your university or college to determine and pay any bursary or scholarship to which you may be
entitled, we will share some of your personal, financial and course details as well as information about your
eligibility for student finance with them.
If you do not wish your details to be shared for this purpose, please tick this box.
Declaration by the student requesting a loan
Note: Where your place of study is in England the term the lender means the Secretary of State for Business,
Innovation and Skills; where your place of study is in Wales the term the lender means the Welsh Ministers;
where your place of study is in Northern Ireland the term the lender means the Department for Employment
and Learning.
If you have applied for a course of study in England you should read the guide to terms and conditions at
www.gov.uk/studentfinance
The following declarations apply to you
I declare that:
a I acknowledge and agree that any loan(s) made to me by the lender (which includes any persons exercising
functions on behalf of the Secretary of State pursuant to section 23(4) of the Teaching and Higher Education
Act 1998 as amended from time to time or successor legislation, the Act) will be on the terms set out in these
declarations and in Regulations which are made under section 22 of the Act as amended from time to time.
b If I breach any of the terms under which any loan(s) will be made, I agree that I will be obliged to pay any charges
and penalties which may apply under the Teaching and Higher Education Act 1998 and the Regulations made
under that Act, as amended from time to time or successor legislation and/or Regulations.
c I agree to take all future action requested by the lender and provide the lender with all information required to
ensure repayment, in accordance with the Regulations referred to in paragraph a.
d I agree that from the date I submit this form until the date when my loan(s), together with all and any interest,
penalties and charges which apply, is fully repaid I will notify the lender of any changes in the personal details
(including National Insurance Number) and contact details I have provided as required in accordance with the
Regulations referred to in paragraph a.
e In the event that I leave the United Kingdom to reside outside the United Kingdom or that for any other reason I
am outside the UK tax system, I undertake to inform the lender in accordance with the Regulations referred to in
paragraph a and I undertake to provide the lender with my new and any subsequent contact details until my loan,
together with all and any interest, penalties and charges which apply, is fully repaid.
If you have applied for a course of study in Wales you should read the guide to terms and conditions at
www.studentfinancewales.co.uk
The following declarations apply to you
f I acknowledge and agree that any loan(s) made to me by the lender (which includes any persons exercising
functions on behalf of the Welsh Ministers pursuant to section 23(4) of the Teaching and Higher Education Act 1998
as amended from time to time or successor legislation, the Act) will be on the terms set out in these declarations
and in Regulations which are made under section 22 of the Act as amended from time to time.
g If I breach any of the terms under which any loan(s) will be made, I agree that I will be obliged to pay any charges
and penalties which may apply under the Teaching and Higher Education Act 1998 and the Regulations made
under that Act, as amended from time to time or successor legislation and/or Regulations.
h I agree to take all future action requested by the lender and provide the lender with all information required to
ensure repayment, in accordance with the Regulations referred to in paragraph f.
i I agree that from the date I submit this form until the date when my loan(s), together with all and any interest,
penalties and charges which apply, is fully repaid I will notify the lender of any changes in the personal details
(including National Insurance Number) and contact details I have provided as required in accordance with the
Regulations referred to in paragraph f.
j In the event that I leave the United Kingdom to reside outside the United Kingdom or that for any other reason I
am outside the UK tax system, I undertake to inform the lender in accordance with the Regulations referred to in
paragraph f and I undertake to provide the lender with my new and any subsequent contact details until my loan,
together with all and any interest, penalties and charges which apply, is fully repaid.
YEAR MONTH DAY
x
If you have applied for a course of study in Northern Ireland you should read the guide to terms and
conditions at www.studentfinanceni.co.uk
The following declarations apply to you
I declare that:
k I acknowledge and agree that any loan(s) made to me by the Department for Employment and Learning, the
lender (which includes any person exercising functions on behalf of the Department for Employment and Learning
pursuant to Article 4 (3) of the Education (Student Support) (Northern Ireland) Order 1998 as amended from time
to time or successor legislation, the Order) will be on the terms set out in these declarations and in Regulations
which are made under Article 3 of the Order as amended from time to time.
l If I breach any of the terms under which any loan(s) will be made, I agree that I will be obliged to pay any charges
and penalties which may apply under the Education (Student Support) (NI) Order 1998 and the Regulations made
under that Order, as amended from time to time or successor legislation and/or Regulations.
m I agree to take all future action requested by the lender and provide the lender with all information required to
ensure repayment, in accordance with the Regulations referred to in paragraph k.
n I agree that from the date I submit this form until the date when my loan(s), together with all and any interest,
penalties and charges which apply, is fully repaid I will notify the lender of any changes in the personal details
(including National Insurance Number) and contact details I have provided as required in accordance with the
Regulations referred to in paragraph k.
o In the event that I leave the United Kingdom to reside outside the United Kingdom or that for any other reason I
am outside the UK tax system, I undertake to inform the lender in accordance with the Regulations referred to in
paragraph k and I undertake to provide the lender with my new and any subsequent contact details until my loan,
together with all and any interest, penalties and charges which apply, is fully repaid.
The following paragraphs apply to ALL students:
I declare that:
p The particulars I have given in this form are correct.
q I have read and understood the guide to terms and conditions available online.
r I acknowledge and agree that in the event that I have: (i) reached the age of 18 years; and (ii) have entered into
one or more agreements for a loan under section 22 of the Teaching and Higher Education Act 1998 (and relative
secondary legislation) before I reached the age of 18 years, upon signing this declaration I am agreeing to ratify
any and all such student loans. I understand that ratification of any agreement for a loan made with me before I
reached the age of 18 years is a statutory precondition of my eligibility for student support after attaining the age of
18 years.
s I undertake to repay the lender any loan(s) made to me, together with all and any interest, penalties and charges
which apply.
t I agree that any loan(s) made to me as a consequence of the acceptance of my application is/are contract(s)
between me and the lender which binds me from the payment to me of the first loan advance and that the
repayment of any such loan(s), together with all and any interest, penalties and charges which apply, will be due by
me to the lender as a debt.
u I agree that I shall be obliged to make repayment of my loan(s), together with all and any interest, penalties and
charges which apply, to such address as shall be notified to me in writing and that any services in respect of my
loan(s) may be provided at such address or other address(es) as the lender may from time to time determine and
that the service of providing the loan is provided at the lenders principal address.
v I agree that any action for repayment and/or in respect of or in connection with my loan(s) and/or all and any
interest, penalties and charges which apply, will be brought before the ordinary civil courts and shall be governed
by the general rules of civil procedure.
w I agree that my request for a loan, the loan and the contract between me and the lender shall be governed by the
law of the place of my course of study as stated in this form EUPR1a.
x I irrevocably agree that the courts of the part of the United Kingdom in which my place of study is situated shall
have non-exclusive jurisdiction to hear any action or proceedings arising out of or in connection with the loan and
the contract between me and the lender and I irrevocably submit to the jurisdiction of those courts and waive any
objection to the jurisdiction of those courts, provided that this shall not limit the lenders rights to take proceedings
against me in any other court of competent jurisdiction.
y I understand that SLC will check my National Insurance Number and personal details with the Department for
Work and Pensions (DWP). If I do not know my National Insurance Number, or if the number I provide cannot be
authenticated, DWP will trace and give my number to the lender.
z If I have broken the terms of this contract I agree that the lender may share information held about me and my
account with any person, including the government or a government agency of another country, who may assist in
establishing my whereabouts and/or in taking action to recover outstanding loan amounts.
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Customer Reference Number
Your Signature Date
Data Protection Act 1998
The Student Loans Company (SLC) is a Data Controller under the Data Protection Act 1998.
We hold information for the purposes specified in our notification to the Information
Commissioner including determining eligibility for student finance, assessing the maximum
amount of financial support available, payment of student finance and the detection and
prevention of fraud, and may use this information for any of these. The Secretary of State for
Business, Innovation and Skills, if your place of study is in England, the Welsh Ministers, if your
place of study is in Wales or the Department for Employment and Learning (DEL), if your place
of study is in Northern Ireland, is a joint Data Controller for your information.
If false or inaccurate information is provided and fraud is identified, details may be passed to
fraud prevention agencies to prevent fraud and money laundering.
We may share the information you have given us with other organisations including the
Department for Business, Innovation and Skills (if your place of study is in England), your Local
Authority (LA) and the Welsh Ministers (if your place of study is in Wales) or your Education and
Library Board (ELB) and DEL (if your place of study is in Northern Ireland), other Government
bodies and with your university or college, for these purposes. We may also get information
about you from other organisations. If so, it will only be for the purposes described and as the
law permits us to do.
You can get detailed information about with whom we share your information and for what
purpose online.
If you are studying in England go to www.gov.uk/studentfinance
If you are studying in Wales go to www.studentfinancewales.co.uk/dataprotection
If you are studying in Northern Ireland go to www.studentfinanceni.co.uk/dataprotection
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Support notes
Section 2 - About your course
d1 If you dont know where your placement will be yet you should let us know as soon as possible.The
tuition fee amount you may be charged will vary depending on the type of placement and where in
the UK the university or college you normally attend is located. If youre on a placement you should
speak to your university or college to confirm what your tuition fee will be.
Section 3 - Other information
b If you are eligible to apply for a bursary from the National Health Service Business Services
Authority (NHSBSA) or Social Services Inspectorate you should answer no to this question
because this is a separate bursary to those offered by the NHS, DoH or DHSSPS.
If you are eligible to receive a non-income assessed bursary then you are not eligible for any other
student finance unless you are a seconded student studying a health related course and you have
been advised that you cannot apply for any bursary at all, either income or non-income assessed.
If you are unsure about your eligibility for a bursary, contact the NHS Pensions Agency Student
Grants Unit on 0300 330 1345.
Section 4 - Tuition Fee Loan Request for academic year 2014/15
a Your Tuition Fee Loan will be paid directly to your university or college in three instalments within
the academic year. You will be liable for your Tuition Fee Loan from the first day of each term not
the date when the instalment is paid to your university or college.
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Liability date % of Tuition Fee loan that you will be liable for
First day of Term 1 25%
First day of Term 2 25%
First day of Term 3 50%
If you are unsure when your term starts please contact your university or college.
Each payment is made after we receive confirmation from your university or college that you are in
attendance at the start of each term. Interest will be charged from the day we pay the Tuition Fee
Loan to your university or college.
Declaration: for all students
Important information
If you receive a loan, there is a legally binding contract between you and the Secretary of State (if your
place of study is in England), the Welsh Ministers (if your place of study is in Wales) or the Department
for Employment and Learning (if your place of study is in Northern Ireland). The Loan Request Form
including the declarations are an integral part of your contract with the Secretary of State, the Welsh
Ministers or the Department for Employment and Learning. Additional terms of the contract are to
be found in Regulations made under section 22 of the Teaching and Higher Education Act 1998 (if
your place of study is in England or Wales) or under Article 3 of the Education (Student Support) (NI)
order 1998 (if your place of study is in Northern Ireland), as amended from time to time, or successor
legislation.
If you cannot sign this form it must be signed on your behalf by your Power of Attorney. The Power
of Attorney letter must be sent with this form before a signature from that Power of Attorney will be
accepted.
!
Please make sure you have completed this form fully and have read, signed and
dated the declaration on pages 7 and 8.
Change of circumstances
You must notify the Student Loans Company about any change in your circumstances, which may affect
your entitlement to financial support. The most common change of circumstance for students would be if:
you are absent from the course for more than 60 days because of illness;
you are absent for any other reason;
you leave, abandon or are expelled from the course;
you stop attending the course and do not intend, or are not allowed, to return for the rest of the
academic year;
you transfer to a different course at the same, or a different, university or college;
you transfer from a full-time to a part-time course;
you repeat part or all of a year of your course; or
the date of the start or end of your course changes.
Information about data sharing for bursary and scholarship purposes
Universities and colleges will be offering financial awards such as bursaries or scholarships to their
students. To help them administer these awards (i.e. to determine eligibility and entitlement to, and if
relevant pay, a bursary or scholarship - bursary administration purposes) they will ask the Secretary of
State (if your place of study is in England), the Welsh Ministers and your Local Authority (if your place of
study is in Wales) and the Department for Employment and Learning and your Education and Library Board
(if your place of study is in Northern Ireland) and the Student Loans Company for access to information you
provide in connection with this application for student finance (whether on this form or at a later date).
We will share the relevant information with them, unless you indicate that you do not wish us to do so by
ticking the box on the declaration. If you do not give consent for us to share this information, the payment
of any bursary or scholarship to which you may be entitled will be delayed.
Please contact the university or college if you require further information about their bursaries and
scholarships.
Returning your form
!
Please make sure you have completed this form fully and have read, signed and
dated the declaration on pages 7 and 8.
You must return your completed form to the address shown below. This form should be
returned within 9 months of the start of the academic year, or you may lose your right to
apply for student finance.
Student Finance Services
Student Loans Company
PO Box 89
Darlington
County Durham
England
United Kingdom
DL1 9AZ.
For our use only
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