SLTF Form
SLTF Form
FORM NUMBER:_________
Photograph
Home Town
District
District
Region
Region
Nationality:
Address to which correspondence Regarding This Application should be sent:______________________________________ ___________________________________________________ District:________________________ Region:______________ Telephone Number:_______________________ Residential
Permanent Home Address: (Where you normally reside, do not provide postal addresses):______________________________________________________ _______________________________________________________________ District:_________________________________ Region:_________________ Email Address:_______________________________
Account Number:
Account Name (Applicants Name): INFORMATION ON YOUR INSTITUTION AND PROGRAMME OF STUDY
Year of Admission:
Full Time
Part Time
Hall Of Residence/Attachment
--------------------------------------------------------------------------------------------------------------------------------------------------------Tear-off section Form Number:_______________________ Please write your name below: Surname Other Names
This slip shall be detached and given to you on submission of the form.
Period of Employment:
From : _____________________
To : ___________________ State Your Total Annual Gross Income Salary: _________________________________ Other Income:___________________________
Mark X In Box/Boxes As Applicable On study leave with pay On study leave without pay Full time study Part time study
Total:__________________________________ Will you be expected to serve a Bond after completing this program of study?
Occupation. What is his/her relationship to you? (check only one) Father Mother Brother Uncle Aunt Sister Father Mother
Other (specify)_________________________________
SECTION D (GUARANTOR)
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10. This Guarantee is to be applicable to the ultimate balance that may become due or owing to the Trust as aforesaid by the Principal and until payment of such balance the Guarantor shall not be entitled to participate in any security held or money received by the Trust on account of such balances or to stand in the Trusts place in respect of any such security or money. 11. As a separate and independent stipulation the Guarantor agrees that all sums of money which may not be recoverable from the Guarantor on the ground that this guarantee whether by reason of any legal limitation disability or incapacity on or of the Principal or any other fact or circumstance and whether known to the Trust or not the said sums of money shall nevertheless be recoverable from the Guarantor as a joint principal debtor in respect thereof and shall be repaid by the Guarantor seven days after demand in writing is made by the Trust or on the Trusts behalf. 12. This Guarantee shall continue to bind the Guarantor notwithstanding any amalgamation of the Trust with another entity or conversion change of status take over of the assets and liabilities of the Trust whether the new entity shall or shall not differ in its name objects character and constitution from the Trust it being the intent that this Guarantee shall remain valid and effectual in all respects and for all purposes in favour of or with reference to any such new entity then formed and may be proceeded on and enforced in the same manner to all intents and purposes as if such entity had been expressly named in and referred to herein instead of the Trust. 13. Any notice or demand hereunder shall be deemed to be sufficiently given if sent by prepaid letters to the address of the Guarantors last known to the Trust and shall be assumed to have reached the addressee in the course of post and if sent overseas may be sent by airmail or by sea. In the case of the Trust if the notice is sent by prepaid post to its last known address. 14. In the event that the Trust demands and receives another Guarantee(s) in addition to this Guarantee for the grant of loans to the Principal it shall be deemed that this is a joint Guarantee with the other Guarantee(s) and the obligations of the Guarantors shall be joint and several.
DATED THIS _______ DAY OF ____________________________ 200__ SIGNED by the Guarantor ) ____________________________ (Signature of Guarantor)
RIGHT THUMB PRINT OF GUARANTOR (Thumb print should be taken at an SLTF designated office, supervised by an officer who should write his/her name and sign against it.)
in the presence of :
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6. (a)
(b)
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(c)
balance of the Loan and if payment is not made legal action may be taken by the Lender to recover the Loan. The Borrower shall be liable to pay a penalty of 10% for all late payments. The penalty shall be determined by the Lender every six (6) months of the term of the Loan.
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FALSE INFORMATION The Lender shall be entitled to terminate this agreement at any time if the borrower provides any false information on his/her application or guarantee form. In the event of termination of this agreement under this clause the principal and accrued interest shall become immediately payable. DISCLOSURE OF INFORMATION (a) The borrower shall notify the Lender in writing of any change in his residential, postal and business address, the name and business address of his employer at any time until the loan is fully repaid. (b) The borrower shall notify his employer in writing of his obligation to repay the loan and authorise his employer to deduct the monthly repayments for the loan from his salary and pay the money to the Lender. NON COMPLETION OF COURSE OF STUDY (a) If the borrower fails to complete his course of study through any cause whatsoever the borrower shall remain indebted to the lender for the loan and the entire loan shall become due and payable immediately. (b) A borrower shall not be eligible for a loan during repeat year(s) of study.
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Left Index Finger Print Left Thumb Print Right Thumb Print Right Index Finger Print (Finger prints should be taken at an SLTF designated office, supervised by an officer who should write his/her name, designation and sign against it.)
IN WITNESS whereof the parties have executed this agreement the day and year first above written.
Signed, Sealed and Delivered by the within named Borrower in the presence of :
) ___________________________ (Signature of Borrower) )______________________________________________________________ ) (Name of Witness) ) __________________________ (Signature of Witness) ) ___________________________ (Signature of Lender) ) _____________________________________________________________ ) (Name of Witness) ) __________________________ (Signature of Witness)
Signed, Sealed and Delivered by the within named Lender in the presence of:
Address to which correspondence Regarding This Application should be sent: _____________________________________________ _____________________________________________ District:______________________Region:__________
Permanent Home Address: (Where you normally reside, do not provide postal addresses): ________________________________________________________ ________________________________________________________ District:_______________________________Region:____________
Telephone Number:__________________ _____________________ Email Address: ______________________________ Residential Mobile Number Bank Account into which Loan, if approved, is to be paid. Name Of Bank: Branch: ____________________________________________________ _______________________________________________ Account Number: Account Name (Applicants Name): _______________________________________________
CONSENT OF PARENT/GUARDIAN
I, __________________________________________ of ____________________________________________ and with Social Security Number: ______________________________________ Drivers Licence Number:_____________________________________ NHIS Number: _____________________________________________ being a Parent/Guardian of _______________________________ a student at ___________________________ consent to the grant of Loans by the Students Loan Trust Fund to my child/ward during his course of study at
Postal Address _______________________________________________________________________________ Signature ___________________ Home Telephone _________________ Mobile _________________
SCHEDULE - Duration of Course of Study and Loan Repayment Period. National Grace period Repayment Total Loan Service period (Yrs) Period (Yrs) Period (Yrs) (Yrs) 1 1 5 9 1 1 7 12 1 1 9 15 1 1 10 17 1 NA 10 17 1 NA 10 18