Student Loan Application Form

Student Loan Application Form
Applicant's Details
Name
First NameLast Name
Gender
MaleFemaleUnspecified
Birth Date
MonthDayYear
Date
Country of Birth
Current Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Area CodePhone Number
Email
example@example.com
Property Ownership
OwnedRented
Are you employeed? (If YES, please provide TIN and NSSF Numbers)
YesNo
TIN Number
NSSF Number
Marital Status
SingleMarried
Relationship to Student
Student Details
Name
First NameLast Name
Phone Number
Area CodePhone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Name of University / College
Programme of Study
Faculty
Present Semester
Start Year
End Year
Loan Details
Loan Purpose
Outstanding FeesSemester FeesAnnual Fees
Loan Application Date
MonthDayYear
Date
Loan Effective Date
MonthDayYear
Date
Loan Maturity Date
MonthDayYear
Date
Total Loan Amount
in USD
Interest Amount
(%) percentage
First Loan Repayment Date
MonthDayYear
Date
Last Loan Repayment Date
MonthDayYear
Date
Loan Repayment Amount
Terms
1 year2 years3 years
Loan Repayment Frequency
MonthlyHalf YearlyYearlyOther
Loan Repayment Method
I hereby declare that the above particulars and information availed above are true to the best of my knowledge and the same shall form the basis of any arrangement for a facility (Student’s Loan, and any other products the Board might develop from time to time) if any granted to me.
I am aware that making false statements on this form is an offense punishable by law. I further declare that I clearly understand that this is a Loan which shall be repaid.
Signature
Clear
Should be Empty:

Student Loan Application Form

Applicant's Details

Student Details

Loan Details