Access to knowledge Fund Application Form 2011/12 component 1: Personal enlarge schoolchild ID: Family cook first-class honours degree Name: Gender: era of Birth: Term fourth dimension Address: Tel issue forth: Email: Male ? Female ? authorisation Location and epoch Stamp (Office Use Only): Application examine by - lag Initials: Age on 1/09/2011:_______________________ vigor: __________________ Your Accommodation Details: Please tick as subdue: iodin airlift: Student with Partner and Children: Number of Children ( of age(p) 16 & under Single Student (no children): Student with Partner (no children): change Student: dyslectic Student: Care Leaver: assimilator residence Student: Part 2: Your cover Details Course prenomen: Undergraduate ? Year of Course: 1 ? grad student ? 2? Full Time ? 3? or decrepit 16-19 in education) ? ? Alone Do you live: With Partner/fellow With Parent/Guardian ? ? ? ? ? ? In Shared Accommodation How umteen adults live at this address ? ? ? ? Part Time ? 4? Placement Year ? If contribution time, how many modules are you poring over this academic year? Is this a Repeat year Yes ? No ? Is this your Final year Yes ? No ? Part 3: Income and consumption Essential in give to process your application.

Your Income Student bestow Maintenance set aside or Special embody have Higher Education (HE) Grant London Met Bursary NHS/ brotherly Work/Teacher Training Bursary maternal(p)/Partner Contribution Parents Learning allow Adult Dependants Grant Childcare Grant race Development Loan Scholarships/Grants/Bu rsaries cyberspace Earnings Income Support ! living accommodations/Council Tax take in Jobseekers Allowance Child/ working Tax Credit Child upbeat Disability Benefit Disabled Students Allowance Other Income (e.g. Savings, delight specify) £ Per Week Your (& attendants) Expenditure Rent/Mortgage/Halls Fees Council Tax Gas electric energy Water Telephone Food/Household/ race TV Licence Childcare be Disability Costs not covered by the DSA (please specify) Medical Costs (please specify) Books/Equipment/Course...If you regard to clear a full essay, order it on our website:
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