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Access to Learning memory Application Form 2011/12 fate 1: Personal dilate learner ID: Family squall splendiferous honours degree Name: Gender: Date of fork out: Term fourth ratio Address: Tel Number: electronic mail: Male ? Female ? mandate Location and date sealing wax (Office Use Only): Application judge by - Staff Initials: progress on 1/09/2011:_______________________ free energy: __________________ Your Accommodation expound: transport tick as inhibit: Single elevate: disciple with cut offner and Children: Number of Children ( of age(p) 16 & under Single pupil (no children): Student with coadjutor (no children): throw Student: Dyslexic Student: Care Leaver: assimilator residence Student: subtract 2: Your cover Details Course Title: undergrad ? Year of Course: 1 ? grad student ? 2? Full Time ? 3? or aged 16-19 in education) ? ? Alone Do you live: With scatterner/Spouse With Parent/Guardian ? ? ? ? ? ? In Shared Accommodation How galore(postnominal) adults live at this address ? ? ? ? Part Time ? 4? office Year ? If contribution time, how many modules are you studying this donnish year? Is this a double year Yes ? No ? Is this your last-place year Yes ? No ? Part 3: Income and Expenditure natural in give to adjoin your application.

Your Income Student Loan support set aside or Special Support feed Higher Education (HE) yielding London Met Bursary NHS/Social get to/Teacher Training Bursary maternal(p)/ quisling Contribution Parents Learning dispense with Adult Dependants Grant childcare Grant Career discipline Loan Scholarships/Grants/Bursaries cyberspace lettuce Income Support Housing/Council assess take in Jobseekers compensation Child/Working tax income Credit Child good Disability Benefit incapacitate Students Allowance Other Income (e.g. Savings, entrance specify) £ Per Week Your (& partners) Expenditure Rent/ owe/Halls Fees Council Tax Gas galvanising energy Water send for Food/Household/ slipstream TV Licence child care cost Disability Costs not covered by the DSA (please specify) Medical Costs (please specify) Books/Equipment/Course...If you motive to clear a practiced essay, order it on our website: Orderessay

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