Ministry of Education and Skills DevelopmentServicesSponsorshipsSponsorship Application Form

Sponsorship Application Form

LOAN APPLICATION FOR TERTIARY EDUCATION
Omang Number  
Previous Surname: Marital Status: S M D W
Correspondence Address Permanent Home Address
Postal: Postal:
Tel: Tel:
House No. & Location Ward: House No. & Location Ward:
E-mail Address: E-mail Address:
DETAILS OF NEXT OF KIN  
(a)   (b)  
Surname Surname
First Name First Name
Postal Address Postal Address
Telephone Telephone
Location/Ward Location/Ward
Relationship to the Applicant Relationship to the Applicant
PROGRAMME OF STUDY  
Course
Level of Entry [e.g. Year 1]
Institution
Country
Duration
Level of study: Certificate Diploma Technician Degree Professional PGDE
Commencement Date of the Programme Expected Completion Date of the Programme
Have you ever been granted a student loan by Ministry of Education Yes No
   
PARTICULARS ABOUT EMPLOYMENT [PAST & CURRENT]  
Name and Address of the Employer Nature of Employment
[Temporary/ Permanent]		 Date of Assumption of Duty
From To
T P
T P
T P
T P
T P
STUDENT'S DECLARATION  
I declare that the details I have provided are correct to the best of my knowledge. I am aware that any false statement or declaration to acquire sponsorship/loan will invalidate my application and may result in prosecution.
 
 
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Last modified on: 20/03/2013
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