Fireman Imformation

龍

零 樓 : 3102 1256

Student Financial Assistance Agency Deferment Unit 11/F, Cheung Sha Wan Government Offices, 303 Cheung Sha Wan Road, Kowloon (Fax No. 3102 1256)

APPLICATION FOR DEFERMENT OF LOAN REPAYMENT (DUE TO FULL-TIME STUDIES)
*** *** ***Please read the notes overleaf before filling in this application form*** 列 I wish to apply for deferment of repayment of the loan(s) under the following scheme(s) ( ‘ ’ Please put a ‘ ’ in the appropriate box(es)) 年 Tertiary Student Finance Scheme - Publicly-funded Programmes (Named as the "Local Student Finance Scheme" before 2007/08 Academic Year) Financial Assistance Scheme for Post-secondary Students Student Finance Assistance Scheme (the former Hong Kong Shue Yan College) Non-means Tested Loan Scheme Non-means Tested Loan Scheme for Post-secondary Students

料
Full name in English : HKID card no. :

Part A

Personal Particulars
Full name in Chinese : Sex :

Residential address in English : 宅 聯 Residential telephone no. : Other contact telephone no. : 聯 不 Correspondence address in English (if different from the above residential address) :

讀 Institution (where the loan(s) was offered) : 離 年 Date of graduation/leaving the institution (month / year) : Course of study : 歷 Qualification obtained :

料
Institution :

Part B

Particulars of your Full-time Studies

Name of full-time course : 歷 Qualification to be obtained : 年 Earliest expected date of graduation (month / year) :

Breakdown of expenses to be incurred for your further studies Item (i) (ii) (iii) (iv) 旅 Tuition fees Boarding fees Travelling expenses Others (please specify) 金 年 Amount (per annum)

來 Source(s) of financial support for your studies :

Part C
料 I hereby declare that the information stated above is true and correct. Signature of applicant : Date :

列 Please submit the following documentary proofs with this application ( ( ( (i) (ii) ) ) ) 讀 讀 留 留年

A copy of the admission letter or other supporting document... [continues]

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