Deferred Payment Plan Application And Agreement Form - University Of The Bahamas
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1
2DEFERRED PAYMENT PLAN
APPLICATION AND AGREEMENT FORM
Submit completed form to the Business Office, Accounts Receivable Department, Oakes Field or Northern
Bahamas Campus, for review. Incomplete applications will NOT be considered.
If approved, the initial payment is due IN FULL IMMEDIATELY.
APPROVAL CRITERIA
Must be a Bahamian citizen or resident.
Must provide proof of ability to maintain satisfactory payment requirements.
GENERAL INSTRUCTIONS
The following documents must be submitted with this form:
Job letter (including salary information) from Student/Parent/Guardian/Sponsor;
Copy of the relevant pages of a valid passport (showing passport number, photo identification and expiration
date) or valid government ID (Initial application only);
Copy of UB acceptance letter (new students only); and
Copy of bill for upcoming semester.
Grosvenor Close
Oakes Field
Northern Bahamas
Other _____________
CAMPUS:
ENROLMENT STATUS:
New Student
Returning Student
Continuing Education Student
STUDENT’S PERSONAL INFORMATION
(Please print or type)
SURNAME
FIRST NAME
MIDDLE INITIAL
STUDENT NUMBER
SEMESTER
CURRENT ADDRESS
PERMANENT HOME ADDRESS
P.O. BOX
E-MAIL ADDRESS
HOME PHONE
CELL PHONE
WORK PHONE
STUDENT’S EMPLOYMENT INFORMATION
CURRENT PLACE OF EMPLOYMENT
EMPLOYER NAME
PHONE CONTACT
EXT.
COMPANY P.O. BOX & STREET ADDRESS
THIRD PARTY INFORMATION: Parent/Guardian/Sponsor
(If assisting with payment)
SURNAME
FIRST NAME
MIDDLE INITIAL
PLACE OF EMPLOYMENT
OCCUPATION
WORK PHONE
CELL PHONE
ANNUAL INCOME
Under $10,000
$10,000 - $19,999
$20,000 - $29,999
$30,000 +
(PROOF IS REQUIRED)
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