Guarantor Record Update Form - Students' Loan Bureau

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STUDENTS' LOAN BUREAU
GUARANTOR RECORD UPDATE
_____Gurantor’s name_____ TRN ___ Gurantor’s trn___
FOR
YOU WERE GRANTED PROGRAMME APPROVAL FOR ___ OF THE ___ ACADEMIC YEARS FOR ___Applicant’s name____
WITH TRN ___ Applicant’s trn____, WHICH MAKES YOU JOINTLY AND SEVERALLY LIABLE FOR THE FOLLOWING:
ACADEMIC YEAR: _______ FOR A TUITION AMOUNT OF ______________ AT ____ INTEREST
ACADEMIC YEAR: _______ FOR A TUITION AMOUNT OF ______________ AT ____ INTEREST
ACADEMIC YEAR: _______ FOR A TUITION AMOUNT OF ______________ AT ____ INTEREST
ACADEMIC YEAR: _______ FOR A TUITION AMOUNT OF ______________ AT ____ INTEREST
KINDLY FILL IN THE REQUIRED INFORMATION BELOW AND SIGN IN AGREEMENT TO CONTINUE PROGRAMME
APPROVAL FOR ACADEMIC YEAR: ___Current Academic Year__ FOR A TUITION AMOUNT OF ____________________:
LAST NAME:
FIRST NAME:
MIDDLE NAME:
TRN:
Permanent Address:
-
-
Home Telephone:
Cellular Telephone:
E-Mail Address:
Mailing Address if different
from above:
Occupation
Income Per Annum
Place of Employment:
Work Address
Relationship to Applicant
Work Tel.
Work Telephone:
-
Extension:
-
I hereby acknowledge that I have signed for program approval and that by executing this document I am indicating my agreement to
continue to be a Guarantor for the below mentioned beneficiary/applicant for the duration of his/her approved course of study, and for the
duration of the loan contract, subject to the terms and conditions outlined in the Master Agreement.
_______________________________________________
__________________
Guarantor's Signature:
Date:
_______________________________________________
__________________
Witness' Name
Date:
_______________________________________________
__________________
Witness' Signature:
Date:
N.B. Witness can only be an Attorney at law, Justice of the Peace, Medical Practitioner or Employer and should affix their respective
stamp on the form.
For Internal Use Only:
Record Updated by:_____________________________
Signature:___________________
Date:_______________

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