Fillable CO2 Part-time students Change of circumstances notication form (Cabinet Office)

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CO2 Part-time students Change of circumstances notication form (Cabinet Office)

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CO2
Part-time students Change of
circumstances notication form
2021/22
Why should I complete this form?
By telling us what has changed, and providing evidence of this change, it allows us to:
• pay you the correct amount of support you are entitled to for the 2021/22 academic year; and
• keep all your personal details up to date.
Which sections should I complete?
Type of circumstance change Sections to be completed
I have changed university or college
Sections 1, 4, 5 and arrange for your
university or college to complete section 6
I have changed my course
(but staying at the same university or college)
Sections 1 and 5 and arrange for your
university or college to complete section 6
I have left my course Sections 1 and 7
My name has changed Sections 1 and 2
My address and contact details have changed Sections 1 and 3
You must remember to sign the Student Declaration on page 7 otherwise your change
of circumstances application may be delayed.
What if my change of circumstance is not detailed on this form?
If your change is not mentioned on the form please note your change on the additional notes
page at the back of the form. If you want to tell us about a change of bank or building society
account details, do not complete this form. Instead call us on 0300 100 0607 with your new
account details.
To nd out how we’ll use the information you provide go to www.gov.uk/studentfinance to read
our Privacy Notice before completing this form.
Alternatively, you may also obtain a copy of the notice by writing to the Company Ltd (SLC) at 100
Bothwell Street, Glasgow, G2 7JD or by calling us on 0300 100 0607.
SFE/CO2/2122/A
2 SFE/CO2/2122
Section 1
Personal details
Customer Reference Number
Title
First name(s)
Surname/family name
Date of birth (DDMMYYYY)
Section 2
Change of name
New title
New rst name(s)
New surname/family name
This icon means that you need to provide appropriate documentary evidence to verify your
change of name (marriage certicate, deed poll, etc).
3
SFE/CO2/2122
Section 3
Change of address and/or contact details
Please provide your new home/term-time address and contact details
Your new home address
Postcode
Your new term-time address
Postcode
Will you be living with your parents at your
new address?
Yes
No
Date your home address will change
Date your term-time address will change
New home telephone number New term-time telephone number
New mobile phone number
New email address
Section 4
Change of university or college
a Please give the name and address of
the university or college you are now
attending
If the university is made up of a number
of colleges, please write the name of
the college first, followed by the name
of the university (e.g. Harfield College,
University of Durham).
Postcode
b Did this change take place after starting
a previous course at another university
or college?
Yes
No
If ‘Yes’ you must ask your new university or college to confirm the change to us as
soon as possible.
Section 5 must also be completed to confirm the course that you will be studying
at your new university or college.
4 SFE/CO2/2122
on or
Section 5
Change of course
a Please give the name of the course
you are taking in 2021/22
(If you started your course before 1st
September 2012 and are following a
combined studies or modular course,
please list all subjects being studied)
b What qualification will you gain at
the end of your course?
(for example, BSC Physics)
If the new course details you give us can’t be confirmed yet, your student funding may be delayed.
c What is your new course start date?
d What is your new course end date?
e How many years does the course
last for?
f What year of the course will you
be studying in the academic year
2021/22?
year
g What is the full tuition fee amount
your university or college will charge
you in the academic year 2021/22?
h What is your new course type?
Part-time
Full-time – is this an accelerated degree course?
Yes
No
i If you are changing to a full-time course
do not complete this question. How
many credits will you be studying in the
academic year 2021/22?
j If you started your course
after 1st September 2012 do not
complete this question. Is your course
a part-time postgraduate Initial
Teacher Training (ITT) course?
Yes
No
£
5
SFE/CO2/2122
Section 6
Your university or college must complete
this section
If you started your original course on or after 1st September 2012 your university or
college don’t need to complete this section. Go to the Student Declaration on page 7.
University or college staff should check the student’s answers to section 4 (if applicable) and
section 5 before completing, signing and stamping this section.
What questions should I complete?
If the person named in section 1 is an undergraduate student, please read and complete
questions ‘a’ and ‘c’.
If the person named in section 1 is a postgraduate student, please read and complete
questions ‘
b’ and ‘c’.
a
Course fee to be charged to the student
for the 2021/22 academic year
SLC or UCAS code for the university or college
I confirm to the best of my knowledge and belief that:
• the student named in section 1 is undertaking the
course named in section 5 a;
• the student intends to complete the following number
of credits, credit points, modules or any other unit
of measure by studying on a part-time (PT) basis in
academic year 2021/22;
Number of
PT units
Unit of measure
(select applicable)
credits modules other
credit points
• the following number of credits, credit points,
modules or any other unit of measure would
comprise the equivalent full-time (FT) course within
one academic year.
Number of
FT units
Unit of measure
(select applicable)
credits modules other
credit points
Intensity of study is calculated by taking the number of part-time units (identified above) the
student intends to study in academic year 2021/22 and dividing it by the number of units
(identified above) that the student would complete in one academic year if the course were
studied on a full-time basis. The result is then expressed as a percentage:
• the intensity of study for this course is
PT Units
FT Units
x 100 =
• the student’s course is designated as eligible for
financial support under Regulation 139 of the
Education (Student Support) Regulations 2011.
• the equivalent full time course would last
Years
• it is possible for the student to complete the course in
no more than twice the length of the time required to
complete the equivalent full-time course.
%
£
6 SFE/CO2/2122
Section 6
Your university or college must complete
this section
b
I confirm to the best of my knowledge and belief that the student named in section 1 is studying
or applying for a course for which they will not receive an award from their institution (not
including any payment from the institution’s hardship fund) to meet the extra course-related
costs they have to pay because of their disability.
c
Your full name
(in BLOCK CAPITALS)
Your position
Your phone number
(including area code)
Your email address
Your signature
Today’s date
University or College Stamp
Section 7
Leaving or suspending study
a Did you start your course?
Yes - have you left your course or suspended
your studies?
I have left my course
I have suspended my studies
No
if no, go straight to the Declaration
b What was the date you left your
course?
c Have you told your university or
college that you have left your course?
Yes
No
d Please provide the reason for leaving
your course
7
SFE/CO2/2122
X
Student Declaration
If you cannot sign the form it must be signed on your behalf by your attorney. The Power of Attorney
letter must besent with the application before a signature from that attorney will be accepted.
• I confirm that to the best of my knowledge and belief, the information I have given on this form is
true and complete and I understand that if I have given SLC false information, or have not given
them complete information, I may not receive financial support, any support I have had may be
withdrawn and I could be prosecuted.
• I agree to give SLC any additional information they require to enable them to process my
application and agree to tell them immediately if my circumstances change in any way that
might affect my entitlement to financial support.
• I understand that if I do not tell SLC about any change in my circumstances, which may affect
my entitlement, I may not be eligible to receive any payments that they have told me about, and
that I may have to repay all or part of the financial support
I have already received in the year.
• I agree that in the event of receiving an overpayment of financial support, I am obligated to
repay this overpayment in full.
Your full name (in BLOCK CAPITALS)
Your signature
Today’s date (DDMMYYYY)
Once you have completed this form, and signed and dated the declaration,
please return it to us at:
Student Finance England
PO Box 210
Darlington
DL1 9HJ
8 SFE/CO2/2122
Additional notes
If you are providing extra information below please clearly mark what section and question the
information is about.
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CO2 Part-time students Change of circumstances notication form (Cabinet Office)

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Completed 21 September 2021

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