Fillable Student Signature Form 2021/22 (London Institute of Management and Technology)

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Student Signature Form 2021/22 (London Institute of Management and Technology)

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SFW/STSF/2122/A
1
Student Signature Form – 2021/22
Customer Reference Number
Forename(s) Surname
Terms and Conditions
These terms and conditions (“terms”) and applicable legislation apply to all of the student nance
available to students for the academic year 2021/22.
I understand that
I must read the specic terms about the student nance products available because
they will affect me if I apply for them at any time in this academic year.
I understand that my application for student nance may be delayed unless I sign and date
these terms.
Loan Contract
1. I confirm I have read and understood these terms
and A Guide to Terms and Conditions available at
www.studentfinancewales.co.uk/terms-and-
conditions
2. I confirm that to the best of my knowledge and
belief, the information I have provided is true and
complete. If it is not, I understand that I may not
receive student finance, any support I have had
may be withdrawn and I could be prosecuted.
3. I understand that student finance is provided to
me by the Welsh Ministers (the “Lender”) which
includes any persons acting on their behalf and any
replacement(s) under section 23(4) of the Teaching
and Higher Education Act 1998 as amended or
replaced from time to time (the “Act”).
4. I understand these terms, the Act and the
regulations made under section 22 of the Act will
apply to any student finance provided to me by the
Lender.
5. I understand that “student finance” in these terms
means financial support by way of grant(s) and/or
loan(s) made by the Lender under the regulations.
6. I understand that the Student Loans Company
Limited (“SLC”) carries out certain functions on
behalf of the Lender.
My Obligations
7. I understand that if I have:
(i) reached the age of 18 years; and
(ii) have entered into agreement(s) for a loan
under section 22 of the Act before I reached the
age of 18 years,
I am agreeing to “ratify” any and all such student
loans by signing these terms. This means that I
confirm I entered into agreement(s) with the Lender
and agree to the terms of any such previous
agreement(s). If I have reached the age of 18
and refuse to “ratify” any previous agreement(s),
I understand that I will not be eligible to get any
further student finance under the regulations.
8. I agree to give SLC any information they need in
support of this application for student finance and/
or to seek repayment.
9. I agree to tell SLC immediately if my circumstances
change in any way that might affect my entitlement
to student finance. I understand that if I do not do
this I may not get any further payments and I may
have to repay the student finance I have already
received. I agree that from the date I submit
my student finance application until my loan(s),
together with all and any interest, penalties and
charges which apply, is fully repaid I must tell
SLC about any changes in my personal details
(including my National Insurance number) and
contact details I have provided.
10. I agree that if I get an overpayment of student
finance, I need to repay this in full and that any
overpayment may be taken from any future
entitlement to student finance.
11. I agree that I will repay the Lender any loan(s),
together with all and any interest, penalties
and charges which apply. I understand that
this repayment will be due by me to the Lender
as a debt. If I breach any of the terms of my
loan, I agree to pay any charges and penalties
which apply under the Act and the regulations. I
understand that I will repay my loan(s) through the
United Kingdom (“UK”) tax system and/or I may
repay SLC directly. If I live abroad, I will repay my
loan(s) to SLC directly.
2. I agree that any loan(s) made to me in accordance
with the regulations once my application is
accepted by the Lender is a/are contract(s)
SFW/STSF/2122
between me and the Lender. I understand that I am
liable for my loan(s) and will be charged interest from
the first payment of the loan advance by the Lender.
13. I agree to tell SLC if I leave the UK to live outside the
UK or if for any other reason I am outside the UK tax
system for more than three months.
Legal Action and Applicable Law
14. In the event of any legal action, I agree that the laws
of England and Wales will apply and that the courts
of that part of the UK will hear any legal action. If my
address is outside the UK the laws of the part of the
UK where my education provider is situated will apply
and the courts of that part of the UK will hear any
legal action. I agree that the Lender has the right to
take legal action against me in any other court with
jurisdiction.
Sharing Information
15. If I am in breach of these terms and/or the regulations
I agree that the Lender may share information held
about me and my account with third parties, including
the government or a government agency of another
country, who may help to locate me and/or help take
action to recover any payments I owe.
16. I confirm where I have provided any personal
information about any other person in my student
finance application, I have done so with their consent.
17. I understand that SLC will process my personal
data in line with the Privacy Notice available at
www.studentfinancewales.co.uk/privacy-notice
which may be updated from time to time.
Disabled Students’ Allowance (“DSA”)
This section applies if I apply for DSA this academic year.
18. I understand that any equipment I receive through
DSA must be used for my course of study and that I
am responsible for paying any repair costs.
19. I understand that if I consent to SLC sourcing my
equipment and support, SLC can pay the suppliers of
any approved equipment and support directly.
20. I understand that with my consent, SLC can make
payment to the needs assessment centre on my
behalf.
21. I understand that with my consent, SLC can make a
direct payment on my behalf to third parties providing
any other approved service or support to me.
22. If I do not agree to SLC paying the suppliers of
equipment, support or other services on my behalf,
understand that I will be responsible for meeting the
costs of any approved equipment, support or other
services out of my DSA allowance. SLC reserves th
right to request evidence of receipt of equipment,
support or other services in relation to my DSA.
Childcare Grant (“CCG”)
This section applies if I apply for CCG this academic year.
23. I understand that if I do not provide the evidence of
childcare costs within the timescales set, I may lose
my entitlement. If my childcare costs are different
from the estimates I have provided, further payments
of my CCG may increase or decrease accordingly. If
no further CCG payments are due to be paid to me, I
may be liable to repay any difference.
24. I understand that if I do not take up my childcare, or if
I change to a childcare provider who is not registered
or approved, I will have to pay back any overpayment.
25. I confirm that neither I nor my husband, wife, civil
partner or cohabiting partner have chosen to receive
support for childcare from:
(i) the childcare element of Working Tax Credit;
(ii) the childcare element of Universal Credit;
(iii) Tax-Free Childcare; and/or
(iv) the NHS Bursary Childcare Allowance;
and I agree to tell SLC immediately if I or my husband,
wife, civil partner or cohabiting partner does receive
this support. I understand that SLC may share my
personal data with HMRC to check whether I get
childcare support.
Your full name (in BLOCK CAPITALS)
Your signature
Date
Day Month Year
I
e
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Student Signature Form 202122 (London Institute of Management and Technology)

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Completed 14 June 2021

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