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Welsh Government (London Institute of Management and Technology)

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Welsh Government
Learning Grant
Further Education
2021/22
Application Form
We welcome applications in Welsh.
This won’t lead to a delay in our response.
www.studentfinancewales.co.uk/wglgfe
ALG/APP/F/2122/A
2
ALG/APP/F/2122
How to complete this application form
• Follow the instructions, we’ll tell you what questions you need to answer and what ones you can skip.
• You’ll need to have your bank, building society or credit union details to hand.
• Sections 8, 9 and 10 will ask about your household nancial details. Depending on your situation, either:
• you (and your partner, if you have one); or
• you and your parent(s); or
• you, your parent and their partner (if they have one)
will need to complete up to two of these sections. You will all need to have your National Insurance numbers
to hand.
• You need to complete all of the questions you’re asked to. Any missing information will delay your application.
• Where we ask for supporting documents – we will need these before your application can be accepted. Any
missing supporting documents will delay your application.
If your household income is £18,371 or more do not complete this application form – you may not
be eligible for this grant. If you’re an eligible care leaver we won’t need details of your income.
Getting this grant won’t affect any benefits you or your family already receive.
!
Use the notes
i
Where you see this you should check the notes for specic information to help you complete a
question or section.
Where you see this you need to send us supporting documents. Use the notes to nd out exactly
what you need to send. You should send photocopies of your evidence unless otherwise stated. We
will return any original documents.
How we process your data
To nd out more about how your information is used and why, make sure you read our Information Usage
Summary on page 4 of the accompanying notes.
What if I can’t send the documents you need now?
Return your application without them. By doing this we can make a start on your application, but we won’t be
able to pay you until we see the documents we’ve asked for. We’ll write to you to conrm what documents we
still need to see.
2021/22 Calendar for courses with a September start date
May
2021
Application forms available for download from www.studentnancewales.co.uk/wglgfe
June
2021
Return your application with all required evidence before 30 June 2021 to make
sure your grant is agreed and ready for the start of your rst term.
September
2021
Term starts.
May
2022
The nal deadline date for applications for academic year 2021/22 is 31 May 2022 (or 9
months after your course start date). Applications received after this date will not be
accepted.
August
2022
The nal deadline date for sending supporting documentation for academic year 2021/22
is 31 August 2022 (or 12 months after your course start date). If you don’t submit your
documents before this date your application will be rejected.
2
ALG/APP/F/2122
3
-
-
Section 1 Declarations and consent
1.1 Tick the statement that applies to you and follow the instruction.
By authorised third party we mean someone who is authorised to act and/or receive payments on the student’s behalf. Evidence is
required such as documentation from a Local Authority or a Power of Attorney.
I am the student completing this form myself
Complete the Student Declaration
below.
I am an authorised third party who is both:
• completing this form on behalf of the student
because they are unable to and
• I am authorised to hold funds on behalf of
the student.
Complete the Third Party Declaration A
on page 4.
I am an authorised third party who is only:
• completing this form on behalf of the student
because they are unable to
Complete the Third Party Declaration B
on page 4.
I am an authorised third party who is only:
• authorised to hold funds on behalf of the student.
Complete the Third Party Declaration C
on page 4.
Student Declaration
i
By signing this agreement you are confirming that:
• the information you will give on this form is correct and complete to the best of your knowledge and belief;
• you will submit supporting evidence in accordance with the accompanying notes;
• you understand that if you have provided details of your UK passport, SLC will verify those details with HM
Passport Office;
• you understand that any attempt to dishonestly obtain this grant shall be treated as fraud and may result in
criminal and/or civil proceedings against you; and
• where you have provided any personal information in relation to a third party, you have informed them of this.
Student full name (in BLOCK CAPITALS)
Today’s date
Day Month Year
Student signature
Now go to Consent
to share below
Consent to share
Important information if you live with your parent(s) or a partner:
It is important that we know if you will let us talk about your application and award with your parent(s) or
partner. We can’t give out information about your application or award to anyone without your consent.
• I consent to the Welsh Government Learning Grant for Further Education customer services team
providing details of the progress of my application and award to the person named as
parent 1 in section 10 of this application form.
Yes
No
and (if applicable)
• I consent to the Welsh Government Learning Grant for Further Education customer services team
providing details of the progress of my application and award to the person named as
parent 2/student’s partner in section 10 of this application form.
Yes
No
Now go to Section 2
4
ALG/APP/F/2122
Section 1 Declarations and consent (continued)
-
-
Third Party Declaration A
By signing this agreement you are confirming that:
• the information you will give on this form is correct and complete to the best of your knowledge and belief;
• you will submit supporting evidence in accordance with the accompanying notes;
• you are authorised to act on the student’s behalf and have enclosed evidence to prove this;
• the student named in Section 2 is unable to have a bank, building society or credit union account in his/
her own name;
• you will provide correct bank, building society or credit union details in your own name;
• you are authorised to hold funds on the student’s behalf and have enclosed evidence to prove this;
• you will use any grant payments made as a result of this application in accordance with the student’s
instructions; and
• you have read and understood these statements.
Authorised third party full name (in BLOCK CAPITALS)
Today’s date
Day Month Year
Authorised third party signature
Now go to 1.2
Third Party Declaration B
By signing this agreement you confirm that:
• the information you will give on this form is correct and complete to the best of your knowledge and belief;
• you will submit supporting evidence in accordance with the accompanying notes;
• you are authorised to act on the student’s behalf and have enclosed evidence to prove this; and
• you have read and understood these statements.
Authorised third party full name (in BLOCK CAPITALS)
Today’s date
Day Month Year
Authorised third party signature
Now go to 1.2
Third Party Declaration C
By signing this agreement you confirm that:
• the student named in Section 2 is unable to have a bank, building society or credit union account in his/her
own name;
• you will provide correct bank, building society or credit union details in your own name, are authorised to
hold funds on the student’s behalf and have enclosed evidence to prove this;
• you will use any grant payments made as a result of this application in accordance with the student’s
instructions; and
•
you have read and understood these statements.
Authorised third party full name (in BLOCK CAPITALS)
Today’s date
Day Month Year
Authorised third party signature
Now go to 1.2
ALG/APP/F/2122
5
1.2
i
Third party details
You need to send supporting documents to
prove your authorisation, read the notes to
find out what you need to send.
Section 1 Declarations and consent (continued)
You must contact us if the student’s contact details
change or if the student’s nominated third party’s
details change during the academic year.
All correspondence will continue to be addressed
directly to the applicant.
Forename(s)
Surname
Home address
Postcode
Home phone number
Mobile phone number
Email address
ALG/APP/F/2122
6
/
-
-
Section 2 Student’s details
2.1 Have you had Education Maintenance
Allowance (EMA) in the past? No
Yes
2.2 Have you received the Welsh
Government Learning Grant Further
Education in the past?
This grant was also previously known as the
Assembly Learning Grant Further Education,
if you received this grant under either name
answer ‘Yes’.
No
Yes – for what academic year did you receive
this grant?
Year Year
What course were you studying at the time?
For example NVQ1 Business Studies
2.3 Customer Reference Number
(If you don’t have one yet, leave this blank.)
2.4 Personal details
Complete these details exactly as stated on your
birth certificate, passport or deed poll.
If any of your details change during the year you
need to let us know.
You need to send evidence of your
identity, such as your original birth
certificate. Read the notes for a full list of
what you can send.
Title
Mr
Mrs Miss Other
Forename(s)
Surname
Gender
Male
Female
Date of birth
Day Month Year
Place of birth
(the name of the town or village)
2.5 What language would you like us to use when
we communicate with you? English Welsh
ALG/APP/F/2122
7
Section 2 Student’s details (continued)
2.6 Contact details
You need to send evidence, such as
a photocopy of your household gas or
electricity bill. Read the notes for a full list
of what you can send.
The proof can be in your parent’s/partner’s name.
Home address
Postcode
Home phone number
Mobile phone number
(we may contact you by text message)
Email address
2.7 What was the name of the student’s
first school?
If you ever need to call us we’ll ask you for the
answer you give to this question as a security check, you
need to remember the answer you give!
2.8 What is your marital status?
Tick the box that best describes your status.
I’m single.
I’m separated.
You need to send supporting documents, read the
notes to see what to send.
I’m divorced.
You need to send supporting documents, read the
notes to see what to send.
My civil partnership has been dissolved.
You need to send supporting documents, read the
notes to see what to send.
I’m a widow/surviving civil partner.
I’m married.
You need to send supporting documents, read the
notes to see what to send.
I’m in a civil partnership.
You need to send supporting documents, read the
notes to see what to send.
I’m living with a partner
.
ALG/APP/F/2122
8
- -
- -
Section 3 Your payment details
3.1 Are you completing this section as
an authorised third party who will
hold the student’s grant payments on
their behalf?
No – I am the student – go to 3.2
Yes – go to 3.3
By authorised third party we mean someone
who is authorised to act and/or receive
payments on the student’s behalf. Evidence
is required such as documentation from a
Local Authority or a Power of Attorney.
3.2 Student payment details
This account must be in your name and be
able to accept direct credits.
You must provide your details in full or we
won’t be able to pay you.
Account holder’s name (student)
Sort code
Account number
Building society roll/credit union membership number
(if applicable)
Now go to Section 4
3.3 Third party payment details
This account must be able to accept direct
credits.
You must provide your details in full or we
won’t be able to pay you.
Account holder’s name (third party)
Sort code
Account number
Building society roll/credit union membership number
(if applicable)
Now go to Section 4
ALG/APP/F/2122
9
-
-
Section 4 Student’s school or college details
4.1 School or college details
If you don’t know where you’ll study, give details
of the school or college you want to attend.
If these details change you must let us know as
soon as possible and no later than before the start
of your first term.
Name of school or college
Campus
(if applicable)
School or college address
Postcode
4.2 Course details
i
If you’re unsure, you can ask your school or
college.
Course name
Level of course
(for example: GCSE, NVQ1, A Level)
4.3 When does your course start?
Month Year
4.4 When does your course end?
Month Year
4.5 Will you get an allowance for the
course you’re about to study?
For example: Education Maintenance
Allowance or Work Based Learning Allowance.
No – go to Section 5
Yes – you are not eligible for this grant. Do not
continue with this application.
i
ALG/APP/F/2122
10
Section 5 Student’s nationality and residency details
5.1 Are you a UK national?
The easiest way for you to verify your identity is to
provide your UK passport details. This means you do
not need to send us your passport.
Your passport must be currently valid and not expired.
We will share the passport details you give us with
HM Passport Office so that we can verify your identity.
No – go to 5.2
Yes – do you hold a valid UK passport?
No – you need to send supporting
documents. Read the notes to see
what you need to send then go to 6.1
Yes – enter these details exactly as
stated on your passport
Passport number
Date of issue
Day Month Year
UK passport expired?
If your UK passport has expired we can’t accept
this information as proof of your identity. You’ll
have to send alternative evidence as set out in the
accompanying notes.
Date of expiry
Day Month Year
Forename(s)
Surname
Now continue to 6.1
5.2 Are you an Irish citizen?
No – go to 5.3
Yes – Have you been ordinarily resident in the UK
and Islands for the three years prior to the rst
day of the rst academic year of your course?
No – go to 5.3
Yes – you need to send supporting
documents. Read the notes to see
what you need to send then go to 6.1
5.3 Are you the family member of a
UK national?
No – go to 5.5
Yes – go to 5.4
ALG/APP/F/2122
11
Section 5 Student’s nationality and residency details
(continued)
5.4 Have both you and your UK national family
member been ordinarily resident in the
UK, EEA, Switzerland and Gibraltar for the
three years prior to the first day of the first
academic year of your course?
No – go to 5.5
Yes – Were both you and your UK national family
member:
• living in the UK on 31 December 2020,
after moving to the UK from the EEA or
Switzerland on or after 1 January 2018; or
• living in the EEA or Switzerland on
31 December 2020?
No – go to 5.5
Yes – you need to send supporting
documents. Read the notes to see
what you need to send then go to 6.1
5.5 Have you have been granted Settled
status or Pre-settled status under the EU
Settlement Scheme?
No – go to 5.6
Yes – I have been granted settled status
Have you been living in the UK and Islands
for the three years prior to the rst day of the
rst academic year of your course?
No – go to 5.6
Yes – Please provide your
Home Oce share code:
go to 6.1
Yes – I have been granted pre-settled status
Are you an EU national and you have
been living in the UK and Islands for the
three years prior to the rst day of the rst
academic year of your course?
No – go to 5.6
Yes – please provide your:
Expiry date for Pre-settled status
Day Month Year
Home Oce share code
go to 6.1
ALG/APP/F/2122
12
Section 5 Student’s nationality and residency details
(continued)
5.6 Are you the child of a Swiss national and
both you and your parent/step-parent
have been granted a status under the EU
Settlement Scheme?
No – go to 5.7
Yes – Have you been ordinarily resident in the
UK, EEA, Switzerland and Gibraltar for the
three years prior to the rst day of the rst
academic year of your course?
No – go to 5.7
Yes – Please provide your parent or
step-parent’s:
Date of birth
Day Month Year
Expiry date for Pre-settled status
- if applicable
Day Month Year
Home Oce share code
Please provide your:
Expiry date for Pre-settled status
- if applicable
Day Month Year
Home Oce share code
go to 6.1
5.7 Are you or your:
• husband, wife, civil partner; or
• parent(s), step-parent; or
• child, step-child
an EEA or Swiss national who is working,
has worked or is looking for work in the
UK?
*If you or a family member has a Frontier worker
permit see notes now
No – go to 5.8
Yes – Have you been ordinarily resident in the
UK, EEA, Switzerland, and Gibraltar for the
three years prior to the rst day of the rst
academic year of your course?
No – go to 5.8
Yes – Is the person who is working, has
worked or is looking for work in
the UK:
You – go to 5.7a
Your family member – go
to 5.7b
ALG/APP/F/2122
13
Section 5 Student’s nationality and residency details
(continued)
5.7a I am working, have worked or am looking
for work
Provide details - You should also provide details of your
previous study.
If you are currently working will you continue to work
during your studies? If yes give details.
Expiry date for Pre-settled status
Day Month Year
Home Oce share code
now go to 6.1
5.7b My family member is working, has worked
or is looking for work and is my:
* Note you don’t need to provide a sharecode if you or
your family member has a Frontier Worker permit
husband/wife/civil Partner
parent(s)/step-parent(s)
child or step-child
Provide details of their employment
If they are currently working will they continue to work
during your studies? If yes, give details of employment.
Please provide your:
Expiry date for Pre-settled status
Day Month Year
Home Oce share code
Please provide your family member’s:
Date of birth
Day Month Year
Status expiry
Day Month Year
Home Oce share code
now go to 6.1
ALG/APP/F/2122
14
Section 5 Student’s nationality and residency details
(continued)
5.8 Do you have “settled status” in the UK?
By “settled status” we mean:
• you have been granted indefinite leave to
remain; or
• you have a right of abode in the UK.
No – go to 5.9
Yes – Date granted status
Day Month Year
Have you been ordinarily resident in the UK
and Islands for three years prior to the rst
day of the rst academic year of your course?
No – you need to send supporting
documents. Please check “Break in
residency” on page 7 of the notes,
then go to 6.1
Yes – you need to send supporting
documents. Read the notes to
see what you need to send and
then go to 6.1
5.9 Have you or a family member been
granted Discretionary leave as a result of
a failed asylum application?
No – go to 5.10
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.10 Have you or a family member been
granted Discretionary leave (where no
application for asylum has been made)?
No – go to 5.11
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
ALG/APP/F/2122
15
Section 5 Student’s nationality and residency details
(continued)
5.11 Have you or a family member been granted
leave to remain in the UK on the grounds
of family life?
No – go to 5.12
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.12 Have you or a family member been granted
leave to remain in the UK on the grounds
of private life?
No – go to 5.13
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.13 Have you or a family member been
granted leave to remain outside the
immigration rules?
No – go to 5.14
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
ALG/APP/F/2122
16
Section 5 Student’s nationality and residency details
(continued)
5.14 Have you or a family member been granted
‘Leave to Remain’ as a Stateless Person?
No – go to 5.15
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.15 Have you or a family member been granted
Refugee Status?
No – go to 5.16
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.16 Have you or a family member been granted
Humanitarian Protection?
No – go to 5.17
Yes – Home Oce reference number
Date latest status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
ALG/APP/F/2122
17
Section 5 Student’s nationality and residency details
(continued)
5.17 Are you the child of a Turkish Worker who
is working in the UK?
No – go to 5.18
Yes – has your Turkish worker parent/step-parent
been granted extended Leave to remain by
the Home Oce?
No – go to 5.18
Yes – Were you and your Turkish
worker parent/ step-parent
living in the UK by the 31st of
December 2020?
No – go to 5.18
Yes – Have you been
ordinarily resident in
the UK, EEA, Turkey,
Switzerland and
Gibraltar for the three
years prior to the rst
day of the rst academic
year of your course?
No – go to 5.18
Yes –go to 6.2
5.18 Have you been granted ‘leave to
remain’ in the UK under section 67 of
the Immigration Act 2016 or are you the
dependent child of someone who has?
No – go to 5.19
Yes – Home Oce reference number
Date status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
ALG/APP/F/2122
18
Section 5 Student’s nationality and residency details
(continued)
5.19 Have you been granted ‘Calais leave’ in
the UK or are you the dependent child of
someone who has?
No – go to 5.20
Yes – Home Oce reference number
Date status granted
Day Month Year
Date this status is due to expire
Day Month Year
Have you lived outside the UK and Islands
since your latest status was granted?
No – go to Section 7
Yes – go to 6.2
5.20 Have you been granted ‘leave to remain’ in
the UK as the victim of domestic violence
or abuse or are you the dependent child of
someone who has?
No – go to 5.21
Yes – Home Oce reference number
Date status granted
Day Month Year
Date this status is due to expire
Day Month Year
Now go to Section 7
5.21 Have you been granted ‘leave to remain’
as a person who has been a bereaved
partner or are you the dependent child of
someone who has?
No – go to 5.22
Yes – Home Oce reference number
Date status granted
Day Month Year
Date this status is due to expire
Day Month Year
Now go to Section 7
ALG/APP/F/2122
19
Section 5 Student’s nationality and residency details
(continued)
5.22 Tick the box which applies to you
I have answered ‘Yes’ to at least one question in
this section.
You need to go back to the question you answered
‘Yes’ to and follow the instruction given there.
I have answered ‘No’ to all the questions in this
section.
If you think you may be eligible but have answered
‘No’ to all the questions, please contact our helpline
on 0300 200 4050.
ALG/APP/F/2122
20
Section 6 Student’s residence history
6.1 Tell us your address details for the last
three years before the start of the first
academic year of your course.
If you need more space, you can attach additional
pieces of paper to this form.
Now go to Section 7
Home address
Postcode
From
Day Month Year
To
Day Month Year
Why were you there?
Home address
Postcode
From
Day Month Year
To
Day Month Year
Why were you there?
ALG/APP/F/2122
21
Section 6 Student’s residence history (continued)
6.2 Give details of your residency from the
date you received your last status from the
Home Office.
NOTE
If you have been granted:
• ‘indefinite leave to remain’ as the victim
of domestic violence or abuse;
or
• ‘indefinite leave to remain’ as a person
who has been a bereaved partner
Only provide address history from when
you received the status. You only need
to provide up to a maximum of 3 years
information.
Now go to Section 7
Home address
Postcode
From
Day Month Year
To
Day Month Year
Why were you there?
Home address
Postcode
From
Day Month Year
To
Day Month Year
Why were you there?
ALG/APP/F/2122
22
Section 7 Student’s independence details
7.1 Tick one of the following statements
that will apply to you on the first day
of the first academic year of your
course
I’ll be aged 25 or over – go to 7.2
I’ll be responsible for a child – go to 7.2
I’ll have financially supported myself for 3 years or
more (this does not have to be 3 consecutive years) – go to 7.2
I have not lived in the legal care of my parents for a
combined total of at least 13 weeks before turning 25 (you
need to send supporting documents, read the notes to see what you
need to send) – then go to Section 12
i
I’ll be, or will have been, married or in a civil
partnership – go to 7.2
I will have been estranged from both my parents
for more than 12 months – go to 7.2
Both my parents are deceased – go to 7.2
None of the above – go to 7.3
7.2 If you ticked any of the above.
You need to send supporting documents to prove the statement ticked. Read the notes indicated above
to see what you need to send.
You are an independent student, go to Section 8.
7.3 If you ticked none of the above.
You are a dependent student. You need to complete Section 9 and your parent(s) need(s) to complete
Section 10.
ALG/APP/F/2122
23
£
£
£
£
£
£
Section 8 Independent student nancial details
Who completes this section?
Only complete this section if you’ve been instructed to do so at 7.2.
The higher income from you or your partner (if applicable) will be used to assess your entitlement.
Part A
Household income for tax year 2021-22
You must provide estimates of your expected income for tax year 2021-22 (6 April 2021 to 5 April 2022).
How to complete Part A
• Give an estimate for each income type listed below.
• If you don’t receive a specic type of income listed in a question, write ‘n/a’.
•
Estimates are for the tax year starting 6 April 2021 and ending 5 April
2022.
• If you leave any question blank in Part A we will not be able to process this application.
8.1 Do you currently receive Income
Support or income-related
Employment and Support Allowance?
No
Yes
8.2 Do you currently receive Universal
Credit?
No
Yes
8.3 Income from gross salary and wages?
8.4 Income from self-employment?
8.5 Income from taxable state benefits?
8.6 Taxable income from any other
source?
Specify each source below.
ALG/APP/F/2122
24
Section 8 Independent student nancial details
(continued)
Part B
Household deductions
How to complete Part B
• Give an estimate for each deduction type listed below.
• If you don’t receive a specic type of deduction listed in a question, write ‘n/a’.
• Estimates for the tax year starting 6 April 2021 and ending 5 April 2022.
• If you leave any question blank in Part B we will not be able to process this application.
8.7 Deductions towards private pension
contributions
Don’t include any payments to a workplace pension.
£
8.8 Deductions towards Additional Voluntary
Contributions (AVCs)
£
8.9 Deductions towards wages for
domestic help due to incapacity
£
8.10 Deductions towards any other
employment related expenses
£
8.11 Do you have a partner?
By partner we mean your wife, husband, civil
partner or cohabiting partner.
No – go to Section 12 to nalise your application.
Yes – your partner needs to complete Section 10
and Section 11, then you need to complete
Section 12 to nalise your application.
ALG/APP/F/2122
25
-
-
Section 9 Dependent student nancial details
Who completes this section?
Only complete this section if you’ve been instructed to do so at 7.3.
i
Data Sharing
We will share and check the details you give us with HM Revenue & Customs, allowing us to gain the
most accurate information possible. This can only be done if you have a valid National Insurance (NI)
number. This information will be used to work out if you are eligible to get Welsh Government Learning
Grant Further Education (WGLG FE) based on household income. To nd out more about how your
information is used and why, make sure you read our Information Usage Summary on page 4 of the
accompanying notes.
You can get up to £1,500 for a full-time course or up to £750 for a part-time course, depending on the
household income. The higher income from you or your parent(s) will be used to assess your entitlement.
Annual household income Part-time (275 – 499 hours) Full-time (500+ hours)
Up to £6,120 £750 £1,500
£6,121 – £12,235 £450 £750
£12,236 – £18,370 £300 £450
£18,371 and above £0 £0
Part A
Financial information for tax year 2019-20
How to complete Part A
• Answer every question.
• Where you answer ‘Yes’ to a question you must
give gross income amounts.
• Any amounts given must be for the tax year
starting 6 April 2019 and ending 5 April 2020.
• If you leave any question blank in Part A we will
not be able to process this application.
• If you don’t receive a specific type of income
listed in a question, write ‘n/a’.
Do I need to send any evidence of financial
details with this application?
No, you don’t need to send any evidence of your
financial details now, but we may write out to
request this at a later date.
What if my income has dropped since 2019-20?
If your household income has permanently
changed since tax year 2019-20, refer to page
23 of the notes for more information.
If you’re self assessed – read page 23 of the notes for more information.
If you’re not self assessed – you can use your P60 to complete this section.
9.1 NI number
9.2 Were you in receipt of Income Support
or Income-related Employment and
Support Allowance?
Yes
No
9.3 Were you in receipt of Universal Credit?
Yes
No
ALG/APP/F/2122
26
Section 9 Dependent student nancial details
(continued)
£
£
£
£
£
£
£
£
£
£
£
9.4 Did you receive any income from salary,
wages, taxable state benefits or from
occupational or private pensions? Yes – give details
No – go to 9.5
i
Total income from salary/wages
i
Total income from taxable state benefits
Total income from occupational pension(s)
If you receive a lump sum pension, only declare the
amount you received that you paid tax on.
Total income from private pension(s)
If you receive a lump sum pension, only declare the
amount you received that you paid tax on.
9.5 Did you receive any income from a state
retirement pension?
Yes – give details No – go to 9.6
Total non-lump sum amount received
Total lump sum amount received
9.6 Did you receive any income from savings
and investments?
Yes – give details No – go to 9.7
i
i
Total interest from UK banks, building
societies and unit trusts
i
Total income from UK life insurance gains,
securities and partnerships
i
Total income from UK investments and
dividends
i
Total income from foreign investment and
dividends
9.7
i
Did you receive any taxable benefits
in kind?
Yes – give details No – go to 9.8
Total income from taxable benefits in kind
9.8 Did you receive
any other income during
tax year 2019-20 that you
have not told
us about in Part A?
Yes – go to Part B No – go to
Section 10
ALG/APP/F/2122
27
£
£
£
£
Section 9 Dependent student nancial details
(continued)
£
£
Part B
Any other income
How to complete Part B
• Answer every question.
• Where you answer ‘Yes’ to a question you must give gross income amounts.
• Any amounts given must be for the tax year starting 6 April 2019 and ending 5 April 2020.
• If you leave any question blank we will not be able to process this application.
• If you don’t receive a specific type of income listed in a question, write ‘n/a’.
9.9 Did you receive any income from
self-employment?
i
Yes – give details No – go to 9.10
i
Total taxable profit from businesses
i
Total taxable profit from partnerships
9.10 Did you receive any income as a
Minister of religion?
Yes – give details No – go to 9.11
i
Total taxable income minus expenses
that are not included on your P60 or P11D
9.11 Did you receive any other taxable
income or lump sums?
i
Yes – give details No – go to 9.12
Total income received
9.12
i
Did you receive any income from
property lettings?
Yes – give details No – go to 9.13
Total income received
9.13
i
Did you receive any income from
UK trusts?
Yes – give details No – go to 9.14
Total income received
ALG/APP/F/2122
28
£
9.14
i
Did you receive any foreign income?
Yes – give details No – go to 9.15
£
Total income received
9.15
i
Did you receive any income from an
overseas pension?
Yes – give details No – go to 9.16
Total income received
£
9.16
i
Did you receive any other overseas
income and gains?
Yes – give details No – go to
Section 10
Total income received
– go to Section 10
Section 9 Dependent student nancial details
(continued)
ALG/APP/F/2122
29
-
-
-
-
-
-
-
-
Section 10 Parent(s)/Partner nancial details
How to complete this section
If you’re a single parent of the student.
Enter your information as Parent 1, leave Parent 2/student’s partner blank.
If there are two parents in the student’s household.
Complete this section with information for both Parent 1 and Parent 2/student’s partner. Remember to
complete the ‘Relationship to student’ box.
If you’re the student’s partner.
Enter your information as Parent 2/student’s partner. Remember to complete the ‘Relationship to student’
box, leave Parent 1 blank. Read page 23 of the notes for more information.
i
If you’re self assessed – read page 23 of the notes for more information.
i
If you’re not self assessed – you can use your P60 to complete this section.
Data Sharing
i
We will share and check the details you give us with HM Revenue & Customs, allowing us to gain the
most accurate information possible. This can only be done if you have a valid National Insurance (NI)
number. This information will be used to work out if the student is eligible to get Welsh Government
Learning Grant Further Education (WGLG FE) based on household income. To nd out more about how
your information is used and why, make sure you read our Information Usage Summary on page 4 of
the accompanying notes.
The student can get up to £1,500 for a full-time course or up to £750 for a part-time course, depending on the
household income. The higher income from both parents or the student will be used to assess the student’s
entitlement.
Annual household income Part-time (275 – 499 hours) Full-time (500+ hours)
Up to £6,120 £750 £1,500
£6,121 – £12,235 £450 £750
£12,236 – £18,370 £300 £450
£18,371 and above £0 £0
Personal details
Parent 1
Relationship to student
Forename
Surname
National Insurance number
Date of birth
Day Month Year
go to Part A
Parent 2/student’s partner
Relationship to student
Forename
Surname
National Insurance number
Date of birth
Day Month Year
go to Part A
ALG/APP/F/2122
30
Section 10 Parent(s)/Partner nancial details
(continued)
£
£
££
££
£
£
Part A
Financial information for tax year 2019-20
How to complete Part A
• Answer every question.
• Where you answer ‘Yes’ to a question you must
give
gross
income amounts.
• Any amounts given must be for the tax year
starting
6 April 2019
and ending 5 April 2020.
• If you leave any question blank in Part A
we will
not be able to process this application.
• If you don’t receive a specific type of income
listed in a question, write ‘n/a’.
Do I need to send any evidence of financial
details with this application?
No, you don’t need to send any evidence of your
financial details now, but we may write out to
request this at a later date.
What if my income has dropped since
2019-20?
i
If your household income has permanently
changed since tax year 2019-20, you’ll need to
send evidence, refer to page 23 of the notes
for more information.
10.1 Were you in receipt of Income
Support or Income-related
Employment and Support Allowance?
Parent 1
Tax year 2019-20
No
Yes
Parent 2/student’s partner
Tax year 2019-20
No
Yes
10.2 Were you in receipt of Universal
Credit?
Tax year 2019-20
No
Yes
Tax year 2019-20
No
Yes
10.3 Did you receive any income from
salary, wages, taxable state benefits
or from occupational or private
pensions?
Tax year 2019-20
No – go to 10.4
Yes – give details
Tax year 2019-20
No – go to 10.4
Yes – give details
i
Total income from salary/wages
i
Total income from taxable state
benefits
Total income from occupational
pension(s)
If you receive a lump sum pension, only
declare the amount you received that you paid
tax on.
Total income from private pension(s)
If you receive a lump sum pension, only
declare the amount you received that you paid
tax on.
ALG/APP/F/2122
31
Section 10 Parent(s)/Partner nancial details
(continued)
£
£
£
£
£
£
£
£
£ £
£
£
£
£
10.4 Did you receive any income from
a state retirement pension?
Parent 1
Tax year 2019-20
No – go to 10.5
Yes – give details
Parent 2/student’s partner
Tax year 2019-20
No – go to 10.5
Yes – give details
Total lump sum amount received
Total non-lump sum amount received
10.5
i
Did you receive any income from
savings and investments?
Tax year 2019-20
No – go to 10.6
Yes – give details
Tax year 2019-20
No – go to 10.6
Yes – give details
Total interest from UK banks, building
societies and unit trusts
i
Total income from UK life insurance
gains, securities and partnerships
i
i
Total income from UK investments
and dividends
i
Total income from foreign investment
and dividends
10.6 Did you receive any taxable
benefits in kind?
i
Tax year 2019-20
No – go to 10.7
Yes – give details
Tax year 2019-20
No – go to 10.7
Yes – give details
Total income from taxable benefits
in kind
10.7 Did you receive any other income
during tax year 2019-20 that you
have not told us about in Part A?
Tax year 2019-20
No – go to Part C
Yes – go to Part B
Tax year 2019-20
No – go to Part C
Yes – go to Part B
ALG/APP/F/2122
32
£
£
£
£
££
£
£
£
£
Section 10 Parent(s)/Partner nancial details
(continued)
Part B
Any other income
How to complete Part B
• Answer every question.
• Where you answer ‘Yes’ to a question you must give gross income amounts.
• Any amounts given must be for the tax year starting 6 April 2019 and ending 5 April 2020.
• If you leave any question blank we will not be able to process this application.
• If you don’t receive a specic type of income listed in a question, write ‘n/a’.
10.8
i
Did you receive any income from
self-employment?
Parent 1
Tax year 2019-20
No – go to 10.9
Yes – give details
Parent 2/student’s partner
Tax year 2019-20
No – go to 10.9
Yes – give details
i
Total adjusted profit from businesses
i
Total adjusted profit from partnerships
10.9 Did you receive any income as a
Minister of religion?
Tax year 2019-20
No – go to 10.10
Yes – give details
Tax year 2019-20
No – go to 10.10
Yes – give details
i
Total taxable income minus
expenses that are not included on
your P60 or P11D
10.10
i
Did you receive any other taxable
income or lump sums?
Tax year 2019-20
No – go to 10.11
Yes – give details
Tax year 2019-20
No – go to 10.11
Yes – give details
Total income received
10.11
i
Did you receive any income from
property lettings?
Tax year 2019-20
No – go to 10.12
Yes – give details
Tax year 2019-20
No – go to 10.12
Yes – give details
Total income received
ALG/APP/F/2122
33
£
£
£
£
£
£
£
£
Section 10 Parent(s)/Partner nancial details
(continued)
10.12
i
Did you receive any income from
UK trusts?
Parent 1
Tax year 2019-20
No – go to 10.13
Yes – give details
Parent 2/student’s partner
Tax year 2019-20
No – go to 10.13
Yes – give details
Total income received
10.13
i
Did you receive any foreign
income?
Tax year 2019-20
No – go to 10.14
Yes – give details
Tax year 2019-20
No – go to 10.14
Yes – give details
Total income received
10.14
i
Did you receive any income from
an overseas pension?
Tax year 2019-20
No – go to 10.15
Yes – give details
Tax year 2019-20
No – go to 10.15
Yes – give details
Total income received
10.15
i
Did you receive any other
overseas income and gains?
Tax year 2019-20
No – go to Part C
Yes – give details
Tax year 2019-20
No – go to Part C
Yes – give details
Total income received
go to Part C go to Part C
ALG/APP/F/2122
34
£ £
£ £
£ £
Section 10 Parent(s)/Partner nancial details
(continued)
Part C
Income deductions
How to complete Part C
• Answer every question.
• Where you answer ‘Yes’ to a question you must give gross deduction amounts.
• Any amounts given must be for the tax year starting 6 April 2019 and ending 5 April 2020.
• If you leave any question blank in Part C we will not be able to process this application.
• If you don’t receive a specic type of deduction listed in a question, write ‘n/a’.
10.16 Did you pay any private pension
contributions?
Don’t include any payments to a
workplace pension.
Parent 1
Tax year 2019-20
No – go to 10.17
Yes – give details
Parent 2/student’s partner
Tax year 2019-20
No – go to 10.17
Yes – give details
Total amount you paid
10.17 Did you pay any Additional
Voluntary Contributions (AVCs)?
Tax year 2019-20
No – go to 10.18
Yes – give details
Tax year 2019-20
No – go to 10.18
Yes – give details
Total amount you paid
10.18
i
Did you have any allowable
expenses on which you claimed
tax relief?
Tax year 2019-20
No – go to Section 11
Yes – give details
Tax year 2019-20
No – go to Section 11
Yes – give details
Total amount on which you
claimed tax relief
go to Section 11 go to Section 11
ALG/APP/F/2122
35
,
-
-
-
-
Section 11 Parent(s)/partner’s declaration
How to complete this section
If you’re a single parent of the student
Read and understand the declaration below then sign and date as Parent 1, leave Parent 2/student’s
partner blank.
If there are two parents, or one parent and their partner, in the student’s household
Read and understand the declaration below then sign and date both Parent 1 and Parent 2/student’s
partner. Your partner should complete the declaration for Parent 2.
If you’re the partner of the student
You need to read and understand the declaration below then sign and date as Parent 2/student’s partner
leave Parent 1 blank.
Parent/Partner declaration
By signing and dating this declaration you confirm that:
• the information given on this form is correct and complete to the best of your knowledge and belief;
• you understand that any attempt to dishonestly obtain this grant shall be treated as fraud and may result in
criminal and/or civil proceedings against you; and
• you have read and understood these statements.
Parent 1
Full name (in BLOCK CAPITALS)
Signature
Today’s date
Day Month Year
Parent 2/student’s partner
Full name (in BLOCK CAPITALS)
Signature
Today’s date
Day Month Year
ALG/APP/F/2122
36
Section 12 Finalising your application
!
This must be completed by the student
12.1 Have you signed and dated your
declaration in Section 1?
No – you must sign the declaration, we can’t
process your application without it.
Yes
12.2 Have you answered all the questions
that apply to you?
No – if you don’t complete a section or question
you’ve been asked to, this could delay your
grant payments.
Yes
12.3 Have you, your parent(s), your parent
and their partner, or your partner
completed Sections 8, 9, 10 and 11?
Remember – Section 7 told you if you
needed to do this or not.
No – if you have been instructed that these sections
are to be completed, and you forget to do this, it
will delay any grant payments you could get.
Yes
12.4 Have you included all the supporting
documents we’ve asked for?
All students need to send documents for
Sections 2 and 5, and some students
will need to send further documents for
Section 7.
Check to make sure you have all the right
documents to support your application.
No – if there’s some supporting documents you
can’t give us right now, you can send your
application back without them.
This means we can make a start on your
application and we’ll contact you for the
remaining documents later but we won’t be
able to confirm if you can get grant payments
until you’ve sent all your documents.
Yes – read the ‘3 things to remember’ information
on the next page before returning your
application form.
ALG/APP/F/2122
37
3 things to remember
1 Get paid on time!
Send us your completed application form as soon as you can and as far in advance of
your course start date as possible so that there is plenty of time for us to contact you
to finalise your grant application before you start your studies.
Don’t worry if you don’t have all your supporting documentation right now, still send
us your completed form so we can start to process it. Just send in your documents as
soon as you can after this in order to avoid any delay.
Make sure you send us your completed application form with all appropriate evidence
by 30th June 2021 at the latest if you want to have your grant application assessed
and ready for the start of your course.
2 Check the postage
Make sure that you’ve included all evidence with your completed application, had it
weighed and paid the correct postage costs.
Remember to ask for proof of postage!
3 Send the form
Return your completed form and supporting evidence to the address below:
Student Finance Wales
FE Customer Services
PO Box 5597
Glasgow
G52 9BS
ALG/APP/F/2122
38
Condential
Equal opportunities questionnaire
How to complete this section
The following questions are voluntary – you do not have to answer them. Whether you answer them or
not will not affect your application for this grant. If you do answer, the information may be used to help the
Welsh Government develop its policies in the future.
1 Do you consider yourself to have a disability? Yes No
2 What do you consider your nationality identity to be?
(Choose as many or as few as apply.)
Welsh
British
Irish
Scottish
English
Other
3 Choose ONE section from A to E, then tick the
appropriate box to indicate your ethnic group.
A
White
British
Any other white background
B Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
C Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background
D Black or Black British
Caribbean
African
Any other black background
E Chinese or other ethnic group
Chinese
Any other
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Completed 31 January 2022

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