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Anniversary Towers 18th Floor, University Way P.O. Box 69489 - 00400, NAIROBI Tel:2246590 Fax: 2252330 Mobile: 0722205292, 0733205292 E-mail: [email protected] Website:http://www.helb.co.ke SMS: HELBxxxx (send to 5556 where xxxx is IDNO

Undergraduate loan/bursary review form: for 2010/11

Notice

This form should be filled by needy students whose parents are unable to raise university fees. Those awarded Ksh.45,000.00 and above should not apply. Students shall submit their requests from the month of July and the deadline is 30th August 2010. No applications will be received after the deadline.

Must fill the following (20102011 record only)

Loan form Serial no

Id no YES NO

How much loan did you get?........... How much bursary did you get?.............

Were you awarded a bursary during this academic year?

Briefly give the reasons why you want your loan to be reviewed. Provide supporting documents

1

2

3

Indicate your sponsor in high school (tick all applicable)

Father Mother Guardian Other Public Trustee/Executor

Name of sponsor

Do you have siblings attending university? Provide names and university names

Indicate the occupation of your parents and income Fathers occupation............................................................................................. Monthly income .......................... Mothers occupation ......................................................................................... Monthly income .......................

Dean of students

comments.................................................................................................................................................... Name.....................................................................................Signature/Date and official stamp ................................... Applicants signature ......................................................................................Date............................................................... Note - Private/Self-sponsored students are advised to seek further assistance from the Ministry of Higher Education

Information

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