Record of Third Party Consent to Share 2011/12

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Record of Third Party Consent to Share 2011/12
Student Funding Applications for undergraduate or ITT study
In order that an advisor from the university can speak to Student Finance England
regarding your application for student funding on your behalf without the need for you
to be present, you must first contact Student Finance England and give permission
for your information to be shared with a third party.
To set up Third Party Consent to Share*:
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Contact Student Finance England: 0845 300 5090
Request to set up “Third Party Consent to Share”
Create your own “Consent Password”
Ask that “Consent to Share” be given to “the advisory team at my
university”
Complete the details requested below and sign the declaration, then return
this form to Ms Karen Bentley, Student Centre, Chancellor’s Mall:
Name:…………………………………………………………………
Student i.d. number:………………………………………………
Date of Birth:………………………………………………………..
Customer Reference Number:……………………………………
Consent password:………………………………………………..
Telephone number:………………………………………………..
Student email address:…………………………………………..
In giving third party consent to share to the advisory team at my university I
am agreeing that they may contact Student Finance England on my behalf,
without my presence, with regard to any matters relating to my student funding
with the exception of financial information, bank details or information on any
disability I may have.
I understand that any information received will be strictly confidential.
Signature:…………………………………
Date:……………………………………….
*Third Party Consent to Share is not consent to share for bursary and scholarship
purposes
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