Part-time application for a loan to pay your tuition fees
2016 – 2017
Who should fill in this form?
This form is for part-time postgraduate students undertaking an eligible postgraduate diploma course in the UK only. If
you are planning on studying a postgraduate course outside the UK, please contact us on
0300 555 0505 for an application form.
Those taking a full-time Professional Graduate Diploma in Education (PGDE) or a Postgraduate Diploma in Architecture
leading to exemption from RIBA part II exams, should apply online at www.saas.gov.uk
Do not fill in this form unless the course you plan to do is an eligible course. For a full list of eligible courses
please visit our website http://www.saas.gov.uk/_forms/pg_course_list.pdf
Instructions for filling in the form
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Please fill in this form using BLACK INK.
You must give us a valid National Insurance number, if you have one. If you do not have a National
Insurance number and you are intending on working in the UK, please contact Job Centre Plus on 0845 600 0643
to arrange one. If you are not planning to work you can leave this blank.
You must sign the declaration on page 7 of this form.
If you have been living in Scotland for less than one year, you must fill in Annex 1 at the back of this form. You
do not need to fill in Annex 1 if you are an EU national (other than a UK national).
Please read the important notes and Data Protection statement below.
If you have any questions about this application please contact us before sending it to us. Please call our
helpline on 0300 555 0505 or email us at saas_4@gov.scot.
Important notes
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You must apply to us as early as possible to make sure that we pay your tuition fees to your university on time.
The final closing date is 31 March 2017. Please note, applications for courses out with Scotland are considered
on a first come, first served basis.
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You may be able to apply for extra funding if you have a disability or learning difficulty. Further information is
available on our website at www.saas.gov.uk or you can contact the disability advisor at your university.
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The Scottish Ministers give discretionary funds to Scottish publicly-funded institutions for students with financial
difficulties. Your institution is responsible for deciding who gets help and how much; you should apply straight to
them.
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If you cannot get funding or any other funding to help pay for the course, you may be able to apply for a
Professional Career Development Loan (PCDL). The Government manages PCDLs through a partnership with a
number of high-street banks. They can fund courses in a wide range of vocational areas that generally last for no
more than two years. For more information phone 0800 100 900.
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If you withdraw from your course you may not be eligible to receive a loan to pay your tuition fees from us.
Please let us know immediately if you decide to withdraw.
Data Protection Statement
Data Protection Act 1988 and fraud prevention – This Agency has a duty to protect the public funds it
administers, and to this end will use and share that information with other organisations for the purposes of
ensuring you remain eligible for funding. We will also use the information you have provided on this form for the
prevention and detection of fraud and will also share this information with other bodies responsible for auditing
or administering public funds for these purposes. We may request information from other organisations for the
purpose of ensuring that you remain eligible for funding and that the level of funding awarded is correct. You
should read the SAAS privacy statement and note on fraud on our website www.saas.gov.uk
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
2
Section A
Your personal details
Your personal numbers
A.1
Have you previously applied for an award from
us (including a fees-only award)?
A.2
If you answered ‘Yes’ to question A.1, please
give your SAAS reference number
A.3
National Insurance number (you must enter
this)
Yes
No
X
X
Cross (x) one box only
Use the eight digit number on your letter of award
Name
A.4
Title
Mr
A.5
Last name
A.6
First name/s
Mrs
X
Ms
X
X
Miss
X
Other (please specify)
Name at birth, if different from above
A.7
Last name
A.8
First name/s
Birth details
A.9
Date of Birth
D
D
/
M
M
/
Y
Y
Y
Y
If you have a UK birth certificate, in which district was it issued? (you must enter this)
A.10
A.11
Are you?
Male
X
Female
X
Cross (x) one box only
Full postal address of your normal home (not your term-time address)
A.12
House number or name
A.13
Postcode (UK only)
A.14
Rest of address including
the street, town and country
Contact information
A.15
Home phone number
(including the area code)
A.16
Mobile phone number
E-mail address
You should now fill in section B.
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
3
Section B
Your residence eligibility
You only need to fill in this section if you are applying to us for the first time or you are applying to us after a break in study
of one year or more.
Personal details
B.1
Country of birth
B.2
Nationality
B.3
Country you
normally live in
UK
British
Scotland
X
Other (give
details)
X
Other (give
details)
X
England
X
N. Ireland
Wales
X
Other
X
X
Cross (x) one
box only
If ‘Other’ please tell us which
country you normally live in
Relevant date
B.4
Please say which period your course begins in
1 Aug – 31 Dec 2016
1 Jan – 31 Mar 2017
X
Cross (x) one box only
X
The start date of the period you chose in question B4 is your relevant date. Later questions will refer to it.
Ordinary resident
Have you been ordinarily resident in the UK continuously for three
years immediately before your relevant date given in B.4?
B.6
If you answered ‘No’ to question B.5, in which country or countries
have you been living for the three years before your relevant date
given in B.4?
B.7
Have you been, or will you be, ordinarily resident in Scotland on your relevant date given in B.4?
Yes
B.8
Will you be or were you living in Scotland for at least 12 months immediately before the relevant date? If
you answer no, please fill in Annex 1 at the back of this form.
Yes
B.9
If you are, or were, under 25 on your relevant date given in B.4, what
is your parents address on that date?
B.10
If you are, or were, under 25 on your relevant date given in B.4, have either of your
parents been living outside the UK at any time during the three years before this?
date?
If you answered ‘Yes’ to question B.10, in which country or
countries outside the UK have your parents been living for the three
years before your relevant date given in B.4?
B.11
Yes
X
No
If ‘Yes’, go to B.7
If ‘No’ got to B.6
B.5
Yes
X
X
No
X
X
X
No
No
X
Cross (x) one
box only
X
Cross (x) one
box only
Cross (x) one box only
Do I need to send in documents about my residence
If you are not a UK national or a national of another EU member state, you must send us a copy of any
documents you have from the Home Office that confirm your status in the UK. For example, your UK Residence
Permit (UKRP), your entry clearance visa, your Application Registration Card (ARC), or your Home Office letter.
If you have been ordinarily resident in Scotland for less than 1 year prior to the relevant date please fill in Annex 1 at the
back of this form. You do not need to fill in Annex 1 if you are an EU national (other than a UK national).
You should now fill in section C.
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
4
Section C
Your education and employment
You only need to fill in this section if you are applying to us for the first time or you are applying to us after a break in study.
Education details
C.1
In which country was the
last school you went to?
Scotland
Other (give
details)
X
C.2
The year you left this school
C.3
Have you been in full-time or part-time education at any time since leaving school?
C.4
If you answered ‘Yes’ to question C.3 please give us details of any college or university where you have been a student since leaving school.
Y
Y
Name of college or university and
town
Y
Y
Dates
From
Yes
Course title
X
Full-time or
part-time
No
X
Cross (x) one box only
Who provided your
funding
Qualifications
gained
To
You should include any extra details on a separate piece of paper and attach it to
this form. Cross (X) this box if you are continuing on a separate sheet
C.5
Have you undertaken a postgraduate course before, with or
without help from public funds?
Yes
X
No
X
X
Cross (x) one box only
If you answer ‘Yes’ please make sure that you enter the details in the table above, if you don’t we will not be ale to process your application.
Employment and unemployment details
C.5
Have you been employed or unemployed at any time over the
past five years before your relevant date given in B.4?
Name of your employer or write ‘unemployed’
Yes
Dates
From
X
No
X
Cross (x) one box only
Job title
Town where you lived
To
You should include any extra details on a separate piece of paper and attach it to
this form. Cross (X) this box if you are continuing on a separate sheet
X
You should now fill in section D.
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
5
Section D
Institution and course details
College or University details
D.1
Full name of the college or university you will
be studying at in session 2016-2017
(You must enter this)
Course details
D.2
Full qualification level and title of your
course (You must enter this)
‘
D.3
D.4
D.5
D.6
When will you /did you start this course?
D
D
/
M
M
/
Y
Y
Y
Y
How many years in total does your course
take to complete?
Which year of this course are you going
into?
1st1st1st
When will you finish your course?
M
X
M
2nd
/
D.7
Are you repeating any period of study this year?
Yes
D.8
Are you studying part-time (at least 50% of a full-time
course)?
Yes
X
Y
Cross (x) one box only
Y
X
Y
Y
No
X
Cross (x) one box only
X
You should now fill in section E
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
6
Section E
Loan request to pay tuition fees for academic year 2016-2017
Tuition Fee Loan amount
I want to apply for a student loan to pay my tuition fees for academic year 2016-2017
The amount I want to apply for is:
E.1
E.2
The full amount that I’m eligible for (£1,700 for part-time study)
The lesser amount of (write in the amount)
X
Or
£
Contacts
IMPORTANT – You must give us the names and addresses of two contacts, one of whom should normally be a relative, partner, next of kin or
guardian. Your loan contacts MUST NOT LIVE at the SAME address. If you have just given us two loan contacts that live at the same
address, you must enter a different loan contact now before sending us your form. If you don’t do this, we will have to contact you for a new
loan contact. This will delay us processing your application form. The Student Loans Company (SLC) will use this information if they lose
contact with you. We will not contact the people you mention or ask them for a reference or to act as guarantors for the loan. You should
have permission to use their names before you fill in the form.
First loan contact (relative or guardian)
E.3
Last name
E.4
First name
E.5
Relationship
to you
E.6
Mother
X
Father
Husband or
partner
x
x
Wife or
partner
X
Sister
x
Brother
x
Other
X
Cross (x) one
box only
If ‘other’
please say
E.7
House number or
name
E.8
Postcode
(UK only)
E.9
Rest of address
including street,
town and country
E.10
Phone number
(including the code)
Second loan contact
E.11
Last name
E.12
First name
E.13
House number or
name
E.14
Postcode
E.15
Rest of address
including street,
town and
country
E.16
Phone number
(including the code)
Working outside the UK
E.17
After completing the course do you plan to work
outside the UK?
Yes
X
No
X
Term-time address (only fill this in if it is different from your home address at A12 to A14)
E.18
House number or
name
E.19
Postcode
E.20
Rest of address
including street
town & country
E.21
Do you want the Student Loans Company to send correspondence
to this address rather than your home address?
Yes
X
No
X
You should now fill in section F
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
7
Section F
Declaration and undertaking (all students must sign this)
Student Declaration
This loan is made by the Scottish Ministers under the Education (Scotland) Act 1980, its regulations and any amendments to them.
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As far as I know, the information I have given on this form is complete and accurate.
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I will tell the Student Awards Agency for Scotland (SAAS) immediately if my circumstances change in any way that might affect this application for funding.
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I agree to repay any amounts that are lent to me, together with interest and any penalties and charges that apply, in line with the relevant legislation as
amended from time to time.
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In the event that I leave the United Kingdom, I will tell SAAS and the Student Loans Company (SLC) and provide them with my new and any subsequent
contact details until my loan, together with interest and any penalties and charges that apply, is fully repaid.
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I agree that any action for repayment and/or in respect of or in connection with my loan(s) and/or all and any interest, penalties and chares which apply, will
be brought in the ordinary civil courts and shall be governed by the general rule of civil procedure.
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I understand that if I give you false information, do not give you complete information or by my conduct otherwise show myself to be unfit to receive a loan,
it may be determined that I am no longer eligible for a loan and I may be prosecuted.
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I agree that my application for a loan and my loans(s) shall be governed by the law that applies to the place of my address as stated in this form (or, if my
address is outside the United Kingdom, the law of Scotland).
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I agree that the courts of the part of the United Kingdom in which my home address stated in this application form is situated (or the English, Scottish and
Northern Irish courts where my address is outside the United Kingdom) shall have non-exclusive jurisdiction to hear any action or proceedings in respect
of or in connection with my loans(s). I will submit to the jurisdiction of those courts, provided that this shall not limit the Scottish Ministers’ rights to take
proceedings against me in another court of competent action.
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I give permission for SAAS and the SLC to confirm my National Insurance number and relevant information with the Department for Work and Pensions
(DWP). If I do not know my National Insurance number, or if the DWP cannot confirm the number I give SAAS, I give the DWP permission to trace my
number and give it to SAAS and the SLC.
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I give permission for SAAS and the SLC to share information with each other about my loan award from SAAS.
Your signature
E.1
Date
D
D
/
M
M
/
Y
Y
Y
Y
You must sign here
We may prosecute you if you give false information
Sending your form to us
Please send your correctly filled-in application form (including Annex 1 if applicable) and any relevant documents to:
The Student Awards Agency for Scotland
Saughton House
Broomhouse Drive
Edinburgh
EH11 3UT
Please make sure you use the correct postage, if you do not there is likely to be a delay with processing your application. We will not accept a faxed copy of your
application form.
You should now fill in Annex A (if this applies to you)
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
8
Annex 1
If you have been living in Scotland for less than 12 months before 1 August 2016, you must give us the details we ask
for below. WE DO NOT need you to fill in the details below, if you are a non-UK EU NATIONAL.
If you do not answer all the questions below, we will have to send the form back to you. This will delay us processing your
application.
1. First and last name
Date of birth
D D /
M M /
Y
Y
Y
Y
D D /
M M /
Y
Y
Y
Y
Yes
X
2. Nationality (if dual nationality, give us both, for example, British and Irish
3. What date did you/ will you become ordinarily resident/move permanently to
Scotland?
4. What is your reason(s) for coming to Scotland?
5. Have you previously lived in Scotland?
No
X
6. If you answered ‘Yes’ to question 5 , please give us the details, as asked for in the table below, of all the address’ (past and
present) that you have lived at in Scotland
Address in Scotland
Dates
From
To
7. Did you come to Scotland alone, with family or with friends, please specify?
8. If you came with your parents, please give us details, in the table below, of all their periods of employment,
self-employment and unemployment in Scotland
Name of employer or write
‘unemployed’ or ‘self-employed’
Dates
From
Job title
To
9. Does any other member of your family live with you at the same address in Scotland?
Yes
X
No
X
Yes
X
No
X
10. If you answered ‘Yes’ to question 9, please tell us who?
11. Do you or your parents/spouse/partner/civil partner own the house in Scotland where you live?
12. If you answered ‘Yes’ to question 11, please answer questions 13 and 14, if you answered ‘No’ please answer question 15
13. Who owns the house in Scotland where you live?
14. When was the house in Scotland where you live, purchased?
15. Do you or your parents/ spouse/partner/civil partner rent out the house in Scotland where you
live?
Yes
X
No
X
16. If you answered ‘Yes’ to question 15, please answer questions 17 and 18, if you answered ‘No’ please answer question 19
17. Whose name is on the tenancy/lease agreement?
18. When did you move into this property?
D D /
19. Does a friend or another member of your family, (for example, your aunt, uncle, brother or sister)
own or rent the house in Scotland where you live?
M M /
Yes
Y
X
Y
Y
No
Y
X
20. If you answered ‘Yes’ to question 19, please answer questions 21 and 22
21. What relationship to you is the person that owns or rents the house? (e.g. aunt, sister, friend etc)
22. When did they move into, this house?
D D /
M M /
Y
Y
Y
Y
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk
9
Annex 1 (continued)
23. Do you plan to stay at the address that you have given as your permanent address on your
application form for the duration of your course?
Yes
X
No
X
Yes
X
No
X
No
X
24. If you answered ‘No’ to question 23 please tell us why?
25. What address will you be living at during the Christmas,
Easter and Summer vacations?
26. If you are married, in a civil partnership or live with a partner, does your husband, wife,
civil partner or partner live with you in Scotland?
27. If you answered ‘Yes’ to question 26, please give us details, in the table below, of all their periods of employment,
self-employment and unemployment in Scotland. If you answered ‘No’ please go to question 28.
Name of employer or write
‘unemployed’ or ‘self-employed’
Dates
From
Job title
To
28. If you answered ‘No’ to question 26, please tell us where your
husband, wife, civil partner or partner will be living while you study?
29. What nationality is your husband, wife, partner or civil partner?
30. If you are still dependent on your parents, what nationality is your father/step father?
31. If you are still dependent on your parents, what nationality is your mother/step mother?
32. Are any other members of your family, for example, a parent or sibling, at college or university?
Yes
X
33. If you answered ‘Yes’ to question 32, please give us details, as requested, in the table below:
Name of college or
university
Dates
From
course title
Full time
or part
time
UK or other EU
public award
making body
Family
relationship
to you
To
34. Please give us any other information, on a separate piece of paper, that you think might be helpful that we have not
already asked for.
Declaration (you must sign this)
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To the best of my knowledge and belief, the details I have given are complete and accurate.
I agree to give you any further information you may ask for.
I understand that if I give you false information or do not give you complete information, you may prosecute me and
withdraw the funding.
I agree to repay any amount I have received, or that is paid on my behalf, which is more than the award due to me.
Signature: …………………………………………………………………….…. Date: ……………………………………..
Postgraduate Part-Time Application
Saughton House, Broomhouse Drive, Edinburgh, EH11 3UT
t / 0300 555 0505 w / www.saas.gov.uk