ONUONGA BILHA tivet-loan.pdf - HELB ACT(1995 CAP213A Anniversary Towers Mezannine 1 Floor University Way P O Box 69489-00400 NAIROBI KENYA Telephone 254

ONUONGA BILHA tivet-loan.pdf - HELB ACT(1995 CAP213A...

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[email protected] 28-10-2019 page 1 of 7 Anniversary Towers Mezannine 1 Floor, University Way P O Box 69489-00400, NAIROBI, KENYA Telephone: +254 711 052 000 Email: [email protected] twitter.com/HELBpage facebook.com/HELBpage Helb No. (Do not write in this box) Serial No. 1910281288 HIGHER EDUCATION LOANS BOARD TVET- LOAN/BURSARY APPLICATION FORM - FIRST TIME APPLICANT 2019/2020 HELB ACT (1995) CAP213A Print two forms. Submit one. Retain one. Any person or student who when filling a loan/scholarship application form, knowingly makes a false statement whether orally or in writing relating to any matter affecting the request for a Loan/scholarship shall be guilty of an offence and shall be liable to a fine of not less than Kenya Shillings Thirty thousand (Ksh. 30,000) or to imprisonment for a term of not less than three years (Section 13 (3) of the Higher Education Loan Board Act (CAP 213A)). CAUTION First Name Middle Name Last Name BILHA ACHIENG ONUONGA ID/No.(attach copy) KRA PIN Date of Birth Gender 37531027 A014375084Z 08/02/2000 FEMALE Email Mobile No. Address Physically / Visually Challenged? [email protected] 254720222127 47-40614-SEGA NONE County Sub County Constituency Ward SIAYA UGENYA UGENYA EAST UGENYA Personal Details - Applicant Nearest Public Primary Estate/Village Sub-location Location JERA SECONDARY MUHWAYO JERA NORTH EAST UGENYA County Sub-County Constituency Town SIAYA UGENYA UGENYA SEGA Applicant's current Place of Residence (Attach copy of institution admission letter Mandatory) Level of Study Institution Name Campus/Centre Faculty/School CERTIFICATE UGENYA TECHNICAL AND VOCATIONAL COLLEGE MAIN BRANCH CSWCD Admission/Registration No. Year of Admission Current year of Study Year of Completion CSW012/S/2019 2019 1ST 2019 Admission Category Course PUBLIC SELF SPONSORED CERTIFICATE IN SOCIAL WORK AND COMMUNITY DEVELOPMENT Institution Details Amount applied for? KSH. 60,000.00 Amount your family can raise towards your fees? KSH. 3,000.00 Do you need bursary? YES Loan and Bursary (Per Annum)
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[email protected] 28-10-2019 page 2 of 7 Siblings in University applying for HELB Loan this Year
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[email protected] 28-10-2019 page 3 of 7 Level Institution Name Exam Year Index Number Inst. Type Country Grade & Points PRIMARY OBISA 2019 41710320007 PUBLIC KENYA D+ 19 () SECONDARY RALAK 2018 42725208006 PUBLIC KENYA D+ 26 (3.714) Education Background (**Attach evidence for post primary schooling.) Parent`s Marital Status MARRIED Are you an orphan? NO If Parent(s) deceased provide Death Certificate No. or Burial Permit No. and attach copy FATHER: N/A MOTHER: N/A If both parents are deceased , who has been paying your fees? N/A Name N/A Telephone N/A Box No. Postal Code Town N/A N/A N/A **NOTE: Attach letter from School or Sponsor Guardian/Sponsor/Public Trustee Parent's Marital Details (Note: For salary/pension income attach copy of payslip/payment voucher) FATHER First Name Middle Name Other Name ID No.
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