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Bursary Application form

Student details

By submitting this application I confirm that the evidence I have provided is correct and complete to the best of my knowledge and belief.

Giving false or incomplete information that leads to incorrect overpayment may result in future payments being stopped and any incorrect funds being recovered. This may result in a referral to the police with the possibility of the student and/or their family facing prosecution.

Students Bank or Building Society Details

To receive payments, you must have a bank account in your own name that will accept BACS payments. If you do not have a bank account, you need to open one before completing this form.

Parental/Carer Details

Do you qualify for free school meals*
This application for assistance from the 16 - 19 Bursary Fund is made under the priority group of*
(Student) I confirm that the details on this application are true and accurate.*
Parent/Carer I confirm that the details on this application are true and accurate.*