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Bursary Application form

Student details

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*

Please upload proof of income documentation for each of the items which is relevant in the list below .

If you do not have digital versions of this document. Please scan documents and save as digital formats or use the app Doc Scan HD.

The section below allows you to upload one document per section up to the size of 1mb it will allow to upload in multiple formats e.g. Jpeg pdf word etc. when prompted to upload multiple documents e.g three months payslips. Please scan and upload as one document per section.

(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.*

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

Verification Image