2002-2003 Institutional Student Information Record

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\* IMPORTANT: Read ALL information to find out what to do with this
Report. \*

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OMB Number: 1845-0008

CHRISTOPHER DOE JANUARY 28, 2002

319 W ELM ST

LOS ANGELES CA 90016 EFC 2068 C

006

If you need additional help with your ISIR, contact your school
Financial Aid

Administrator (FAA) or the Federal Student Aid Information Center at
1-800-4FED-AID

(1-800-433-3243). If your address changes, contact your school or call
1-800-4FED-AID to

make the correction on your record.

149

Based on the information we have on record for you, your EFC is 2068.
Your school will

use this number to determine what types of aid and how much you are
eligible for. You may

be eligible to receive a Federal Pell Grant and other federal student
aid.

161

We could not match your information with the Department of Veterans
Affairs (VA) because

you did not give us your full name, date of birth and/or signature.

143

Your citizenship status has been confirmed by the Immigration and
Naturalization Service

(INS) and you meet the citizenship requirements for federal student aid.

Page 1 of 6 001-01-0001 DO 03

2002-2003 Institutional Student Information Record

Student ID 001-01-0001 DO 03 EFC 2068 C

STEP ONE (THE STUDENT) (Q1 - Q35) Dependency Status D

Name CHRISTOPHER DOE

Address: 319 W ELM ST Net Worth of Investments 0

LOS ANGELES CA 90016 Net Worth of Business/Farm 0

Social Security Number 001-01-0001 Cash, Savings, and Checking

Date of Birth 12/18/1982 No. of Months VA Benefits Received 0

Permanent Home Phone \# Monthly VA Educational Benefits 0

E-mail Address ima.student@electricu.edu

Driver\'s License \# NONE STEP THREE (THE STUDENT) (Q52 - Q58)

Citizenship Status U.S. CITIZEN Born Before 1-1-1979? NO

Alien Registration Number Master\'s/Doctorate Prog. in 2002-2003? NO

Marital Status UNMARRIED Is Student Married? NO

Marital Status Date Have Children You Support? NO

Enroll Plan Summer 2002 NOT ATTENDING Dependents Other Than
Children/Spouse? NO

Enroll Plan Fall 2002 NOT ATTENDING Orphan or Ward of the Court? NO

Enroll Plan Wint 2002-3 NOT ATTENDING Veteran of U.S. Armed Forces? NO

Enroll Plan Spring 2003 1/2 TIME

Enroll Plan Summer 2003 NOT ATTENDING STEP FOUR (PARENTS) (Q59 - Q83)

Father\'s Educational Level HIGH SCHOOL Marital Status

Mother\'s Educational Level HIGH SCHOOL Father\'s/Stepfather\'s SSN
901-48-8578

State of Legal Residence CA Father\'s Last Name DOE

Legal Resident before 1-1-1997? YES Mother\'s/Stepmother\'s SSN
801-48-8578

Legal Residence Date 09/1983 Mother\'s Last Name D\'ARCY-CALDERON

Are You Male? NO Number of Family Members

Register for Selective Service? Number in College in 2002-2003

Degree/Certificate ASSOC. GENERAL State of Legal Residence

Grade Level in College 3rd YR/JUNIOR Legal Residents before 1-1-1997?

HS Diploma or GED Received? NO Legal Residence Date

First Bachelor\'s Degree by 7-1-2002? NO Age of Older Parent

Interested in Student Loans? YES Tax Return Filed? WILL FILE

Interested in Student Employment? NO Type of 2001 Tax Return Used
FOREIGN

Drug Conv Affecting Elig? NO Eligible to File 1040A or 1040EZ?

Adjusted Gross Income

STEP TWO (STUDENT & SPOUSE) (Q36 - Q51) U.S. Income Tax Paid

Tax Return Filed? WILL FILE Exemptions Claimed

Type of 2001 Tax Return Used 1040 Father\'s Inc Earned From Work

Eligible to File 1040A or 1040EZ? Mother\'s Inc Earned From Work

Adjusted Gross Income 101400 Total from Worksheet A 0

U.S. Income Tax Paid 310 Total from Worksheet B

Exemptions Claimed 00 Total from Worksheet C

Student\'s Inc Earned From Work 101400 Net Worth of Investments 0

Spouse\'s Inc Earned From Work Net Worth of Business/Farm 0

Total from Worksheet A 0 Cash, Savings, and Checking 0

Total from Worksheet B 0

Total from Worksheet C 0 STEP FIVE (STUDENT HH) (Q84 - Q85)

Number Family Members 01

Number in College in 2002-2003 1

\*=assumption h=highlight flag #=corrected this trans @=corrected
previous trans

Page 2 of 6

2002-2003 Institutional Student Information Record

Student ID 001-01-0001 DO 03 EFC 2068 C

Last Name DOE

STEP SIX (Q86 - Q97)

School #1 001224 Housing #1 W/PARENT(S)

School #2 000000 Housing #2 W/PARENT(S)

School #3 000000 Housing #3 W/PARENT(S)

School #4 015549 Housing #4 W/PARENT(S) OFFICE INFORMATION

School #5 003154 Housing #5 W/PARENT(S) DRN 2068

School #6 003051 Housing #6 W/PARENT(S) Primary EFC Type 1

Secondary EFC Type

STEP SEVEN (Q98 - Q102) Processed Date 01/28/2002

Date Application Completed 01/21/2002 Application Source RENEWAL WEB

Signed By APPLICANT ISIR Transaction Type ELEC. CORR.

Preparer\'s SSN Source of Correction

Preparer\'s EIN Federal School Code Indicator 001224

Preparer\'s Signature Reject Override Codes:

B: N: W:

Assumption Override Codes:

1: 2: 3: 4: 5: 6:

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

FAA Information Early Analysis Flag

Date ISIR Received 01/29/2002 Rejects Met:

Verification Flag N

System Generated Indicator Dependency Override

FAA Adjustment Duplicate Request

Transaction Receipt Date 01/23/2002 Correction \# Applied To

Reprocessing Code Application Receipt Date 01/22/2002

Processed Record Type Input Record Type

Paid EFC Type PRIMARY Pell Elig Flag Y Intermediate Values

Primary EFC 2068 Secondary EFC TI 148650 PCA 0

Mon 1 1807 Mon 7 2005 Mon 1 Mon 7 ATI 13528 AAI 13370

Mon 2 1840 Mon 8 2038 Mon 2 Mon 8 STX 11890 TSC

Mon 3 1873 Mon 10 2128 Mon 3 Mon 10 EA 0 TPC 294

Mon 4 1906 Mon 11 2188 Mon 4 Mon 11 IPA 11750 PC 0

Mon 5 1939 Mon 12 2248 Mon 5 Mon 12 AI 13370 STI 0

Mon 6 1972 Mon 6 CAI SATI 0

DNW -348000 SIC 1774

NW 0 SDNW 0

APA 35100 SCA 0

FTI 0

Auto Zero EFC Flag Duplicate SSN Flag

EFC Change Flag NO CHANGE Subsequent App Flag

SNT Flag NO

Match Flags: SSN 4 SSA INS PRI SS N NSLDS 4 VA INS SEC. CONF.

INS Ver. No. SS Registration Flag

NSLDS Transaction Number 1 NSLDS Database Results Flag 1

Comments: 006,149,161,143,029,137

\*=assumption h=highlight flag #=corrected this trans @=corrected
previous trans

Page 3 of 6

2002-2003 Institutional Student Information Record

CHRISTOPHER DOE

001-01-0001

2002-2003 NSLDS FINANCIAL AID HISTORY Processed: 01/28/2002

This page contains your previous financial aid information, which is
contained in the

National Student Loan Data System (NSLDS). Your Financial Aid
Administrator will use

it to determine your eligibility.

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#Overpayment: Contact: Discharged: Defaulted Loan Sat. Active Post
Screening

Loans: Repayment: Bankruptcy:N Reason:

Pell: N

FSEOG: N

Perkins:

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Aggregate Amounts Outstanding Pending Total:

#FFEL/Direct Loans: Prin. Bal.: Disb(s):

Subsidized Loans: \$ 1,313 \$ 0 \$ 1,313

Unsubsidized Loans: \$ \$ 0 \$ 0

Combined Loans: \$ \$ 0 \$ 1,313

FFEL Consol. Loans: \$ 0 \$ 0

Perkins Loans:

Outstanding Principal Bal.: \$ 0 Current Year Loan Amount: \$ 0

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#Pell Payment Data:

Sch.Code: 00305100 Tran: 01 Sch.Amt:\$ 732 Award Amt:\$ 732 Disb.Amt:\$
183 Rem.Amt:\$ 549

%Sch.Used: 25.00 As Of: 08/12/2000 Pell Verification Flag: EFC: 2068

Sch.Code: 00305100 Tran: 01 Sch.Amt:\$ 332 Award Amt:\$ 332 Disb.Amt:\$
166 Rem.Amt:\$ 166

%Sch.Used: 50.00 As Of: 09/12/2000 Pell Verification Flag: EFC: 2068

Sch.Code: Tran: Sch.Amt: Award Amt: Disb.Amt: Rem.Amt:

%Sch.Used: As Of: Pell Verification Flag: EFC:

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Loan Detail: Net Loan Begin End GA School Grade Contact/

Amount Date Date Code Code Level Cntct Type

Additional Loan Capitalized Date of Amt of

Unsub Type Interest Last Disb Last Disb

#FFEL Stafford Subsidized \$ 1,334 06/18/1990 08/10/1990 741 00319700
ABC SCHCONTC

Neither Defaulted NO 06/18/1990 \$91334

Status Code RP as of 12/01/1992 100

Outstanding Bal. \$810 as of 09/30/1996

Direct Consolidation Unsub \$ 7,692 06/19/1996 06/19/1997 88888800 ABC
SCHCONTC

PLUS Recent NO 06/19/1996 \$7692

Status Code RP as of 07/31/1996 100

Outstanding Bal. \$7,692 as of 11/30/1996

#FFEL Stafford Unsubsidized \$ 2,053 03/18/1996 09/16/1996 706 00121600
ABC SCHCONTC

PLUS Defaulted NO 03/18/1996 \$2053

Status Code RP as of 01/01/1997 190

Outstanding Bal. \$2,053 as of 12/31/1996

FFEL Stafford Subsidized \$ 225 04/16/1990 06/29/1990 706 02520200 ABC
SCHCONTC

PLUS Recent NO 04/16/1990 \$225

Status Code DU as of 11/30/1992 706

Outstanding Bal. \$245 as of 06/30/1997

Page 4 of 6 001-01-0001 DO 03

2002-2003 Institutional Student Information Record

CHRISTOPHER DOE

001-01-0001

2002-2003 NSLDS FINANCIAL AID HISTORY (Cont.) Processed: 01/28/2002

This page contains your previous financial aid information, which is
contained in the

National Student Loan Data System (NSLDS). Your Financial Aid
Administrator will use

it to determine your eligibility.

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Loan Detail: Net Loan Begin End GA School Grade Contact/

Amount Date Date Code Code Level Cntct Type

Additional Loan Capitalized Date of Amt of

Unsub Type Interest Last Disb Last Disb

FFEL Stafford Subsidized \$ 5,500 09/08/1993 05/19/1994 800 01320800 ABC
SCHCONTC

Health Prof NO 09/08/1993 \$5500

Status Code RP as of 11/30/1994 173

Outstanding Bal. \$5,575 as of 03/31/1997

FFEL Stafford Subsidized \$ 2,035 08/19/1992 06/14/1993 706 00129400 ABC
SCHCONTC

Both Discharged NO 08/19/1992 \$2035

Status Code ID as of 08/19/1992 006

Outstanding Bal. \$2,035 as of 12/31/1996

MPN Information

Direct Loan MPN: No MPN on File

Page 5 of 6 001-01-0001 DO 03

2002-2003 Institutional Student Information Record

Student ID 001-01-0001 DO 03 EFC 2068 C

Last Name DOE

READ, SIGN, AND DATE

If you are the student, by signing this application you certify that you
(1) will use

federal and/or state student financial aid only to pay the cost of
attending an

institution of higher education, (2) are not in default on a federal
student loan or

have made satisfactory arrangements to repay it, (3) do not owe money
back on a

federal student grant or have made satisfactory arrangements to repay
it, and (4) will

notify your school if you default on a federal student loan.

If you are the parent or the student, by signing this application you
agree, if asked,

to provide information that will verify the accuracy of your completed
form. This

information may include your U.S. or state income tax forms. Also, you
certify that

you understand that the Secretary of Education has the authority to
verify information

reported on this application with the Internal Revenue Service and other
Federal

agencies. If you purposely give false or misleading information, you may
be fined

\$20,000, sent to prison, or both.

Everyone whose information is given on this form should sign below. The
student (and

at least one parent, if parent information is given) MUST sign below.

Student
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Parent
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Page 6 of 6