Form PDE/APP/1920/A
Section 1 Your details
1.1. Personal details Title
Options: Mr; Mrs; Miss; Ms; Mx; Doctor; Professor
Guidance: Complete these details exactly as stated on your passport, birth certificate or ID card. If your name has changed since your passport, birth certificate or ID card was issued you need to send us documents to show this. Read the notes to find out what to send.
Section 1 Your details
1.1. Forename(s)
Section 1 Your details
1.1. Surname
Section 1 Your details
1.1. Sex
Options: Male; Female
Section 1 Your details
1.1. Date of birth
Section 1 Your details
1.2. Customer Reference Number (if you have one)
Guidance: Your Customer Reference Number is 11 digits long. You’ll have a Customer Reference Number if you’ve applied for student finance, or supported an application for someone else’s student finance from any of the following: The Student Loans Company, Student Finance England, Student Finance Wales, Student Finance NI.
Section 1 Your details
1.3. Place of birth
Section 1 Your details
1.4. Your nationality
Section 1 Your details
1.5. UK National Insurance number
Guidance: If you have previously worked in the UK you will find your National Insurance number on any of the following: your National Insurance number card or letter; or a payslip; or an Income Tax document such as P45 or P60. Any payment of your loan will be withheld until you provide your National Insurance number, unless you’re a European Union (EU) student. We will share the National Insurance number you provide with the Department for Work and Pensions to confirm that it’s valid, and with HM Revenue and Customs to allow us to collect your repayments.
Section 1 Your details
1.6. Home phone number
Section 1 Your details
1.6. Mobile phone number
Guidance: You need to let us know as soon as possible if any of your details change.
Section 1 Your details
1.6. Email address
Guidance: Provide an email address as this will help make it easier for you to create an online account.
Section 1 Your details
1.7. What is your home address?
Guidance: You need to let us know as soon as possible if any of your details change.
Section 1 Your details
1.7. Postcode Country
Section 1 Your details
1.8. Will you live somewhere other than your home address while you study?
Options: No; Yes
Section 1 Your details
1.8. Term-time address
Section 1 Your details
1.9. When did/will you move to your term-time address?
Section 1 Your details
1.10. Give your UK bank or building society information
Guidance: This must be a UK bank or building society account in your own name and be able to accept direct credits. If you don’t have a UK bank or building society account you will need to get one before we can pay you. Let us know the account details as soon as you can. Please note that incorrect bank or building society details will result in your loan payments being delayed.
Section 2 Your previous study
2.1. Do you already hold a postgraduate qualification?
Options: No; Yes
Section 2 Your previous study
2.2. Tick the relevant box to show which qualification you received
Options: Higher Doctorate (e.g. DLitt, DSc, DTech, LLD, DD, DMus, DMedSc); Doctoral degree; Master’s degree; Integrated Master’s degree; Level 8 Award, Level 8 Certificate or Level 8 Diploma; Honorary Masters (MAs from an Oxford, Cambridge, Trinity College Dublin or a Scottish University); Postgraduate Certificate; Postgraduate Certificate in Education (PGCE); Postgraduate Diploma; Other postgraduate qualification – Give details below (including any postgraduate qualification achieved abroad)
Section 2 Your previous study
2.2. Course title
Section 2 Your previous study
2.2. Qualification name
Section 2 Your previous study
2.2. Name of university or educational institution
Section 2 Your previous study
2.2. Address
Section 2 Your previous study
2.2. Postcode Country
Section 3 Your postgraduate course
3.1. Will you be studying a full Postgraduate Doctoral course?
Options: Yes; No
Section 3 Your postgraduate course
3.2. Give details about the postgraduate Doctoral course you’ve applied for
Guidance: Give as much detail as you can at the time of your application. If any of these details change log into your online account or call us to update your information.
Section 3 Your postgraduate course
3.2. University name
Section 3 Your postgraduate course
3.2. University address
Section 3 Your postgraduate course
3.2. Postcode Country
Section 3 Your postgraduate course
3.2. Name of campus/location
Section 3 Your postgraduate course
3.2. Course name
Section 3 Your postgraduate course
3.2. Start date of the first year of your course
Section 3 Your postgraduate course
3.2. Course Duration
Options: 3 years; 4 years; 5 years; 6 years; 7 years; 8 years
Section 3 Your postgraduate course
3.3. Are you eligible to apply for a Social Work bursary?
Options: No; Yes
Section 3 Your postgraduate course
3.3. Yes – have you applied and been rejected for this?
Options: No; Yes
Section 3 Your postgraduate course
3.4. Are you eligible to apply for an NHS bursary?
Options: No; Yes
Section 3 Your postgraduate course
3.5. Will you expect to receive Research Council Funding at any time during your entire course?
Options: No; Yes
Section 3 Your postgraduate course
3.6. Is this a distance learning course?
Options: No; Yes
Section 3 Your postgraduate course
3.6. Yes – are you studying on a distance learning course because you or a member of your family are in the armed forces?
Options: No; Yes
Section 3 Your postgraduate course
3.7. Will you be studying outside of the UK for more than half of your entire course?
Options: No; Yes
Section 4 Your residency information
4.1. Are you a UK national?
Options: No; Yes
Section 4 Your residency information
4.2. Do you hold a valid in date UK passport?
Options: No; Yes
Section 4 Your residency information
4.2. Date of issue
Section 4 Your residency information
4.2. Date of expiry
Section 4 Your residency information
4.2. Passport number
Section 4 Your residency information
4.2. Given name(s)
Section 4 Your residency information
4.2. Surname
Section 4 Your residency information
4.3. Are you an EU national?
Options: No; Yes
Section 4 Your residency information
4.4. Are you the family member of an EU national?
Options: No; Yes
Section 4 Your residency information
4.5. Are you the child of a Swiss national?
Options: No; Yes
Section 4 Your residency information
4.5. Yes – will your Swiss national parent live in the UK on the first day of the first academic year of your course?
Options: No; Yes
Section 4 Your residency information
4.6. Are you a European Economic Area (EEA) national or Swiss national who: is working in the UK / has worked in the UK and is looking for work in the UK?
Options: No; Yes
Section 4 Your residency information
4.7. Are any of the following: your husband/wife/civil partner / parent(s)/step-parent / child/son/daughter-in-law/child’s civil partner a European Economic Area (EEA) national or Swiss national who: is working in the UK / has worked in the UK and is looking for work in the UK?
Options: No; Yes
Section 4 Your residency information
4.8. Are you the child of a Turkish worker who is working in the UK?
Options: No; Yes
Section 4 Your residency information
4.9. Do you have ‘settled status’ in the UK?
Options: No; Yes
Section 4 Your residency information
4.10. Have you or your: husband/wife/civil partner / parent(s)/step-parent been granted ‘refugee status’ by the UK Government?
Options: No; Yes
Section 4 Your residency information
4.10. Give your Home Office number
Section 4 Your residency information
4.10. Give the date this status will expire
Section 4 Your residency information
4.11. Have you or your: husband/wife/civil partner / parent(s)/step-parent been granted Humanitarian Protection?
Options: No; Yes
Section 4 Your residency information
4.11. Give your Home Office number
Section 4 Your residency information
4.11. Give the date this status will expire
Section 4 Your residency information
4.12. Have you or your: husband/wife/civil partner / parent(s)/step-parent been granted ‘leave to remain’ as a Stateless Person?
Options: No; Yes
Section 4 Your residency information
4.12. Give your Home Office number
Section 4 Your residency information
4.12. Give the date this status will expire
Section 4 Your residency information
4.13. Have you been granted ‘leave to remain’ in the UK under section 67 of the Immigration Act 2016, or are you the dependant child of someone who has?
Options: No; Yes
Section 4 Your residency information
4.13. Give your Home Office number
Section 4 Your residency information
4.13. Give the date this status will expire
Section 4 Your residency information
4.14. Do you meet the Long Residence requirements?
Options: No; Yes
Section 5 Your address history
5.1. Give details of your residence for the three years before the first day of your academic year.
Guidance: You don’t need to send proof of your previous addresses at this time, but we might ask for it in the future. If you need more space attach an additional piece of A4 paper to your completed form. Remember to include your Customer Reference Number. You should only tell us about your permanent addresses. Don’t include temporary or term-time addresses.
Section 5 Your address history
5.1. Postcode Country
Section 5 Your address history
5.1. From To
Section 5 Your address history
5.1. Address
Section 5 Your address history
5.1. Postcode Country
Section 5 Your address history
5.1. From To
Section 6 How much would you like to borrow?
6.1. How much would you like to borrow in total?
Options: The maximum amount of £25,700; A different amount of £
Section 7 Your additional contacts
7.1. Give the contact details for your first additional contact
Section 7 Your additional contacts
7.1. First name
Section 7 Your additional contacts
7.1. Surname
Section 7 Your additional contacts
7.1. Relationship to you
Section 7 Your additional contacts
7.1. Address
Section 7 Your additional contacts
7.1. Postcode/Zip code
Section 7 Your additional contacts
7.1. Phone number including international dial code if outside UK
Section 7 Your additional contacts
7.2. Give the contact details for your second additional contact
Section 7 Your additional contacts
7.2. First name
Section 7 Your additional contacts
7.2. Surname
Section 7 Your additional contacts
7.2. Relationship to you
Section 7 Your additional contacts
7.2. Address
Section 7 Your additional contacts
7.2. Postcode/Zip code
Section 7 Your additional contacts
7.2. Phone number including international dial code if outside UK
Section 8 Loan Declaration
8.1. I confirm that for the full duration of my course I will not be in receipt of Research Council funding.
Section 8 Loan Declaration
8.1. I agree that in the event of receiving an overpayment of financial support, I am obliged to repay this in full and SLC may take such action as is necessary to obtain such repayment.
Section 8 Loan Declaration
8.1. I understand that if I have provided details of my UK passport, SLC will verify those details with Her Majesty’s Passport Office.
Section 8 Loan Declaration
8.1. I confirm that to the best of my knowledge and belief, the information I have provided is true and complete. If it is not I understand I may not receive financial support, any support I have received may be withdrawn and I could be prosecuted. Any information provided which is found to be materially inaccurate may be regarded as evidence of an attempt to mislead the Student Loans Company Limited (“SLC”). In such circumstances, SLC may report the matter to the authorities and/or terminate your eligibility for student finance.
Section 8 Loan Declaration
8.1. I agree to give SLC any information they require to process my application and agree to tell them immediately if my circumstances change in any way that might affect my entitlement to financial support.
Section 8 Loan Declaration
8.1. I confirm that in connection with my course I am not eligible to apply for: a healthcare bursary; any allowance under the Nursing and Midwifery Student Allowances (Scotland) Regulations 2007; or any allowance, bursary or award of similar description made under section 67(4)(a) of the Care Standards Act 2000 (“CSA”). I agree that except in relation to social work bursaries, if I am eligible to apply for, or in receipt of, any such allowance, bursary, or award of similar description while in receipt of a PGL, I am obliged to repay the PGL in full and SLC may take such action as is necessary to obtain such repayment.
Section 8 Loan Declaration
8.1. I agree that any loan(s) made to me by the Secretary of State for Education (the “lender”) which includes any persons exercising functions on behalf of the Secretary of State pursuant to section 23(4) of the Teaching and Higher Education Act 1998 as amended from time to time or successor legislation (the “Act”) will be on the terms set out in these declarations and in Regulations which are made under section 22 of the Act as amended from time to time.
Section 8 Loan Declaration
8.1. I confirm that I have read and understood these terms and the guide to terms and conditions available online at www.gov.uk/doctoralloan/apply.
Section 8 Loan Declaration
8.1. I acknowledge and agree that any loan(s) made to me by the lender will be on the terms set out in these declarations and in Regulations which are made under section 22 of the Act as amended from time to time or successor legislation.
Section 8 Loan Declaration
8.1. I acknowledge and agree that in the event that I have: (i) reached the age of 18 years; and (ii) have entered into one or more agreements for a loan under section 22 of the Act (and relative secondary legislation) before I reached the age of 18 years, upon signing this declaration I am agreeing to ratify any and all such student loans. I understand that ratification of any agreement for a loan made with me before I reached the age of 18 years is a statutory precondition of my eligibility for student support after attaining the age of 18 years.
Section 8 Loan Declaration
8.1. I agree that any loan(s) made to me as a consequence of the acceptance of my application by the lender is a/are contract(s) between me and the lender which binds me from the payment to me of the first loan advance and that the repayment of any such loan(s), together with all and any interest, penalties and charges which apply, will be due by me to the lender as a debt.
Section 8 Loan Declaration
8.1. I agree that I shall be obliged to make repayment of my loan(s), together with all and any interest, penalties and charges which apply, to such address as shall be notified to me in writing and that any services in respect of my loan(s) may be provided at such address or other address(es) as the lender may from time to time determine and that the service of providing the loan is provided at the lender’s principal address.
Section 8 Loan Declaration
8.1. 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 charges which apply, will be brought before the ordinary civil courts and shall be governed by the general rules of civil procedure.
Section 8 Loan Declaration
8.1. I agree that my request for a loan, the loan and the contract between me and the lender shall be governed by the law of the place of my home address as stated in this application form (or, if my address is outside the UK, English law).
Section 8 Loan Declaration
8.1. I irrevocably agree that the courts of the part of the UK in which my home address stated in this application form is situated (or the English, Scottish and Northern Ireland courts where my address is outside the UK) shall have non-exclusive jurisdiction to hear any action or proceedings arising out of or in connection with the loan and the contract between me and the lender and I irrevocably submit to the jurisdiction of those courts and waive any objection to the jurisdiction of those courts, provided that this shall not limit the lender’s rights to take proceedings against me in any other court of competent jurisdiction.
Section 8 Loan Declaration
8.1. I agree that from the date I submit this form until the date when my loan(s), together with all and any interest, penalties and charges which apply, is fully repaid I will notify the lender of any changes in the personal details (including National Insurance number (“NINO”)) and contact details I have provided as required in accordance with the Regulations referred to in paragraph b.
Section 8 Loan Declaration
8.1. I agree that in the event that I leave the UK to reside outside the UK or that for any other reason I am outside the UK tax system, I undertake to inform the lender in accordance with the Regulations referred to in paragraph b and I undertake to provide the lender with my new and any subsequent contact details until my loan, together with all and any interest, penalties and charges which apply, is fully repaid.
Section 8 Loan Declaration
8.1. I agree to take all future action requested by the lender and provide the lender with all information required to ensure repayment, in accordance with the Regulations referred to in paragraph b.
Section 8 Loan Declaration
8.1. If I breach any of the terms under which any loan(s) will be made I agree that I will be obliged to pay any charges and penalties which may apply under the Act and the Regulations made under that Act, as amended from time to time or successor legislation.
Section 8 Loan Declaration
8.1. I understand that SLC will check my NINO and personal details with the Department for Work and Pensions (“DWP”). If I do not know my NINO, or if the number I provide cannot be authenticated, DWP will trace and give my number to the lender.
Section 8 Loan Declaration
8.1. If I breach any of the terms under which any loan(s) will be made I agree that the lender may share information held about me and my account with any person, including the government or a government agency of another country, who may assist in establishing my whereabouts and/or in taking action to recover outstanding loan amounts.
Section 8 Loan Declaration
8.1. Customer Reference Number
Section 8 Loan Declaration
8.1. Your signature (in ink)
Section 8 Loan Declaration
8.1. Today’s date
Section 9 Finalising your application
9.1. Have you answered all the questions that apply to you?
Options: No; Yes
Section 9 Finalising your application
9.2. Have you signed and dated your declaration in Section 8?
Options: No; Yes
Section 9 Finalising your application
9.3. Have you included all the supporting documents or completed additional forms we’ve asked for?
Options: No; Yes