16-19 Bursary Fund Application Form
Applications cannot be made until a 6th
Form place has been confirmed in
writing to you and you have commenced your studies as a Post 16 student at
the RSA Academy.
Please note the conditions before signing the...
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16-19 Bursary Fund Application Form
Applications cannot be made until a 6th
Form place has been confirmed in
writing to you and you have commenced your studies as a Post 16 student at
the RSA Academy.
Please note the conditions before signing the application.
Prior to completing this form please read the guidance notes and Financial Support
information included in this document.
Proof of entitlement will be required to allow the
processing of this form.
Learner Details
Surname/Family
Name:
First Names:
Date of Birth
Address
Post Code
e-mail address
Home Phone
Mobile Phone
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.
Name of Account
Holder
Name of Bank
Branch
Sort Code
Account Number
Roll Number
I have read and understood the criteria for allocation and confirm and accept
the conditions stated.
I also confirm t
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