Declaration of Documents Not Provided
Please complete all sections of this form
SUSI Application Number
Full Name
Date of Birth
Document(s) requested by SUSI which cannot be provided:
1.
2.
3.
Person from whom document was requested:
Applicant
Mother
Father
Spouse / Partner
Reason why requested document(s) cannot be provided:
1.
2.
3.
I declare that I am unable to provide to SUSI the above-named document
for the reason stated.
I understand that as per Articles 24 & 36 of the Student Grant Scheme or
Articles 24 & 25 of the Student Part-Time Fee Scheme for Specified
Undergraduate Courses, if the supporting documentation I have submitted
is not sufficient to allow the awarding authority to determine my eligibility
for grant funding, my application may be refused, or further additional
documents may be requested to determine my eligibility.
Signatures
Applicant: __________________
Person from whom document was requested: _______________________
(if different from applicant)
