Personal details of APPLICANT
Title
Surname
Forenames
Date of birth (YYYY / MM / DD)
Home telephone no.  ) 
Contact telephone no.  ) 
Residential address
Post code
Postal address
Post code


Marital status
Unmarried Married In community of property Out of community of property
Number of dependants


Details of STUDY
Limit amount N$ 
Amount in words  Namibian dollar
Name of university/educational institution to be attended
Degree/qualification to be acquired
Year of study e.g. 1st or 2nd
  Full time Part time


Life cover
Personal loan protection plan cover required to settle any outstanding balance of student loan if applicant dies or, if this is covered by the policy, is permanently disabled or suffers from a dread disease Yes No


Details of GUARDIAN (if different from surety)
Title
Surname
Initials
Contact telephone no.  ) 
Home address
Postal code
  1. I hereby apply to you, Standard Bank Namibia Limited, for a student loan facility for the amount stated above. I agree that the information I have given in the application form together with the terms and conditions will form the whole of my agreement with you.
  2. I understand that you may require security for the full amount - including interest and collection fees - which I may at any time owe you in terms of the agreement.
  3. I consent to the jurisdiction of the Magistrate's Court even though the amount of my claim you have against me may be more than the jurisdiction of that court.
  4. If I have stated that I require the personal loan protection plan, if the loan is granted and if I have not signed an application for the policy by the time the loan is granted -
    • I authorise the bank to complete the application on my behalf as the only life insured for death, permanent disability and dread disease; and
    • I hereby cede the policy to the bank as security of my present and future indebtedness to it.
  5. I agree that, for credit assessment and control purpose, you may use any information about me, including the conduct of my account and may give it to any other credit grantors and to credit reference agencies (credit bureaux.)


Details of SURETY and consent of SPOUSE (if applicable)
Title
Surname
Forenames
Identity number
Name of employer
Unmarried  Married  Out of community or property
In community to   who consents to the giving of the undermentioned suretyship.
Home telephone no.  ) 
Business telephone no.  ) 
Relationship to student
Residential address
Postal code
Postal address
Postal code
Bank
Branch
Account number
Type of account
I the aforementioned surety, bind myself without limit to the extent of N$