The loan applicant, the person with the qualifying service or the widow/widower or the orphan of the person with the qualifying service, completes this section and is the person responsible to repay the loan.

MOVING? Include your new or any temporary address.

Qualifying Military Service Data

Report the expected "gross annual income" of the household for the current year. Provide copies for a full month of pay and/or pension stubs for your spouse. Former members, provide copies of pay and pension stubs for your own income.

Please note: T4 Slips and/or Tax Assessments are not acceptable as proof of income, with the exception of those who are self-employed.

Other factors: you may wish to include extraordinary factors that impact upon your ability to repay a loan, such as medical problems, disabilities, divorce, free room and board, etc.

(use a separate sheet if required)

Information on Student

Detail the particulars of the Student for whom the assistance is requested.

Dependents Defined

Definition of Dependent: The word "dependent" means spouses, widows/widowers, children and grandchildren up to the age of 18 years, each of whom are, or were, dependent upon the earnings of an eligible member or former member. In addition, children over the age 18 who have been in continuous, full-time attendance at college/university or vocational training, may be classed as dependents up to the age of 27.

Spouses who have remarried, children who have left school and entered the work force, children who have married, children who have reached the age of 27, regardless of whether they have remained students, are not considered to be dependents.

General Points

Declaration And Authorization

• Please read and sign.
• The signatures of both spouses are required (if applicable).

Mail Application

Submit the completed application form and copy of required documents, if applicable, to: