OVFA Form
OVFA Form
OVFA Form
Name:
Customer Reference Number:
National Insurance Number:
Date of birth:
Overseas Income Assessment Form
You must complete all the sections that apply to you, sign and return the form with your photocopied
evidence. Remember to pay the correct postage.
Section 1 - Residency questions and details check
Date you left/will leave the UK Date you will return to the UK (if known) Country of overseas residence
- - - -
Check your National Insurance number and date of birth shown above. If any details are incorrect, please
update them.
National Insurance number Date of birth
- -
Section 2 – Employment Information
Tick the section that applies to you and where you see e , you should refer to the Evidence Information
Sheet to find out what evidence you need to send us along with your completed form.
Employed e
Date employment started/will start Gross Annual Income Currency of income
- -
Read the Evidence Information Sheet and make sure you send all the evidence we need.
Self-employed e
Date self-employment started/will start Gross Annual Income Currency of income
- -
Read the Evidence Information Sheet and make sure you send all the evidence we need.
Not in employment e
If you’re in further study, supported by a third party, travelling abroad or volunteering read the Evidence
Information Sheet and make sure you send all the evidence we need.
Section 3 - Third Party Declaration
If you’re financially supported by a third party please have that person complete this section and
confirm how much they support you.
I confirm that I financially support the person named on this form
Third party signature Print name
ICR/OVFA
1
Section 4 - Your UK Bank/Building Society Account Details
The easiest way to make repayments whilst overseas is to set up a monthly Direct Debit. Simply
complete the section below with your UK bank or building society account details and we’ll arrange this
for you. If you don’t already have a UK account, you’ll need to set one up to pay by Direct Debit.
Please complete the whole form using a ball point pen and send it to: Instruction to your
Student Loans Company Limited, Bank or Building Society
100 Bothwell Street, to pay by Direct Debit
Glasgow
G2 7JD. Service User Number
Name(s) of Account Holder(s) 9 0 7 0 2 1
Reference
Bank/Building Society account number
Address
Postcode
Banks and Building Societies may not accept Direct Debit Instructions for some types of account.
Home phone
Title number
Work/term
Forename(s) phone number
Surname Mobile
Email address
Address
Country Postcode
I confirm that the information I have given on this form is true and correct. I understand that Student
Loans Company Limited (SLC) reserves the right to request additional information and/or to verify the
information I have provided. I authorise the organisation(s) and person(s) detailed in this form to provide
SLC with confirmation and further information that they may request.
2 ICR/OVFA