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YOUR LOAN APPLICATION WILL BE PROCESSED BY PRECISION SOFTWARE. FAILURE TO FOLLOW INSTRUCTIONS WILL
RESULT IN DELAYS IN PROCESSING YOUR APPLICATION.
Complete ALL sections in CAPITAL LETTERS using a black ball‐point pen. Leave blank the space marked ‘OFFICE USE ONLY’. Do
not let any letter/digit cross the box; one letter per box. In selecting Gender, Highest Academic Qualification, Marital Status,
Public/Private school, mark X to denote your choice.
CORRECTION OF ERRORS
• Do not use correction fluid anywhere on the form. The application will be rejected if it is used.
• Cancellations are not allowed. If you make mistakes, you are required to use a new form.
SOCIAL SECURITY NUMBER & SOCIAL SECURITY REFERENCE NUMBER
If you have not registered with SSNIT, go to any SSNIT branch office and register. You will be provided with a reference number.
You can use this reference number to complete this application by filling it in the specified box. (Leave the Social Security
Number box blank. However, you will have to notify SLTF when you obtain the actual number.
If you have registered with SSNIT already and possess a SSNIT number, fill in the Social Security Number box and leave the
Social Security Reference Number box blank.
DISTRICTS & REGIONS
In filling the Region & District boxes, refer to the APPENDIX attached and use the 4‐digit district code or the 2‐letter region
abbreviation.
E‐ZWICH ACCOUNT NUMBER You require an e‐zwich account number to access the loan. Please register for the number at
your bank if you do not have one already. Note that all your loan will be paid onto the card.
PASSPORT PHOTO You are required to submit 2 recent passport‐size photos. Write your name at the back of the photos and
submit to the loan officer together with your application forms. DO NOT STAPLE OR GLUE THE PHOTOS TO THE FORMS.
THUMB PRINT
Take your thumb and finger prints at any SSNIT office close to you.
LOAN GUARANTORS Your application can be guaranteed by any of the following:
• SSNIT Pension contributor (who has contributed not less than 60months)
• SSNIT Informal sector fund contributor
• Metropolitan, Municipal, & District Assemblies
• Corporate Institutions
• Church / Islamic Denomination
Visit our website www.sltf‐ghana.org to download Guarantor Forms
ATTACHMENT TO APPLICATION FORMS
• Copy of admission letter
• Copy of Student ID (if available)
• Copy of Social Security card or Reference Number receipt
• Copy of e‐zwich card
• One passport‐size photograph to each application form
• Guarantor Form & Loan Agreement Form
NUMBER OF APPLICATIONS TO SUBMIT
You are required to submit 2 copies of your application. Contact your loan officer for advice on this submission.
Any questions, contact your campus officer, email to info@sltf‐ghana.org, or call 0302231886, 0302231887
STUDENTS LOAN TRUST FUND
LOAN APPLICATION FORM FIRST-TIME APPLICANTS
Form No
Male
Social Security Number Social Security Reference Number
OR Female
Town City/Town/Village
E- mail
Student ID Number
Marital Status
Specify:
Father Married
Mother Divorced
Self Separated
Widowed
Household Size (eg 03, 12)
Page 1
STUDENTS LOAN TRUST FUND
LOAN APPLICATION FORM FIRST-TIME APPLICANTS
Form No
L300
Enrolment Year (yyyy) Duration of Study (Years) Expected Completion Year(yyyy) L400
1 2 3 4 5 6
L500
Ownership
Enrolment Year(yyyy) Completion Year (yyyy)
Public Private
Junior High
Name Of School
Public Private
** No Education
** SSS / SHS
** Technical / Vocational
** Tertiary Institution
** Professional
Page 2
STUDENTS LOAN TRUST FUND
LOAN APPLICATION FORM FIRST-TIME APPLICANTS
Form No
Select
Town City/Town/Village
Occupation / Profession
Select
Town City/Town/Village
Occupation / Profession
Page 3
STUDENTS LOAN TRUST FUND
LOAN APPLICATION FORM FIRST-TIME APPLICANTS
Form No
Form Of Guarantorship
Corporate/MMDA Guarantors/Churches/Islamic Denomination
SSNIT Formal Name Of Organisation(abbreviate if necessary)
SSNIT Informal
Corporate
MMDAs Postal Address
Box No
Church
Islamic Denomination Town
Town City/Town/Village
Page 4
APPENDIX I: District Codes & Tertiary Institutions Codes
WESTERN REGION UPPER WEST 0609 – Asante Akim South TERTIARY INSTITUTION CODES
0101 – Ahanta West 1001 – Jirapa 0610 – Atwima Kwanwoma 001‐Academy Of Business Administation (Accra Campus)
0102 – Aowin/Suaman 1002 – Lambussie Karni 0611 – Atwima Mponua 002‐Accra Polytechnic
0103 – Bia 1003 – Lawra 0612 – Atwima Nwabiagya 003‐Africa Institute Of Journalism And Communications, Accra
0104 – Bibiani/Anhwiaso/Bekwai 1004 – Nadowli 0613 – Bekwai Asante 004‐Akrofi‐Christaller Memorial Institute
0105 – Ellembelle 1005 – Sissala East 0614 – Bosome Freho new 005‐All Nations University
006‐Ashesi University
0106 – Jomoro 1006 – Sissala West 0615 ‐ Bosomtwe
007‐Bolgatanga Polytechnic
0107 – Juaboso 1007 – Wa East 0616 – Ejisu – Juaben Municipal
008‐Cape Coast Polytechnic
0108 – Mpohor/Wassa East 1008 – Wa Municipal 0617 – Ejura/Sekyedumase 009‐Catholic University College
0109 – Nzema East Municipal 1009 – Wa West 0618 – Kumasi Metropolitan 010‐Central University College
0110 – Prestea‐Huni Valley 0619 – Kwabre East 011‐Christian Service University College
0111 – Sefwi Akontombra VOLTA REGION 0620 – Mampong Municipal 012‐Data Link Institute (University College)
0112 – Sefwi‐Wiawso 0401 – Adaklu‐Anyigbe 0621 – Obuasi Municipal 013‐Garden City University College
0113 – Sekondi Takoradi Metropolitan 0402 – Akatsi 0622 – Offinso Municipal 014‐Ghana Baptist University College
0114 – Shama 0403 – Biakoye District 0623 – Offinso North 015‐Ghana Christian University College
0115 – Tarkwa Nsuaem Municipal 0404 – Ho Municipal 0624 – Sekyere Afram Plains 016‐Ghana Institute Of Journalism
0116 – Wasa Amenfi East 0405 – Hohoe Municipal 0625 – Sekyere Central 017‐Ghana School Of Law
0117 – Wasa Amenfi West 0406 ‐ Jasikan 0626 – Sekyere East 018‐Ghana School Of Marketing
0407 – Kadjebi 0627 – Sekyere South 019‐Graduate School Of Management (Kanda Campus)
020 Ho Polytechnic
CENTRAL REGION 0408 – Keta Municipal
021 Institute Of Business Management And Journalism
0201 – Abura/Asebu/Kwamankese 0409 – Ketu BRONG AHAFO REGION
022 University College Of Management Studies ‐ Kumasi
0202 – Agona East 0410 – Ketu North 0701 – Asunafo North 023 Institute Of Professional Studies
0203 – Agona West Municipal 0411 – Kpando 0702 – Asunafo South 024‐Intercom Programming And Manufacturing Company Ltd
0204 – Ajumako/Enyan/Essiam 0412 – Krachi East 0703 – Asutifi (IPMC)
0205 – Asikuma/Odoben/Brakwa 0413 – Krachi West 0704 – Atebubu – Amantin 025‐Islamic University College, Ghana
0206 – Assin North Municipal 0414 – Nkwanta 0705 – Berekum Municipal 026‐Jayee University College
0207 – Assin South 0415 – Nkwanta North 0706 – Dormaa East 027‐Koforidua Polytechnic
0208 – Awutu‐Senya 0416 – North Tongu 0707 – Dormaa Municipal 028‐Kumasi Polytechnic
0209 – Cape Coast Metropolitan 0417 – South Dayi 0708 – Jaman North 029‐Kwame Nkrumah University Of Science And Technology
0210 – Effutu Municipal 0418 – South Tongu 0709 – Jaman South 030‐Maranatha Bible College
0211 – Gomoa East 0710 – Kintampo Municipal 031‐Meridian University College
0212 – Gomoa West EASTERN REGION 0711 – Kintampo South 032‐Methodist University College ‐ Ghana
033‐Nar‐Bita School Of Nursing
0213 – Komenda/Edina/Eguafo/Abirem 0501 – Akuapim North 0712 – Nkoranza North
035‐Pentecost University College
0214 – Mfantseman Municipal 0502 – Akuapim South 0713 – Nkoranza South
036‐Premier Institute Of Law Enforcement Management And
0215 – Twifo/Heman/Lower Denkyira 0503 – Akyemansa 0714 – Pru Administration
0216 – Upper Denkyira East Municipal 0504 – Asuogyaman 0715 – Sene 037‐Presbyterian University College
0217 – Upper Denkyira West 0505 – Atiwa 0716 – Sunyani Municipal 038‐Rdi West Africa Limited
0506 – Birim Central 0717 – Sunyani West 039‐Regent University College Of Science And Technology
GREATER ACCRA 0507 – Birim North 0718 ‐ Tain 040‐Spiritan Institute Of Philosophy
0301 – Accra Metropolitan 0508 – Birim South 0719 – Tano North 041‐Sunyani Polytechnic
0302 – Adenta Municipal 0509 – East Akim Municipal 0720 – Tano South 042‐Takoradi Polytechnic
0303 – Ashaiman Municipal 0510 – Fanteakwa 0721 – Techiman Municipal 043‐Tamale Polytechnic
0304 – Dangme East 0511 – Kwaebibirem 0722 – Wenchi Municipal 044‐Trinity Theological Seminary
0305 – Dangme West 0512 – Kwahu East 045‐University For Development Studies
0306 – Ga East Municipal 0513 – Kwahu North NORTHERN REGION 046‐University Of Cape Coast
047‐University Of Education, Winneba
0307 – Ga West 0514 – Kwahu South 0801 –Bole
048‐University Of Education, Winneba, (Mampong Campus)
0308 – Ledzekuku‐Krowor Municipal 0515 – Kwahu West 0802 ‐ Bunkpurugu – Yunyoo
049‐University Of Education, Winneba (Kumasi Campus)
0309 – Tema Metropolitan 0516 – Lower Manya Krobo 0803 – Central Gonja 050‐University Of Ghana
0310 – Weija Municipal 0517 – New – Juaben Municipal 0804 – Chereponi 051‐University Of Ghana ‐ City Campus
0518 – Suhum/Kraboa/Coaltar 0805 – East Gonja 052‐University Of Mines And Tech (Umat)
UPPER EAST 0519 – Upper Manya Krobo 0806 – East Mamprusi 053‐Valley View University College
0901 – Bawku Municipal 0520 – West Akim Municipal 0807 – Gushegu 054‐Wa Polytechnic
0902 – Bawku West 0521 – Yilo Krobo 0808 – Karaga 055‐West Africa Computer Science Institute
0903 – Bolgatanga Municipal 0809 – Kpandai 056‐Wisconsin Internation University College, Ghana
0904 ‐ Bongo ASHANTI REGION 0810 – Nanumba North 057‐Zenith College
0905 – Builsa 0601 – Adansi North 0811 – Nanumba South 058‐Ghana Institute Of Languages
0906 – Garu–Tempane 0602 – Adansi South 0812 – Saboba 059‐Green Hill College, Accra
0907 – Kassena Nankana West 0603 – Afigya – Kwabre 0813 – Savelugu/Nanton 060‐Knust, Sunyani Campus (Formerly Crnr)
061‐National Film & Tv Institute
0908 – Kassena/Nankana 0604 – Ahafo Ano North 0814 – Sawla‐Tuna‐Kalba
063‐Regional Maritime University College
0909 – Talensi‐Nabdam 0605 – Ahafo Ano South 0815 – Tamale Metropolitan
064‐U.D.S. ‐ Navrongo Campus
0606 – Amansie Central 0816 – Tolon/Kumbungu 065‐U.D.S. ‐ Nyankpala Campus
0607 – Amansie West 0817 – West Gonja 066‐U.D.S. ‐ Wa Campus
0608 – Asante Akim North 0818 – West Mamrusi 067‐University Of Ghana Medical School
0819 – Yendi Municipal 068‐Ghana Telecom University College (Gtuc)
0820 – Zabzugu/Tatale 069‐University College Of Management Studies ‐ Accra
070‐School Of Allied Health Sciences
071‐Technical University College
072‐Pan African Christian University College
073‐Ghana School Of Surveying And Mapping
075‐Western Hills School Of Nursing
076‐Evangelical Presbyterian University College
077‐Knutsford University College
078‐University Of Ghana ‐ School Of Pharmacy
ABBRE VIATIONS FOR REGIONS
AR ‐ ASHANTI NR ‐ NORTHERN
BA ‐ BRONG AHAFO UE ‐ UPPER EAST
CR ‐ CENTRAL UW ‐ UPPER WEST
ER ‐ EASTERN VR ‐ VOLTA
GR – GREATER ACCRA WR ‐ WESTERN
STUDENTS LOAN AGREEMENT FORM
1. The Lender has established a student‟s loan scheme to advance loans to students undertaking accredited courses
at accredited tertiary educational institutions in Ghana in accordance with the requirement of the lender„s Trust
Deed .
2. The Borrower is currently pursuing a Year (Number of years) diploma/degree and or professional course
at _________________ _ (Name of institution) an accredited tertiary institution.
3. At the request of the Borrower and subject to the terms and conditions of this agreement set out below and
particularly explained in Appendix B attached hereto, the lender has agreed to advance loan to the borrower.
4. AMOUNT OF LOAN
The Lender shall provide the Borrower with a Loan facility agreed by the parties herein and in the subsequent
year(s) of the course of study of the Borrower. The Lender shall disburse the loan amount to the borrower of
each year for the borrower‟s course of study by two installments. The amount of each installment shall be
determined by the Lender and paid into a designated personal account of the borrower the particulars of which
the borrower shall provide to the Lender.
5. TERMS AND CONDITIONS
a) The Lender shall charge interest equal to the average Interest payable on Government of Ghana 182 day
Treasury bill on total loan for the time being advanced to the borrower.
(i) Compounded annually during the period of study and moratorium period ;
(ii)Plus 2% compounded semi-annually during the payment period.
(b) The Borrower shall repay the loan granted together with all interest accrued thereon within a (number
of years) of completion of the course or as the case may be and in accordance with the payment schedule
attached hereto.
(c) The Borrower shall provide at least one Guarantor acceptable to the Lender prior to the disbursement of the
first Loan
(d) The Borrower shall have the right at any time on written notice or otherwise to the Lender to repay all or
part of the loan with the accrued interest.
(e) Penalties for default shall apply in cases of default.
(f) The Lender shall be entitled to terminate this agreement if borrower is found to have provided false
information. In the event of termination of this agreement under this clause the principal and accrued
interest shall become immediately payable.
(g) The Borrower shall notify his employer in writing of his/her obligation to the Lender and request monthly
deduction from salary and pay the money to the Lender.
(h) If the Borrower fails to complete his course of study through any cause whatsoever the borrower shall
remain indebted to the lender for the loan and the entire loan shall become due immediately and payable
within 12 consecutive months.
(i) A borrower shall not be eligible for a loan during repeat year(s) of study.
(j) The borrower shall be automatically registered for the Students Loan Protection Scheme.
_______________________________
Signature of student
Page 1 of 3
STUDENTS LOAN AGREEMENT FORM
Left Index Finger Left Thumb Right Thumb Right Index Finger SSNIT Officer Signature
(Finger prints should be taken at any SSNIT branch office, supervised by an officer who should sign
his/her name, Stamp & Signature to the right)
Profession/Title:
Signature
_______________Date__________
of___________________________________________________________________________________
Residential Address
consent to the grant of Loans by the Students Loan Trust Fund to my child/ward during his course of study
at _____________________________________________________________________________
Signature _____________________________________
Page 2 of 3
STUDENTS LOAN AGREEMENT FORM
A. Borrower
___________________________________________________________________ _______
(full name and address of the person explaining )
and seemed perfectly to understand and approve of same before his hand was guided by the said
B. Witness to attestation:
Signature _____________________________________________________________________
Occupation: ___________________________________________________________________
Postal Address_________________________________________________________________
I__________________________________________________________________________________
_______________________________________________________________________________(full
name ,address and occupation )hereby declare that on the_______day of__________(month ,year ). I
read and explained the contents of the loan agreement marked to (full
name of borrower )the borrower herein who is blind but literate ,in the English language and he seemed
perfectly to understand and approve of the contents before executing it.
Page 3 of 3