Robert Gibson Bursary Application Form

NOTE TO APPLICANTS - The more information you can supply the better.
Full Name
Gender
Postal Address
Fathers/Guardians Full Name
Fathers/Guardians Address
Mothers/Guardians Full Name
Mothers/Guardians Address
Are you married?
Have you had previous assistance from the Trust?
$
Are you entitled to apply for any other bursary?
Did you receive any other bursaries last year other than Robert Gibson?
$
  Gross (Per Annum) Net (Per Annum)
Main income earning parent or guardian
$
$
Second income earning parent or guardian
$
$
Yourself
$
$
Do you have access to funds from an estate or trust?
$
Receipts Per Annum Payments Per Annum
Bursaries and Grants
$
University or College fees
$
Student/Independent allowance
$
Accommodation
$
Anticipated earnings
$
Books
$
Any other income
$
Travelling
$
 
Other expenditure
$
Sub Total
$
 
$
Estimated deficiency
(difference between Payments and Receipts)
$
 
Assets (what you own) Liabilities (what you owe)
Cash or Bank account
Student Loan
$
Vehicle
$
Other
$
Other
$
 
Sub Total
$
 
$
The Methodist Church of New Zealand © 2019