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Salient. Victoria University Students Newspaper. Vol. 38, No. 4, 1975

ANFIDENTIAL TO BE COMPLANTED IN THE PALING OR GUARDIAN OF THE APPLICANT FOR SPECIAL ALLOWANCE This section may be left attached to Section1, or it may be forwarded separately by the parents to the Liaison Officer of the university at which the applicant is enrolled. 1. None of Applicant" 2. Number of parents living: 3. Names of parents/guardian: 4. Occupation: 5. Postal Address (os) 6. Average weekly gross income from all sources: 7. Have you any savings or investments? 8. Number in family (not…

ANFIDENTIAL TO BE COMPLANTED IN THE PALING OR GUARDIAN OF THE APPLICANT FOR SPECIAL ALLOWANCE This section may be left attached to Section1, or it may be forwarded separately by the parents to the Liaison Officer of the university at which the applicant is enrolled. 1. None of Applicant" 2. Number of parents living: 3. Names of parents/guardian: 4. Occupation: 5. Postal Address (os) 6. Average weekly gross income from all sources: 7. Have you any savings or investments? 8. Number in family (not including parents): 9. Number in family under 18 years of age fully supported by parents (including applicant): 10. Number in family working and giving some support: 11. (a) What assistance are you giving the applicant?: (b) State why you are unable to assist the applicant or to provide any further assistance: 12. Any other particulars you wish to supply in support of this application: I hereby declare the above information to be true and correct in every particular and that no information which could have a material bearing on this application has been with held. Signature of Parent/Guardian Date: