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Letter from the Headmistress – 18th November 2010
Letter from the Headmistress – 25th October 2010
Letter from the Headmistress – 4th July 2011
Letter from the Headmistress – 9th September 2011
Letter from the Headmistress – 14th March 2011
Letter from the Headmistress – 1st May 2012
Letter from the Headmistress – 20th May 2011
Letter from the Headmistress – 21st January 2011
Letter from the Headmistress – 23rd February 2012
Letter from the Headmistress – 24th February 2011
Letter from the Headmistress – 28th April 2011
Letter from the Headmistress – 31st January 2011
Letter from the Headmistress – 4th January 2011
Letter from the Headmistress – 4th November 2011
Letter from the Headmistress – 4th October 2011
Letter from the Headmistress – 5th December 2011
Letter from the Headmistress – 5th January 2012
Letter from the Headmistress – 6th February 2012
Letter from the Headmistress – 8th June 2011
Letter from the Headmistress – 9th April 2012
Letter from the Headmistress – 9th November 2010
Letter from the HM – 28th Feb 2011
Paul Stevens
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Triathlon – 6th November 2011
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Pembrokians
Letter from the Headmistress – 30th November 2010
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Bursaries: Financial Assistance Application
This is a confidential statement of financial circumstances in support of an application for a Pembroke House bursary. This questionnaire is in the form recommended by the Independent Schools Bursars' Association. Please ensure you read the notes for each question.
1. CHILD
Full name of child
Date of birth of child
2. FATHER / STEP-FATHER
Title and Names
Postal / Residential Address
Email
Daytime telephone number
3. MOTHER / STEP-MOTHER
Title and Names
Are address details same as for father / step-father?
*
Yes
No
Postal / Residential Address
Email
Daytime telephone number
4. TAXABLE INCOME
Please enter below your current earnings and expected income from all sources for this tax year. If your application is successful you will be asked to provide proof of income by way of an individual tax return (I.T. 1 Form).
Gross salary and other similar earnings
Including all taxable benefits and other emoluments. Please provide income for mother/step-mother and father/step-father on separate lines.
Profits of business or profession
Please provide for mother/step-mother and father/step-father on separate lines.
Gross pension, retired pay, widow's pension, etc.
Please provide for mother/step-mother and father/step-father on separate lines.
Gross investment income from dividends, interest, Ground rents, etc.
Please provide for mother/step-mother and father/step-father on separate lines.
Government allowances, social security payments
Please provide for mother/step-mother and father/step-father on separate lines.
Any other income, gratuities or lump sum payments (please give details)
Please provide for mother/step-mother and father/step-father on separate lines.
5. OTHER EMOLUMENTS
Value of board and/or residence or other non-taxable benefits in kind provided free by reason of employment
Please provide for mother/step-mother and father/step-father on separate lines.
Child allowances
Please provide for mother/step-mother and father/step-father on separate lines.
Maintenance payments received
Please provide for mother/step-mother and father/step-father on separate lines.
Any other non-taxable emoluments or income (give details please)
Please provide for mother/step-mother and father/step-father on separate lines.
6. OUTGOINGS
Tax payable on incomes declared above (including tax deducted at source)
Please provide for mother/step-mother and father/step-father on separate lines.
Insurance contributions
Please provide for mother/step-mother and father/step-father on separate lines.
Mortgage interest (state interest only and not installments of mortgage repaid)
Please provide for mother/step-mother and father/step-father on separate lines.
Any other interest payable (please specify)
Please provide for mother/step-mother and father/step-father on separate lines.
Any annual rent payable on home
Please provide for mother/step-mother and father/step-father on separate lines.
7. CAPITAL ASSETS
Approximate value of all investments
Please provide for mother/step-mother and father/step-father on separate lines.
Approximate value of house (if owned)
Please provide for mother/step-mother and father/step-father on separate lines.
Approximate value of other possessions including contents of house, motor cars, etc.
Please provide for mother/step-mother and father/step-father on separate lines.
Cash at banks or elsewhere (include current and deposit accounts)
Please provide for mother/step-mother and father/step-father on separate lines.
Approximate value of any other assets (please specify)
Please provide for mother/step-mother and father/step-father on separate lines. Include the market value of any insurance policies maturing in this tax year.
Approximate market value of any second property owned, either at home or abroad
Please provide for mother/step-mother and father/step-father on separate lines.
8. CAPITAL LIABILITIES
Please give details of any capital charges against the assets declared in section 7.
Mortgage - amount outstanding
Please provide for mother/step-mother and father/step-father on separate lines.
Overdraft at bank
Please provide for mother/step-mother and father/step-father on separate lines.
Other loans
Please provide for mother/step-mother and father/step-father on separate lines.
9. DEPENDENT CHILDREN
Include the child to whom this application refers: please put each child on a separate line in the same box.
Full names
Dates of Birth
Sex (Boy or Girl)
School or college (including country)
Boarding or day
Annual school or other educational fees (excluding extras and sundry disbursements)
Compulsory additional school charges
10. OTHER EXISTING ASSISTANCE WITH EDUCATION EXPENSES
Please put details for each dependent child (including the child to whom the application refers) on a separate line in the same box. Please answer all questions in relation to the fees detail in section 9.
Scholarships, bursaries or grants given by school
Annual sum arising from capital prepayment scheme
Other bursaries and grants
Other bursaries and grants
Services/company allowances (gross) state whether the sum has been included in gross salary - section four first question
Annual sum arising from educational insurance policies
Assistance from any other source e.g. Grandparents, trusts, settlements, government assisted places scheme, etc.
Please specify
Annual income of child (if any)
11. OTHER DEPENDENTS
Please give details
12. ANY OTHER RELEVANT INFORMATION
Please give details
13. CERTIFICATE
I/We have made a complete statement of my/our financial situation and circumstances generally. I/We undertake to renew this statement annually and in any case to report immediately any material change in the financial position detailed. I/We also give any expressed authority to approach our bankers as indicated below to verify any information contained here.
Name and date
Father / Step-father
Name and date
Mother / Step-mother
14. PERSONAL AND BANKING REFEREES
Please seek their permission to be used as referees before adding their names, addresses, email and telephone numbers.
First personal refereree
Second personal referee
Bank referee(s)
ASSISTANCE FROM OTHER SOURCES
In order to help the greatest number of parents who need financial assistance, all those who apply for a bursary from the school are asked first to enquire if they are eligable for assistance from any other source.