HELB Loan Application Form

Complete the form below to apply for HELB funding. All fields marked with * are required.

Personal Information

First Name *

Last Name *

ID/Passport Number *

Date of Birth *

Email Address *

Phone Number *

Physical Address *

Institution Name *

Course of Study *

Year of Study *

Admission Number *

Requested Loan Amount *

Annual Family Income *

ID/Passport Copy *

Drag and drop your file here or click to browse

Academic Transcripts *

Drag and drop your file here or click to browse