SLTF LAPTOP REQUEST FORM

Name of borrower: .................................................................................

Institution:................................................................................................

Social Security number:.........................................................................

Telephone number:................................................................................

Student ID:...............................................................................................

I,.................................................., certify that the information submitted herewith is true and correct and I fully understand my obligations incurred by granting of this loan and theconditions of its repayment.

Declaration

I request that part of my annual loan amount be used to issue me with a lenovo Laptop with the following specications (Lenovo V130 -15 Celeron Dual core N,400,4GB DDR 4, 1 TB 5400 rpm, Intel HD Graphics 15.6” HD, windows 10, Wi AC 1x1 +BT4.1, N-FPR, 0.3MP Camera, DVD Rxv, 2 Cell, 45 W, AC, KYB UK English)

Signature of borrower: Date: