SCHEDULE

Regulation 5

Application Information

An applicant for an integration loan must provide the following information—

a

his full name;

b

other names by which he is or has been known;

c

his date of birth;

d

his address in the United Kingdom;

e

his telephone number (if any);

f

his email address (if any);

g

evidence that demonstrates the applicant satisfies regulation 4(1);

h

his national insurance number;

i

details of his income;

j

details of his assets;

k

details of his liabilities;

l

details of his outgoings;

m

confirmation as to whether any of his dependants or any member of his household has made an application for or received an integration loan;

n

the information in paragraphs (a) to (f) and (h) to (l) in relation to any dependants;

o

the amount he is seeking by way of an integration loan.