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["Pre-emptive Means Tested Hardship Form"]
[]
["Student Name"]
["Year of Course"]
["SJC Member Number"]
["Course","Clinical medicine"]
[]
["External Savings ",null,null,"Amount £"]
["Please include all bank accounts","How much do you have in savings at the time of this application"]
[]
[]
[]
["Sources of Income","Sources of annual income (October 2022-23)",null,"Amount £  \nplease add actual amounts pa"]
["External","Non-means tested NHS grant (typically £1000)",null,0]
[null,"Means tested NHS Bursary (up to £2,643)",null,0]
[null,"Additional allowance for excess term-time (typically £84 X 20 weeks)",null,0]
[null,"Non-means tested maintenance loan (Typically £1975)",null,0]
[null,"Parental contributions",null,0]
[null,"External work, e.g., tutoring, Access",null,0]
["University","Crankstart Bursary",null,0]
[null,"Oxford Bursary ",null,0]
[null,"Hardship awards received"]
["College","Academic grants",null,0]
[null,"Hardship awards received",null,0]
["Other","Any other sources of income",null,0]
[null,null,null,{"$f":"SUM(D14:D25)","v":0}]
["Expected Outgoings","Sources of expenditure (October 2022-23)",null,"Amount £  \nplease add actual amounts pa"]
["Living Costs","University minimum living costs for 12 months (excluding accommodation)",null,6240]
["Accommodation","Actual rent costs for the year including bills"]
["Exceptional expenses","Please enter total amount of any unforseen or unexpected expenses"]
[null,"Total expected expenditure",null,{"$f":"SUM(D28:D30)","v":6240}]
[null,"Total expected income",null,{"$f":"D26","v":0}]
[null,"Surplus or deficit",null,{"$f":"SUM(D32-D31)","v":-6240}]