Documents:  Application checklist   |    Promissory Note

Important Instructions:

  • Complete Borrower Application below.
  • Review Application Checklist and all Terms & Conditions. This document must be signed by applicant and both parents and submitted with all supporting materials outlined.
  • Review and complete Promissory Note. This document must be signed and notarized in 2 places -once by the applicant and once by the Guarantor.
  • Mail signed Application Checklist Terms & Conditions, all supporting documents, and signed and notarized Promissory Note to:
             Anjuman Wazifa Sadat O Momineen | P.O. Box 844 | Hicksville, NY 11801

Please note Last date for receiving completed applications by mail is June 30 for the fall semester and November 30 for the spring semester. An application which is late, hand delivered, or incomplete in any way will not be considered.


    Borrower Application

    Personal Information

    New or Continuity?

    First Name

    Last Name

    Date of Birth (mmddyyyy)