Docstoc

Application for Deferred Payment of Tuition Fee 200910

Document Sample
Application for Deferred Payment of Tuition Fee 200910 Powered By Docstoc
					                                         The Hong Kong Polytechnic University


                         2009/2010              Student Affairs Office
                            Application for Deferred Payment of Tuition Fee 2009/10
                                     (For Local Full-time UGC-funded Current Student)

                                                         Notes for Application
                                     (Applicant must read this Notes before filling in the Application Form)

Eligibility
1. Local full-time UGC-funded current students on degree and sub-degree programmes paying a flat annual tuition fee are eligible
    to apply for deferred payment of tuition fee if they :-
    (i) have received the Government Tertiary Student Finance Scheme – Publicly–funded Programmes (TSFS) notification letter/
          Non-means-tested Loan Scheme (NLS) remittance advice with enough amount of approved assistance to cover the tuition
          fee, but the money have not been received; or
     (ii) are not meeting the above criterion but with genuine difficulties in settling the tuition fee on or before the payment due date.
          Applications will be considered on individual merits.
Application Procedures
2. For application meeting aforesaid criterion 1 (i), please complete the application form properly and attach to it :
   (i) the updated e-debit note shows the outstanding tuition fee information (“Fee Payment Information” “Outstanding Debit
        Note”),     which    is    downloadable        from     the    Student     Account     Information      System (SAIS)
        at https://www29.polyu.edu.hk/fostudacc/; and
     (ii) copy of the 2009/10 TSFS notification letter (which indicates the approved grant and/or loan) and/or NLS Remittance
          Advice (which indicates the amount and disbursement date of the NLS loan).
3.   For application meeting aforesaid criterion 1 (ii), please complete the application form properly and attach to it :
     (i) the updated e-debit note shows the outstanding tuition fee information (“Fee Payment Information” “Outstanding Debit
         Note”),     which     is    downloadable        from     the    Student      Account    Information      System  (SAIS)
         at https://www29.polyu.edu.hk/fostudacc/;
     (ii) copy of pages 7 to 17 of applicant’s completed 2009/10 TSFS Application Form (Form G) as submitted to the Government
          Student Financial Assistance Agency (not required if already submitted in previous application);
     (iii) copy of the 2009/10 TSFS notification letter if already received. If not, a printout of applicant’s self-estimated TSFS grant
           & loan result is required (URL: http://www.sfaa.gov.hk/eng/schemes/tsfs/calculator/calculator.htm); and
     (iv) any relevant documents supporting this application.
4.   Applicant should submit the completed application form and necessary documents at least 2 working days before the payment
     due date to the Student Affairs Office (SAO) at Room ST314, Core S. Late submission may not be entertained. Application
     once submitted, is not returnable. Applicant is advised to retain a copy for future reference.
5.   After submitting the application, applicant must get an application number slip and enquire the application result on the
     date/time specified on the slip. If applicant fails to do so, he/she needs to bear the consequences, if any (e.g.
     unknown/unsuccessful application result, non-processing of application, etc.).
6.   Applicant will be interviewed individually by staff of SAO, if necessary, when he/she enquires the application result. Applicant
     may be required to bring the originals of the documents in support of the application to the interview for verification; or,
     applicant may be requested to provide further supporting documents for the application.
7.   Successful applicant will be given an “Important Notes to Successful Applicant” with approval for deferment. Then, student
     must check the updated payment due date shown on the SAIS about 2 working days later
     at https://www29.polyu.edu.hk/fostudacc/ and settle the payment on or before the revised deadline. Otherwise, his/her student
     status may be terminated.
8.   Unsuccessful applicant will be notified via interview/phone contact/e-mail. He/she must settle the tuition and other fees as
     soon as possible and in any case no later than the payment due date. Otherwise, his/her student status may be terminated.

Handling of Information and Personal Data Provided
9.   The personal data and supplementary information provided in this application will be used by SAO/Academic Secretariat and
     will be released to relevant party/parties as deemed necessary for activities relating to (i) processing of this application, (ii) data
     preparation necessary for updating the payment information, (iii) compilation of the relevant statistics to facilitate review of the
     fee payment arrangements, (iv) processing of applicant’s application(s) for financial assistance during studies in PolyU, if any.
10. The application form will be kept for a period of no more than ONE year after applicant’s last application for deferred payment.
11. An applicant has the right to obtain access and make correction to the personal data provided by him/her in the application. Such
    request may be charged a notional fee, and should be made in writing and addressed to the Director of Student Affairs of PolyU.
                                                                 Room ST314, Core S
                                                            ℡ 3400 3134
                                                                 safaship@inet.polyu.edu.hk
June 2009
                                                                                                                                 CONFIDENTIAL
                                       The Hong Kong Polytechnic University




Please
                        2009/2010
          as appropriate:
                                              Student Affairs Office
                            Application for Deferred Payment of Tuition Fee 2009/10
                                     (For Local Full-time UGC-funded Current Student)

                                I have read the “Notes for Application” before completing this form.
                                I have completed all 2 pages before submission of application.

A) Personal Particulars                                                            (For Office Use)

 Name :                                             (                      )
                                                                                   APPLICATION NO. :             C
                           English                          Chinese
                                                                                   Interview :         Required                  NOT Required
 Contact Tel. No. :
                                                                                   Date :                   Time :
 Student No. :    0                                         D                           SAMS           FA        Phone call on

 B) Reason(s) for Application         (Please use additional sheet if necessary)




    The payment due date is                    (e-debit note attached) and I shall be able to pay the fee on or before                              .

C) Tertiary Student Finance Scheme - Publicly-funded Programmes (TSFS)/ Non-means-tested Loan Scheme (NLS)

     Have applied for TSFS and / or NLS and waiting for notification(s) :
     TSFS application submitted on                          . Estimated grant:$                             Estimated loan $
     NLS application submitted on                           . Plan to borrow NLS loan $                                  .
     Progress :




     Have received notification on the result of TSFS and / or NLS :
     TSFS Notification dated               Tuition fee grant: $                     Academic expense grant: $                    Loan: $
     Accepted loan: $                      Loan undertaking successfully submitted to SFAA on                                        .
     NLS Notification dated               NLS loan offered: $                            Accepted NLS loan: $
     Loan undertaking successfully submitted to SFAA on                              NLS draw down (payment) date:


    ------------------------------------------------------------------------------------------------------------------------------------

D) Approval of Deferred Payment for 2009/10 (Current Students) (sem 1 / 2 )                                                         (AS Record)

Name :                                                  (                  )       Student No. :   0                                            D
                      English                               Chinese
                                                                                                                                         SAO Chop
 (For Use by SAO) Approved to defer payment due date to                                       on                             .


 (For Use by AS)        AS System updated by                               on                                        .


                                                                       1
E) Declaration

I, ________________________________________, (name of applicant) declare that the information given in this form is true and
complete to the best of my knowledge. I understand that any false information provided or withholding of any relevant information
purposely may lead to disqualification of my student status in PolyU.
Should my application be approved :
(i)     I fully aware that I will be de-registered from my programme of study, should I fail to settle the fees on or before the deferred
        payment deadline as approved by the Student Affairs Office. All my subject results attained for the semester concerned will be
        removed and the caution money paid in Year 1 will be forfeited.
(ii) I understand that application for deferment/withdrawal of study will not be processed if the deferred amount has not been
     settled.
(iii) I understand that a fee of HK$400 will be charged by the Academic Secretariat on approved cases of reinstatement of student
      status.

I also authorize the Student Affairs Office and/or the Academic Secretariat to handle the personal data/information/copies of
documents provided in this application in accordance with paragraphs 9 to 10 on the “Notes for Application” for this application and
undertake to get consent from my family members of such an arrangement.


Applicant's signature :                                                             Date :


(For Use by SAO)

2008/09 TSFS Grant : $                    Loan:$                NLS Loan:$                        AFI:                   AA:$

2008/09 PolyU FA Bursary $                                 Singtao / Winsor Loan $

      Application approved by                       on                        . Payment deadline deferred to                                .
      Family situation?      CSSA        Unemployed           Bankrupt/IVA           Great debt          Single-parent     Ind./Semi-ind.
      How to settle TF?      TSFS        NLS         TSFS P       NLS P           FA/EFA        FA P/EFA P           Cash flow        Others

      Application rejected by                       on                        .    Informed student on                                .
        G &/ L released         NLS offset         Family resources suffice         Insufficient inf.          Others (state below)

Remarks :




                                                                      2

				
DOCUMENT INFO