DOCUMENT CHECKLIST. Applicant s Name: Matric no.: Contact No.:
|
|
- Annis Heath
- 5 years ago
- Views:
Transcription
1 Pls staple all supprting dcs t this Checklist. Submit t: One SAC NS , Nrth Academic Cmplex 50 Nanyang Avenue, Singapre (Enquiries: FinAid@ntu.edu.sg ) DOCUMENT CHECKLIST Full Time UG (w FCFS) 1f4 Fr staff use: Staff name: Receipt date: Applicant is: Single Married Full time student Submitting dcs fr: Bursary Study Lan PC Lan OSP Lan/Award Applicant s Name: Matric n.: Cntact N.: Cpy f Applicatin frm Dcument Required (cpy f) Cpy f FCFS frm FCFS - Family cmpsitin & financial status Applicant Singaprean/ SPR NRIC (clear cpy f frnt and back) Internatinal Passprt nly (must nt be expired) Study Lan Guarantr (Only needed if applying fr Study Lan) Singaprean / SPR NRIC (clear cpy f frnt and back) Internatinal (nn NTU Student) Passprt (must nt be expired) r ID Card Internatinal (NTU Student) Passprt nly (must nt be expired) PC Lan Guarantr (Only needed if applying fr PC Lan) Singaprean / SPR NRIC (clear cpy f frnt and back) OSP Lan Guarantr (Only needed if applying fr OSP Lan) Singaprean / SPR NRIC (clear cpy f frnt and back) Emplyment status Emplyed Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 NTU Student Nt required r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 ^ Cpy f Self Declaratin frm prvided at the back f this Checklist. # Cpy f incme dcument is required if parent / spuse is staying in the same husehld as applicant. N incme dc is required nly if the parent / spuse is divrced / separated and he / she is nt staying with Fr married applicant, N incme dcument is required if parents are nt staying in the same husehld with applicant. N incme dc is required if spuse is divrced / separated and he / she is nt staying with applicant.
2 Full Time (w FCFS) 2f4 *1 Incme slip r Emplyer letter must NOT be dated mre than 3 mths back. E.g. if submitting dcs in Jan 2018, dcument t be dated either Nv 2017 r Dec 2017 r Jan ( If incme fluctuates mnth t mnth, it wuld be advisable t prvide payslips fr a few mnths - recent past 3 cnsecutive mnths. ) *2 CPF Transactin/Cntributin Histry is nly applicable t Singapreans and Singapre Permanent Residents. The latest transactin must NOT be mre than 2 mnths ld (e.g. if submitting applicatin in Jan 2018, statement t capture transactins frm either Jun2017 t Dec2017 OR Aug2017t Jan2018). Dcument Required (cpy f) Father Divrced/Separated/Deceased Divrce r Separatin Dcument r Death Certificate Emplyment status Emplyed Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Unemplyed / Retired Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Mther Divrced/Separated/Deceased Divrce r Separatin Dcument r Death Certificate Emplyment status Emplyed Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 Unemplyed / Husewife / Retired Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Siblings N. f siblings staying in same husehld as applicant : (regardless if cntributing financially r nt t husehld) Other relatives N. f relatives staying in same husehld as applicant : 1.Sibling / Any natinality NRIC r Passprt r ID Dc r Birth Certificate r 11B Emplyment status Emplyed (incl Unifrmed Services Regulars) Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 Unemplyed /Husewife / Retired / unemplyed part-time student aged 25 & abve aged 24 & belw Pending enlistment / enrlling int tertiary institutin (aged 21 & belw) r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Dcument shwing full-time status (e.g. Admissin Offer Letter r Certificatin Letter) Student Card r Admissin Offer Letter Student aged 18 & belw N dc required ther than ID dc NS (Full Time) 11B r Enlistment Letter Self-declaratin Frm r Enlistment Letter r Admissin Offer Letter
3 Full Time (w FCFS) 3f4 Dcument Required (cpy f) 2.Sibling / Any natinality NRIC r Passprt r ID Dc r Birth Certificate r 11B Emplyment status Emplyed (incl Unifrmed Services Regulars) Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Unemplyed /Husewife / Retired / unemplyed part-time student aged 25 & abve aged 24 & belw Pending enlistment / enrlling int tertiary institutin (aged 21 & belw) Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Dcument shwing full-time status (e.g. Admissin Offer Letter r Certificatin Letter) Student Card r Admissin Offer Letter Self-declaratin Frm r Enlistment Letter r Admissin Offer Letter Student aged 18 & belw N dc required ther than ID dc NS (Full Time) 11B r Enlistment Letter 3.Sibling / Any natinality NRIC r Passprt r ID Dc r Birth Certificate r 11B Emplyment status Emplyed (incl Unifrmed Services Regulars) Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Unemplyed /Husewife / Retired / unemplyed part-time student aged 25 & abve aged 24 & belw Pending enlistment / enrlling int tertiary institutin (aged 21 & belw) Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Dcument shwing full-time status (e.g. Admissin Offer Letter r Certificatin Letter) Student Card r Admissin Offer Letter Self-declaratin Frm r Enlistment Letter r Admissin Offer Letter Student aged 18 & belw N dc required ther than ID dc NS (Full Time) 11B r Enlistment Letter If yu have mre than 3 siblings/ther relatives staying in the same husehld, please make mre cpies f this page.
4 THIS SECTION IS ONLY APPLICABLE FOR MARRIED STUDENTS Full Time (w FCFS) 4f4 Dcument Required (cpy f) Spuse (if applicant is married) Any natinality NRIC r Passprt r ID Dc r Birth Certificate r 11B Marital status Divrced/Separated Divrce r Separatin Dcument Emplyment status # Emplyed (incl Unifrmed Services Regulars) Incme Slip dated nt mre than 3 mths back *1 r Emplyer Letter *1 r Incme Tax Ntice f Assessment fr yr f assessment 2017 Self-Emplyed Incme Tax Ntice f Assessment fr yr f assessment 2017 r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Unemplyed / Husewife / Retired / unemplyed part-time student aged 25 & abve aged 24 & belw Pending enlistment / enrlling int tertiary institutin (aged 21 & belw) Retirement letter frm cmpany r Self-declaratin Frm^ + CPF Transactin Histry shwing past 6 mnths transactins *2 Dcument shwing full-time status (e.g. Admissin Offer Letter r Certificatin Letter) Student Card r Admissin Offer Letter Self-declaratin Frm r Enlistment Letter r Admissin Offer Letter Student aged 18 & belw N dc required ther than ID dc NS (Full Time) 11B r Enlistment Letter Children Ttal N. f children: 1. Child Any natinality NRIC r Passprt r ID Dc r Birth Certificate 2. Child Any natinality NRIC r Passprt r ID Dc r Birth Certificate
5 SELF DECLARATION FORM I, (family member s/relative s name), Identity Card/Passprt N. declare that I am: Self-emplyed as a (ccupatin) Unemplyed Husewife Retiree I am: drawing a grss mnthly incme f S$ nt drawing any incme (Average incme may be prvided if incme fluctuates mnth t mnth) I am the father/mther/spuse/sibling/relative* f student (NTU student s name). Signature f family member/relative Date *delete accrdingly This frm is fr use by family members/relatives wh are either self-emplyed, unemplyed, husewife r retirees. (This frm is nt applicable fr emplyed family members/relatives.) Fr a family member/relative wh is a Singaprean r SPR, in additin t this Self Declaratin Frm, please als prvide the latest cpy f CPF Transactin Histry^ shwing past 6 mnths transactins. ^ CPF Transactin/Cntributin Histry: The latest transactin must nt be mre than 2 mnths ld (e.g. if submitting applicatin in Jan 2018, statement t capture transactins frm EITHER Jun 2017 t Nv 2017 OR Aug 2017 t Jan 2018). One self-declaratin frm per family member/relative. Please make mre cpies if needed.
DOCUMENT CHECKLIST (Part Time SG student)
Pls staple all supprting dcs t this Checklist. Submit t: One Stp @ SAC NS3 01 03, Nrth Academic Cmplex 50 Nanyang Avenue, Singapre 639798 (Enquiries: FinAid@ntu.edu.sg ) DOCUMENT CHECKLIST (Part Time SG
More informationInstruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances
Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents
More informationAPPLICATION FOR CONCESSIONAL FEES
APPLICATION FOR CONCESSIONAL FEES Family Name: Family Number: Students Enrlled at Sacred Heart Cllege: Name Year Level Checklist I/We have fr all carers: Cmpleted and Signed this Applicatin Attached the
More informationTERTIARY TUITION FEE SUBSIDY FOR MALAYS APPLICATION FORM
TERTIARY TUITION FEE SUBSIDY FOR MALAYS APPLICATION FORM Instructins t Applicant Please read the instructins carefully befre cmpleting the applicatin frm. a. Eligibility Yu are eligible fr the Tertiary
More informationVerification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS:
2018-2019 Verificatin Wrksheet- V1 DIRECTIONS 2016 INCOME Yur applicatin was selected by the U.S. Dept. f Educatin fr review in a prcess called "verificatin". Yu must submit the last 3 pages f this verificatin
More information2018 J. H. BUDDY RASPBERRY SCHOLARSHIP FINANCIAL ASSISTANCE APPLICATION
2018 J. H. BUDDY RASPBERRY SCHOLARSHIP FINANCIAL ASSISTANCE APPLICATION BASIS OF ELIGIBILITY Due Mnday, April 16, 2018 NO EXCEPTIONS The J.H. Buddy Raspberry Schlarship Fund is ffering an additinal schlarship
More informationSpecial Conditions Form
2019-2020 Special Cnditins Frm Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu 410-704-4236 If yur family has experienced a majr reductin in incme, the Financial Aid Office may be able t reevaluate
More informationSpecial Conditions Form
2017-18 Special Cnditins Frm Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu 410-704-4236 If yur family has experienced a majr reductin in incme, the Financial Aid Office may be able t reevaluate
More informationSpecial Circumstance Review
1 f 7 Student s Name: Last First SLU Banner ID Number 2008-2009 Special Circumstance Review Parent(s)/Stepparent(s) and Student/Spuse may use this frm t reprt significant changes that have ccurred since
More informationInformation Package CAFETERIA 125 PLANS
Infrmatin Package CAFETERIA 125 PLANS Shaffer Insurance Services, Inc. Benefits Divisin 902 E. Ave Q-9 Palmdale Ca. 93550 Tll Free (866) 412-5872 Office Tel (661) 575 9331 Fax (661) 280 2016 Sectin 125
More informationIMPORTANT INFORMATION PERTAINING TO A SANDF EDU TRUST BURSARY. who are or will be attending primary, secondary or tertiary educational institutions.
Suth African Natinal Defence Frce Educatin Trust (SANDF EDUCATION TRUST Reg N IT 3428/13) (Applicatin fr Financial Aid fr Educatinal Purpses) IMPORTANT INFORMATION PERTAINING TO A SANDF EDU TRUST BURSARY
More informationSpecial Circumstance Review 1 of 8
A Student s Name: 2009-2010 Special Circumstance Review 1 f 8 SLU Banner ID Number Saint Luis University, as allwed by law, cnsiders life changes that ccur after the cmpletin f yur Free Applicatin f Federal
More informationILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE SCHOLAR)
J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE SCHOLAR) Please cmplete this frm and return it t yur hst department as sn as pssible s that we may issue yu a DS-2019, which is used when yu apply fr a
More informationUnityPoint Health Grinnell Regional Medical Center Auxiliary Healthcare Career Scholarship
Auxiliary UnityPint Health Grinnell Reginal Medical Center Auxiliary 2019-2020 Healthcare Career Schlarship The Auxiliary f Grinnell Reginal Medical Center, recgnizing the cntinuing need fr qualified healthcare
More informationGuide to Young Adult Dependent Coverage
Guide t Yung Adult Dependent Cverage The New Yrk State Legislature passed a law in 2009 which extends the availability f health insurance cverage t yung adults thrugh the age f 29. As a result, Freelancers
More informationFrequently Asked Questions for Blue Shield Producers Guarantee Issue for Children Under Age 19 Updated June 7, 2011
Frequently Asked Questins fr Blue Shield Prducers Guarantee Issue fr Children Under Age 19 Updated June 7, 2011 What are the new health refrm requirements fr applicants under age 19? The Affrdable Care
More informationMICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS
Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).
More informationSouth African National Defence Force Education Trust (SANDF Education Trust Reg. No IT 3428/13/PBO No /NPO )
Suth African Natinal Defence Frce Educatin Trust (SANDF Educatin Trust Reg. N IT 3428/13/PBO N 930044495/NPO 134-347) (Applicatin fr Financial Aid fr Educatinal Purpses: 2016) IMPORTANT INFORMATION PERTAINING
More informationAPPLICATION FORM LICENSED TRADES ISSUE OF QUALIFICATION POST GAP TRAINING. SECTION A Applicant Details & Document Checklist
APPLICATION FORM LICENSED TRADES ISSUE OF QUALIFICATION POST GAP TRAINING SECTION A Applicant Details & Dcument Checklist INSTRUCTIONS FOR APPLICANTS This Applicatin Frm is a request fr the issue f a qualificatin,
More informationFAQS ON DEBT CONSOLIDATION PLAN
1. What is Debt Cnslidatin Plan (DCP)? Debt Cnslidatin is a debt refinancing prgram which ffers a custmer the ptin t cnslidate all his unsecured credit facilities (such as credit cards and sme types f
More informationUnderstanding Loan Product Advisor s Determination of Total Monthly Debt for Conventional Loans
Understanding Lan Prduct Advisr s Determinatin f Ttal Mnthly As indicated in Freddie Mac s Single-Family Seller/Servicer Guide (Guide) Sectin 5401.2, the Brrwer's liabilities must be reflected n the Mrtgage
More informationHOUSEHOLD MEMBERS (please include head of household)
Date: ST. TAMMANY PARISH COMMUNITY ACTION AGENCY WAP Applicatin Last Name: First Name: Address: City: Zip Cde Telephne Number: Cell: MARITAL STATUS: Single (Never Married) Married Separated Divrced Widwed
More informationCustomer due diligence guide for clients
Custmer due diligence guide fr clients Nvember 2018 19499409 2 As a reprting entity under the Anti-Mney Laundering and Cuntering Financing f Terrrism Act 2009 (the AML/CFT Act), MinterEllisnRuddWatts has
More informationPREPARING TO TERMINATE DROP
PREPARING TO TERMINATE DROP If yu wrk until yur riginal Deferred Retirement Optin Prgram (DROP) terminatin date, the Divisin f Retirement will mail yu yur DROP Terminatin Packet apprximately 90 days prir
More informationILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT)
J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT) Please cmplete this frm and return it, alng with the individual s sectin, t the Internatinal Center as sn as pssible s that we may issue the
More informationEMPLOYMENT APPLICATION LEE COUNTY GOVERNMENT P.O. Box 398 ATT: Human Resources Fort Myers, Florida (239)
PERSONAL INFORMATION EMPLOYMENT APPLICATION LEE COUNTY GOVERNMENT P.O. Bx 398 ATT: Human Resurces Frt Myers, Flrida 33902 (239) 533-2245 http://www.lee-cunty.cm JOB NUMBER: JOB TITLE: EXAM ID#: Received:
More informationParent Guide to Financial Aid
Parent Guide t Financial Aid fr the 2019-20 schl year OVERVIEW AND DEADLINES Welcme t the financial aid applicatin seasn fr the 2019-20 schl year. We recgnize that the applicatin prcess can be stressful
More information2015 DATA ORGANIZER. First Name and Initial Last Name Social Security Number. (Optional: E-file confirmation will be sent to this address.
CLIENT CHECKLIST Cpy f Scial Security cards fr all individuals n the tax return Cpy f drivers licenses fr primary taxpayer and spuse (if applicable) Vided check if yu wuld like direct depsit r direct debit
More informationAPPLICATION FOR ADMISSION 2019
APPLICATION FOR ADMISSION 2019 APPLICANT INFORMATION Last Name: First Name: Date f Birth: (mnth/day/year) Gender: Male Female Citizenship: Hme Cuntry Address: City: State/Prvince: Pstal Cde: Cuntry: E-mail:
More informationJ-1 DS-2019 Request Form for Exchange Visitor Applicant
J-1 DS-2019 Request Frm fr Exchange Visitr Applicant 1. Persnal Infrmatin (as it appears in yur passprt) Email Address Gender: Male Female Last psitin/ccupatin yu held in yur cuntry f legal permanent residence
More informationThe Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to:
Dear Emma Nylen Schlarship Applicant, Enclsed, yu will find the fllwing: 1) Eligibility Requirements; and 2) Emma Nylen Schlarship Prgram Applicatin Apprximately 20-50 schlarships are prvided thrugh the
More informationInformational Sheet- Application for Pension
33 Plaza La Prensa, Santa Fe, NM 87507 (505) 476-9401 Fax (505)476-9300 Vice (800) 342-3422 Tll-Free www.nmpera.rg Infrmatinal Sheet- Applicatin fr Pensin If yu are cnsidering retiring, PERA requests that
More informationRenewal of Manager s Certificate
Applicatin fr Renewal f Manager s Certificate Sectin 219, Sale and Supply f Alchl Act 2012 General infrmatin: Yu must renew yur manager s certificate befre it expires. Once yur manager s certificate has
More informationTown of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants
Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin fr Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin
More informationCLIENT PROFILE. The Austin-Decher Group at Morgan Stanley Smith Barney
CLIENT PROFILE The Austin-Decher Grup at Mrgan Stanley Smith Barney 600 Thimble Shals Blvd. Suite # 110 Newprt News, VA 23606 757-873-3300 / 800-338-8948 Wanda M. Austin Senir Vice President-Wealth Management
More informationCLOVER PARK TECHNICAL COLLEGE INTERNATIONAL ADMISSION APPLICATION PACKET
CLOVER PARK TECHNICAL COLLEGE INTERNATIONAL ADMISSION APPLICATION PACKET 2017-2018 T apply fr admissin, please cmplete the frms belw and submit with the dcuments indicated: FORMS Internatinal Educatin
More informationQuality Assurance Program Independent Student Verification Worksheet
2015-16 Quality Assurance Prgram Independent Student Verificatin Wrksheet QAIVER Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing
More informationPERKINS REALTY RENTAL PROCEDURES
PERKINS REALTY RENTAL PROCEDURES PERKINS REALTY DOES BUSINESS IN ACCORDANCE WITH THE FAIR HOUSING ACT, AND DOES NOT DISCRIMINATE ON THE BASIS OF SEX, SEXUAL ORIENTATION, MARTIAL STATUS, RACE, CREED, RELIGION,
More informationINNES & LOTITO, P.C. CERTIFIED PUBLIC ACCOUNTANTS
INNES & LOTITO, P.C. CERTIFIED PUBLIC ACCOUNTANTS 22525 Hall Rad, Suite A Macmb, MI 48042 Telephne: (586) 468-0200 Fax: (586) 468-0747 Website: cpanerds.cm Email: Innes.Ltit@cpanerds.cm 2014 1040 CHECKLIST
More informationInformation Checklist for Candidates
INSTRUCTIONS: All candidates must bring dcuments as stated in pints 1, 2, 3, 4 and 5. Bx 6 states additinal requirements fr nn EEA students. Originals AND phtcpies are required where stated. Instructins
More informationMedigap Household Discounts
Medigap Husehld Discunts 7/5/2016 Please nte: Nt all states are listed where discunts are available. Please refer t the Applicatin r Prducer Guide fr the specific carrier and state. Yu may cntact the Carrier
More information2018 Employee Benefits Program (U.S.) Qualified Status Changes
2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes SUMMARY PLAN DESCRIPTION (SPD) 2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes TABLE OF CONTENTS WHAT HAPPENS TO YOUR BENEFITS...
More informationHawaii Division of Financial Institutions 2019 Renewal Checklist
Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,
More informationKaruk Tribe Housing Authority Application & Checklist
Karuk Tribe Husing Authrity Applicatin & Checklist Please make sure that all infrmatin in this applicatin is accurate. The applicatin must be cmpleted in full and all the attachments must be submitted
More informationMOE BURSARY APPLICATION
Office of Admissions and Financial Aid Reg. No. 200604393R MOE BURSARY APPLICATION (FOR SINGAPOREAN UNDERGRADUATES - PART-TIME COURSE) Application: 1. Before you start to complete the form, please get
More informationASETS APPLICATION. Are you receiving Income Support. Name Age Date of Birth Relationship Living with me. Emergency
Inuvialuit Reginal Crpratin Human Resurces, Educatin & Training Department ASETS Prgram 867-777-7091 Tll Free: 1-855-777-7011 Fax: 867-777-4506 CRF EI PERSONAL IDENTIFICATION SIN Surname ASETS APPLICATION
More information-r\jotic E. Insurance Marketplace Coverage Options and Your Health Coverage. ..t
-r\jotic E Insurance Marketplace Cverage Optins and Yur Health Cverage..t - 2014 GALLAGHER BENEFIT SERVICES, INC. ARll-IUR J. GAllAGHER & CO. I AJG.COM G-Frms\GBS\Template - Wrd -.5 margis.dcx - Frequently
More informationAUSTRALIAN CAPITAL TERRITORY (ACT) REGIONAL CERTIFYING BODY (RCB)
AUSTRALIAN CAPITAL TERRITORY (ACT) REGIONAL CERTIFYING BODY (RCB) APPLYING FOR RCB SUPPORT OF AN EMPLOYER NOMINATION REGIONAL SPONSORED MIGRATION SCHEME (RSMS) Skills Canberra September 2017 1 P a g e
More informationBreo Ellipta Fluticasone furoate and vilanterol trifenatate
Bre Ellipta Medicatin name Fluticasne furate and vilanterl trifenatate Medicatin classificatin Lng acting beta-agnist and crticsterids Prescriptin assistance prgram Bridges t Access (GlaxSmithKline) Cntact
More informationIRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION
Financial Aid Office P.O. Bx 6905 Radfrd, VA 24142 Phne: (540) 831-5408 Fax: (540) 831-5138 finaid@radfrd.edu RU Financial Aid Website: http://www.radfrd.edu/finaid IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION
More informationSPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION
INSTRUCTIONS SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Wh shuld use this frm? This frm applies t all internatinal and dmestic fee paying students and all dmestic Cmmnwealth supprted
More informationGolf Relief and Assistance Fund Application
Glf Relief and Assistance Fund Applicatin Eligibility The Glf Relief and Assistance Fund is designed t supprt individuals wrking in the glf industry and their husehld family members wh have been impacted
More informationName of Applicant/Beneficiary
Name f Applicant/Beneficiary (Applicatin fr Financial Aid fr Educatinal Purpses: 2018) IMPORTANT INFORMATION PERTAINING TO A SANDF EDUCATION TRUST BURSARY The main bjective f the SANDF Educatin Trust is
More informationStaff Separation Checklist
Staff Separatin Checklist Please print and use as a reference guide t cmplete the separatin prcess. Benefits Checklist fr Staff Separatin Health Benefits: COBRA Frms Received Retirement: Received infrmatin
More informationSpecial Enrollment Period and Pre-enrollment Verification Guide for Assisters 2019
Special Enrllment Perid and Pre-enrllment Verificatin Guide fr Assisters 2019 Cntents Special Enrllment Perids (SEP): The Basics... 3 Ntices fr Pre-enrllment Verificatin Prcess... 10 Supprting Dcumentatin
More informationPRODUCT HIGHLIGHTS SHEET
Prepared n: 03/07/18 This Prduct Highlights Sheet is an imprtant dcument. It highlights the key terms and risks f the Aberdeen Glbal Australian Dllar Incme Bnd Fund (the Fund ) and cmplements the Singapre
More informationTenancy Application Form
Tenancy Applicatin Frm Applicatins will nly be prcessed nce this applicatin is fully cmpleted. Shuld the applicant fail t prvide the fllwing details the applicatin will nt be prcessed. If yur applicatin
More informationTable of Contents. About Your Benefits 1. Medical Plan 2. Prescription Drugs Plan 3. Vision Plan 4. Dental Plan 5. Employee Assistance Program 6
Table f Cntents Sectin Tab Abut Yur Benefits 1 Medical Plan 2 EPO 2-1-1 PPO 2-2-1 Chice Fund HSA 2-3-1 PPO Cre 2-4-1 PPO Select 2-5-1 Open Access Plus 2-6-1 Indemnity 2-7-1 Prescriptin Drugs Plan 3 Visin
More informationVision Service Plan (VSP) New Group Implementation Guide
Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back
More informationSocial Security Administration
Scial Security Administratin 1329 S. Divisin St. Traverse City MI 49684 September 25, 2018 Clumns & Features Mnthly Infrmatin Package Octber 2018 WORKERS' COMPENSATION AND CERTAIN DISABILITY PAYMENTS MAY
More informationEXXONMOBIL SAVINGS PLAN Hardship Withdrawal Form
EXXONMOBIL SAVINGS PLAN Hardship Withdrawal Frm Name: Sc. Sec #: Wrk Phne: ( ) Hme Phne ( ) Yu may request a hardship withdrawal when yur financial need cannt be met thrugh: Reimbursement r cmpensatin
More informationGuide to Reporting Income Changes Online
Guide t Reprting Incme Changes Online This guide is fr MNsure-certified brkers, navigatrs and certified applicatin cunselrs (CACs) t help cnsumers reprt an incme change using the life event change (LEC)
More informationOAKVIEW CONDOMINIUM ASSOC INC.
Versin UPD: 10/2/17 OAKVIEW CONDOMINIUM ASSOC INC. APPLICATION FOR LEASE/ PURCHASE INSTRUCTIONS Nn Refundable Applicatin Fee f $100.00 Husband & Wife r Parent/Dependent Child. Any applicant applying as
More informationTable of Contents. About Your Benefits 1. Medical Plan 2. Prescription Drugs Plan 3. Vision Plan 4. Dental Plan 5. Employee Assistance Program 6
Table f Cntents Sectin Tab Abut Yur Benefits 1 Medical Plan 2 PGU Chice Fund HSA 2-1-1 PGU PPO Cre 2-2-1 PGU PPO Select 2-3-1 Chice Fund HSA 2-4-1 PPO Cre 2-5-1 PPO Select 2-6-1 Open Access Plus 2-7-1
More informationFor the employees of: City and County of San Francisco Health Service System
Cmpass Critical Illness Insurance A limited benefit plicy Enrllment at a Glance An affrdable way t help prtect against the financial stress f a serius illness. Fr the emplyees f: City and Cunty f San Francisc
More informationConsent to Request Consumer Report & Investigative Consumer Report Information
Cnsent t Request Cnsumer Reprt & Investigative Cnsumer Reprt Infrmatin Applicant's First Name r Initial Last Name I understand that [Cmpany Name] ( COMPANY ) will utilize the services f Sterling InfSystems
More informationCAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests
This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February
More informationVOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE
Plan Year 2018 Effective January 1, 2018 t December 31, 2018 VOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE Internatinal Assciatin f Firefighters WHEN TO ENROLL When yu are initially eligible fr cverage.
More informationApplication for Rent-Geared-to-Income Assistance Form 1 (Part 1)
Applicatin fr Rent-Geared-t-Incme Assistance: Applicatin fr Rent-Geared-t-Incme Assistance Frm 1 (Part 1) Instructins 1. Please print, and fill ut all sectins f the applicatin frm. Yu will find infrmatin
More informationNUI Galway Pension Self Service User Guide
NUI Galway Pensin Self Service User Guide 1. Lgging On Use yur Campus Accunt credentials t lg in t Cre Prtal. G t ess.nuigalway.ie Type in yur NUI Galway username and passwrd Click Sign In Select Other
More informationModalities - Full scholarship grant (full fees coverage and allowances (book, uniform, living) - Partial scholarship grant (full tuition fee coverage)
SCHOLARSHIPS FOR SY 2018-2019 (SENIOR HIGH SCHOOL) Mdalities - Full schlarship grant (full fees cverage and allwances (bk, unifrm, living) - Partial schlarship grant (full tuitin fee cverage) Tytana reserves
More informationSTUDENT EMPLOYMENT FORMS PACKET
STUDENT EMPLOYMENT FORMS PACKET FOR INTERNATIONAL STUDENTS THE GW Center fr Career Services Marvin Center Suite 505 Student emplyment questins? E-mail us at gwse@gwu.edu This packet cntains: Federal I-9
More informationFOR INTERMEDIARY USE ONLY (NOT FOR PUBLIC DISTRIBUTION)
Page 1 Criteria Guide Octber 2015 Magellan Hmelans Ashcmbe Huse 5 The Crescent Leatherhead Surrey KT22 8DY Tel: 0330 33 55 777 Fax: 0330 33 55 888 Web: www.magellanhmelans.c.uk E-mail: enquiries@magellanhmelans.c.uk
More informationHawaii Truckers Teamsters Health & Teamsters Legal Teamsters Training Teamsters Union Welfare Trust Fund Services Plan and Opportunity
HAWAII TEAMSTERS TRUST FUNDS 560 N. Nimitz Highway, Suite 209, Hnlulu, Hawaii 96817 Phne (808) 523-0199 Tll-Free 1 (866) 772-8989 Fax (808) 537-1074 Hawaii Truckers Teamsters Health & Teamsters Legal Teamsters
More information2017 LOCAL 1101 REGINA SCHOLARSHIP APPLICATION
2017 LOCAL 1101 REGINA SCHOLARSHIP APPLICATION T be eligible applicants must be members/family members f Regina Lcal 1101 Public Service Sectr emplyees. Mail t: Attentin: Muna Deciman 35 Marsh Cres. Regina,
More informationYUM! Brands 401k Plan
YUM! Brands 401k Plan Final Distributin Electin Name: Scial Security #: Address: Daytime Telephne #: Evening Telephne #: Befre yu can prcess a Final Distributin Electin, yur status must be terminated.
More informationRhode Island Commerce Corporation. Rebuild Rhode Island Tax Credit Fund Loan Economic Impact Analysis
Rhde Island Cmmerce Crpratin Rebuild Rhde Island Tax Credit Fund Lan Ecnmic Impact Analysis Intrductin Crnish Assciates LP Applicatin The Rhde Island Cmmerce Crpratin (the Crpratin ) may issue a Rebuild
More informationPreparing for Your Early Retirement
Preparing fr Yur Early Retirement Imprtant Infrmatin fr Railrad Emplyees Eligible fr GA-46000 Eligibility fr Railrad Annuity Railrad Retirement Bard https://secure.rrb.gv/ Call yur lcal Railrad Retirement
More informationYUM! 401(k) Plan Financial Hardship Withdrawal Form
YUM! 401(k) Plan Financial Hardship Withdrawal Frm Withdrawal Request Infrmatin: The infrmatin requested n this frm is necessary t determine yur eligibility fr a financial hardship withdrawal. An incmplete
More informationNH Mortgage Banker Branch License New Application Checklist (Branch)
NH Mrtgage Banker Branch License New Applicatin Checklist (Branch) CHECKLIST SECTIONS General Infrmatin License Fees Requirements Cmpleted in Requirements/Dcuments Upladed in Requirements Submitted Outside
More informationELIGIBILITY AND APPLICATION REQUIREMENTS
ELIGIBILITY AND APPLICATION REQUIREMENTS BASIC ELIGIBILITY REQUIREMENTS At least 16, but nt mre than 25 years ld at the time f applicatin Dependent f Indiana wrker fatally r catastrphically injured as
More informationThe Safety Net Foundation
The Safety Net Fundatin Instructins fr Kineret (anakinra) and Sensipar (cinacalcet HCl) Instructins The Safety Net Fundatin prvides temprary prduct assistance t financially needy patients wh meet predetermined
More informationVerification Worksheet
2015-2016 Verificatin Wrksheet Independent Student Tracking Grup V1 STAFF USE ONLY Frm Received by Date Yur 2015 2016 Free Applicatin fr Federal Student Aid (FAFSA) was selected fr review in a prcess called
More informationIDENTIFICATION FORM AUSTRALIAN COMPANY
AUSTRALIAN COMPANY GUIDE TO COMPLETING THIS FORM This frm is fr nly. Fr cmpanies incrprated r registered utside f Australia use the FOREIGN COMPANY IDENTIFICATION FORM. Cmplete ne frm fr each cmpany. Tax
More informationSt. Paul s Lutheran Grade School Tuition Agreement Form
St. Paul s Lutheran Grade Schl Tuitin Agreement Frm Schl Year: 2017-2018 2017-18 tuitin schedule is listed n the bttm f this dcument. St. Paul s Lutheran Grade Schl strives t prvide an envirnment cnducive
More informationPlease note: all loans are subject to investor guidelines and approval. Not all applicants are eligible.
ASSUMPTION PACKAGE We appreciate yur interest in dwnlading ur Assumptin Package. We understand that purchasing a hme is ne f the biggest decisins t make and we are here t help yu thrugh it. An assumptin
More informationApplication for Coverage Under the Pre-Existing Condition Insurance Plan administered by the Arkansas Comprehensive Health Insurance Pool (CHIP)
P. O. Bx 1460 Little Rck, AR 72203 Applicatin fr Cverage Under the Pre-Existing Cnditin Insurance Plan administered by the Arkansas Cmprehensive Health Insurance Pl (CHIP) This Applicatin fr cverage thrugh
More informationHRA s and HSA s GALLAGHER BENEFIT SERVICES, INC. ARTHUR J. GALLAGHER & CO. AJG.COM G-FORMS\GBS Forms\Template - Word - 1 margins.
HRA s and HSA s 1. HRA/HSA What Are They? 2. Can I have ther cverage and still cntribute? 3. Can I cntribute t my FSA if s, full r limited? 4. Can I have bth an HRA and an 5. Can I have bth an HSA and
More informationVerifying Your Account & Identity
Verifying Yur Accunt & Identity Acceptable Identificatin Dcumentatin The Anti Mney Laundering and Cunter Terrrism Financing Act 2006, requires Luxbet t verify the identity f anyne wh pens a new wagering
More information(FAMILY NAME) Qualified Small Employer Health Reimbursement Arrangement
(FAMILY NAME) Qualified Small Emplyer Health Reimbursement Arrangement Effective Date: Emplyer / Plan Administratr Emplyer Name: Address: Phne Number: ( ) - Federal Emplyer Identificatin Number: The emplyer
More informationMemorandum. Employees, Retirees and Survivors. Sarah Kloos, Director of Personnel. Date: September 22, Transition to GIC Health Benefits
Memrandum T: Frm: Emplyees, Retirees and Survivrs Sarah Kls, Directr f Persnnel Date: September 22, 2011 Subject: Transitin t GIC Health Benefits Pursuant t Chapter 67 f the Acts f 2007, and after cnsultatin
More informationFINANCIAL SERVICES GUIDE (FSG)
FINANCIAL SERVICES GUIDE (FSG) Australian Financial Services Licensee: Grsvenr Pirie Management Limited ABN: 81 002 558 956 Australian Financial Services Licence Number: 238184. Effective Date: 1 st August
More informationCompass Critical Illness Insurance Enrollment at a glance An affordable way to help protect against the financial stress of a serious illness.
Cmpass Critical Illness Insurance Enrllment at a glance An affrdable way t help prtect against the financial stress f a serius illness. Fr the emplyees f: ACME Truck Line, Inc. D yu knw smene wh has had
More informationIN THE FRANKLIN COUNTY COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS AND JUVENILE BRANCH
Clear All Fields SAVE AS Print Dcument IN THE FRANKLIN COUNTY COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS AND JUVENILE BRANCH Case N. Plaintiff/Petitiner Judge v./and Magistrate Defendant/Petitiner
More informationA P P L I C A T I O N
Fördernummer: Eingangsdatum: Aktenzeichen: Please send t: Universität Ulm Dezernat I Abteilung I-1, Frschung und Technlgietransfer Frau Sauter / Herr Dr Müller Helmhltzstraße 16 89081 Ulm A P P L I C A
More informationDOMESTIC VIOLENCE AND SEPARATION A Financial Empowerment Checklist for Women
DOMESTIC VIOLENCE AND SEPARATION A Financial Empwerment Checklist fr Wmen zahrafundatin.rg.au 8352 1889 DOMESTIC VIOLENCE AND SEPARATION A Financial Empwerment Checklist fr Wmen The decisin t separate
More informationWestern Management PO Box San Jose, California
Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management PO Bx 26824 San Jse,
More informationDISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter)
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 Frm 8-K Current Reprt Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f Reprt (Date f earliest event reprted):
More informationNewport News Shipbuilding Employee s Hardship Fund
Newprt News Shipbuilding Emplyee s Hardship Fund Executive Summary Missin: The Newprt News Shipbuilding Emplyees Hardship Fund (the "Fund'') will prvide mnetary supprt t assist emplyees fllwing a natural
More informationDISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter)
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 Frm 8-K Current Reprt Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f Reprt (Date f earliest event reprted):
More information