INTERNATIONAL GERMAN SCHOOL OF BRUSSELS Certified as an Excellent German School Abroad Form 52 (legally non-binding translation) Application for tuition fee reduction For the school year.../... with the German School Association Brussels as the responsible body for the IN- TERNATIONAL GERMAN SCHOOL OF BRUSSELS A request for tuition reduction is valid for one school year, given that the conditions do not change, and must be made yearly. This request can only be made if other possibilities for rebates (sibling and loyalty discounts) have already been exhausted. A) I/we request financial aid for the school year 20.../... for the tuition of the following child/children: 1. 2. 3. 4. surname first name birth date class I/we justify this request as follows: B) How long is/are the child/children expected to attend the idsb? INTERNATIONALE DEUTSCHE SCHULE BRÜSSEL Lange Eikstraat 71 B-1970 Wezembeek-Oppem Telefon +32.2.785 01 30 Telefax +32.2.785 01 41 info@idsb.eu www.idsb.eu
C) The following is stated about family, living, and financial circumstances: 1.0 Family 1.1 Applicant: surname first name birth date 1.1.1 1.1.2 marital status relation to the children under A) 1.2 Spouse (if not applying as a couple) surname first name birth date address 1.3 Children in the household of the surname first name birth date education (e.g. school, university, apprenticeship) name / location 1.4 Other individuals that the supports financially surname first name birth date relation to the family of the (s) address (if not living in the same household) 1.4.1 1.4.2 1.4.3 (costs for the individuals listed under 1.3 and 1.4 see 5.1 and 5.2) 2.0 Living and housing conditions 2.1 We live in rented accommodations... monthly rent including utilities (please attach evidence) 2.2 We live in an owned apartment / house Yearly burden (please attach evidence) interest total amount repayment
Other declarations: (e.g. annex, sublet, rental income) 2.3 Motor vehicles belonging to the household of the (s): 1 brand model year company vehicle personal vehicle 2 3.0 Income situation 3.1 Income of the (s) and spouse 3.1.1 Primary occupation (please attach current salary or income documents or most recent tax assessment) (1.1.1) (1.1.2) spouse (1.2) title and type of occupation (e.g. independent, employed, unemployed) address of the company in which the /spouse is employed name and address of the own company of the /spouse yearly taxable total income at home and abroad net income per year school tuition reimbursement by the employer
3.1.2 Part-time work (please attach evidence) (1.1.1) (1.1.2) spouse (1.2) type and description address of the company/institution net yearly income 3.1.3 Pension and other benefits (please attach evidence) (monthly amounts) (1.1.1) (1.1.2) spouse (1.2) pensions supplementary insurance child benefits food coupons (tickets restaurant) alimony unemployment benefits social welfare accommodation benefits 4.0 Real estate and other assets 4.1 In addition to the real estate ownership specified under 2.2, we ((s) and spouse) own the following properties: (please attach evidence) 4.1.1 Properties (land) address yearly *) net income 4.1.2 Apartment 4.1.3 Single-family home 4.1.4 Apartment House 4.1.5 Holiday apartment/house
4.2 Other assets (please attach evidence) amounting to ( ) bank balances stocks other investments income through interests or dividends Total amount of other assets: 5.0 Costs 5.1 For the children named under 1.3 (yearly amounts) for 1.3.1 alimony university/school tuition accommodation other for 1.3.2 for 1.3.3 The previously named individuals additionally have: for 1.3.1 state financial aid for education (BAFÖG) payment or support through others income from paying work for 1.3.2 for 1.3.3 Do the previously named children receive other exemptions from or reductions of school or university tuitions etc.? If yes, be more specific. 5.2 For the individuals named under 1.4 yearly burdens living/care costs etc. own income (pensions, paid incomes, insurance benefits, etc.) for 1.4.1 for 1.4.2 for 1.4.3
5.3 Other special burdens/expenses D) Declaration of Consent I am/we are aware that untruthful or incomplete information result in the immediate revocation of the granted reductions/exemptions and that the full tuition fee must be paid retroactively. If the reduced tuition fee is not paid in a timely manner, the granted reductions may be revoked. If my/our financial situation changes during the school year, I/we will promptly inform the school of this fact. place, date signature of 1.1.1 place, date signature of 1.1.2