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NET-Form C (revised 8/2022)

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(revised 8/2022) Enhanced Native-speaking English Teacher (NET) Scheme in Secondary Schools

Application for Reimbursement of Passage/Baggage Allowance

Notes:

1. The exchange rate to be used for the purpose of reimbursement is the mid-market rate as at the first working day of the month in which the passage begins. For seeking reimbursement before the homeward travel, the mid- market rate as at the first working day of the month in which the claim is submitted would be used.

2. Only the ORIGINAL copy of the form and any subsequent amendments will be accepted.

3. The quotation of flight tickets should be arranged by the School. Schools ought to assign clear segregation of staff duties at different stages of the procurement process to ensure openness and fairness.

4. Please ensure sufficient postage is paid to avoid unsuccessful delivery of application. Any underpaid mail items will be disposed of by the Hongkong Post.

Please insert a

in the appropriate box * Delete as appropriate

Part I (To be completed by the NET)

To: Supervisor/Principal of (School)

1. Particulars of NET and family members

Name in full Date of birth

(dd/mm/yyyy) (a) Myself

(b) My spouse

(c) My child(ren) who is/are unmarried and under the age of 18

2. I hereby apply for reimbursement of SINGLE passage and submit the receipt(s) /and boarding pass(es) for reimbursement of air fares as shown below.

Destinations declared for this application: From to Air passage taken/to be taken and amount claimed for:

Direct/indirect route

Commencement of the journey on

(dd/mm/yyyy)

Completion of the journey on (dd/mm/yyyy)

Actual expenses**

(Please specify the currency)

Amount claimed#

(Please specify the currency) (a) Myself direct/indirect *

(b) My spouse direct/indirect * (c) My

child(ren)

direct/indirect * direct/indirect * direct/indirect *

TOTAL

3. I hereby apply for reimbursement of RETURN passage and submit the receipt(s) /and boarding pass(es) for reimbursement of air fares as shown below.

Destinations declared for this application: Between and Air passage taken/to be taken and amount claimed for:

Direct/indirect route

Commencement of the journey on

(dd/mm/yyyy)

Completion of the journey on (dd/mm/yyyy)

Actual expenses**

(Please specify the currency)

Amount claimed (Please specify the

currency) (a) Myself direct/indirect *

(b) My spouse direct/indirect * (c) My

child(ren)

direct/indirect * direct/indirect * direct/indirect *

TOTAL

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(revised 8/2022) 4. I hereby apply for reimbursement of baggage allowance and submit the receipts/invoice of my

baggage expenses at a total of (please specify the currency).

In-bound to Hong Kong baggage allowance

I declare that this baggage claim is made upon my first appointment under the NET Schemes and I understand that no baggage allowance will be provided for any subsequent appointment under the NET Schemes.

Out-bound to country of origin baggage allowance

I declare that this baggage claim is made upon completion of an appointment under the NET Schemes, be it the first appointment or any subsequent appointment under the NET Schemes, and I will not be in another employment with schools falling under the Schemes’ purview (i.e.

government, aided or caput schools).

5. I am single.

I am married and my spouse’ particulars are provided as follow:

Full name of my spouse:

Hong Kong Identity Card Number (if any):

I declare that my spouse of particulars stated above is / is not * employed under the Enhanced NET Scheme in Secondary Schools or the NET Scheme in Primary Schools. If the answer is in the affirmative, please provide the employment details of your spouse as specified below:

Name of school:

Contract period: from to

6. I declare that I and my family members are eligible for the passage / and baggage* allowance claimed and that I and my family are not receiving any double passage / and baggage* benefit arising from my employment with the school and my spouse’s employment. I undertake to notify the school at once should there be any subsequent change to this information.

7. I confirm that I have read and understood the EDB Circular No. 9/2009 including the Notes for Completing NET-Forms A-E and the stipulations related to passage allowance and baggage allowance in the Memorandum on the Terms and Conditions of Service.

Signature of NET: Date:

Hong Kong Identity Card Number:

(Mandatory to be provided once available) Full name of NET:

(Given names) (Surname)

2

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(revised 8/2022)

PART II (To be completed by aided schools/special schools with secondary section only) To : Secretary for Education

[Attn: NET Administration Team, Education Bureau]

Room W304, 3/F, West Block, EDB Kowloon Tong Education Services Centre, 19 Suffolk Road, Kowloon Tong, Kowloon

1. I certify that the applicant is:

(a) appointed as a Native-speaking English Teacher under the Enhanced NET Scheme in Secondary Schools in my school from to . (For the contract renewed/appointment contract period extended, the previous appointment/extension contract period

was from to ); and

(b) eligible for the grant of the following:

passage allowance [please complete para. 2 below]

in-bound to Hong Kong baggage allowance [please complete para. 3 below]

out-bound to country of origin baggage allowance [please complete para. 4 below]

2. (a) Details of the passage(s) and amount of allowance claimed as shown in Part I para. 2/para. 3 above have been checked and found:

correct.

incorrect and amended in red.

(b) _____ nos. of quotation(s) of economy class air passage by the most direct route have been obtained by the school on ________________ (date).

Quotation information is attached.

(c) Quotation of economy class air passage by the most direct route obtained by the school:

Name of Airline:

Passage quoted Quoted price

Teacher single/return * HK$

Teacher’s spouse single/return * HK$

Teacher’s child(ren) single/return * HK$

single/return * HK$

single/return * HK$

TOTAL HK$

(d) Amount of passage allowance approved:

Passage entitled Amount approved @ (Please specify the currency)

Teacher single/return *

Teacher’s spouse single/return * Teacher’s child(ren) single/return * single/return * single/return *

TOTAL

@ The amount approved should be the amount claimed by the applicant in Part I para. 2/para. 3 which has been checked and duly corrected by the school, or the quoted price shown in 2(c) above,

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(revised 8/2022)

3. I certify that the applicant is entitled to an in-bound to Hong Kong baggage allowance at the single / married* rate. The amount to be reimbursed is (please specify the currency).

4. I certify that the applicant is entitled to an out-bound to country of origin baggage allowance at the single / married* rate. The amount to be reimbursed is (please specify the currency).

5. I certify that relevant receipt(s)/invoice(s)/boarding pass(es) have been sighted by me and are kept in the school for record purpose. I should be grateful if you would arrange the payment.

Signature of supervisor/principal*: Date:

Name of supervisor/principal*: Mr./Mrs./Ms./Miss.*

Name of school: (School code: _ _ _ _ )

School address:

Fax no.:

Contact person for enquiry: Mr./Mrs./Ms./Miss.* Tel. no.:

Post of contact person:

PART III (To be completed and retained by caput schools) 1. The grant of the following is approved:

passage allowance [please complete para. 2 below]

in-bound to Hong Kong baggage allowance [please complete para. 3 below]

out-bound to country of origin baggage allowance [please complete para. 4 below]

2. (a) Details of the passage(s) and amount of allowance claimed as shown in Part I para. 2/para. 3 above have been checked and found:

correct.

incorrect and amended in red.

(b) _____ nos. of quotation(s) of economy class air passage by the most direct route have been obtained by the school on ________________ (date).

Quotation information is attached.

(c) Quotation of economy class air passage by the most direct route obtained by the school:

Name of Airline:

Passage quoted Quoted price

Teacher single/return * HK$

Teacher’s spouse single/return * HK$

Teacher’s child(ren) single/return * HK$

single/return * HK$

single/return * HK$

TOTAL HK$

4

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(revised 8/2022) (d) Amount of passage allowance approved:

Passage entitled Amount approved @ (Please specify the currency)

Teacher single/return *

Teacher’s spouse single/return * Teacher’s child(ren) single/return * single/return * single/return *

TOTAL

@ The amount approved should be the amount claimed by the applicant in Part I para. 2/para. 3 which has been checked and duly corrected by the school, or the quoted price shown in 2(c) above, whichever is the less.

3. I certify that the applicant is entitled to an in-bound to Hong Kong baggage allowance at the single / married* rate. The amount to be reimbursed is (please specify the currency).

4. I certify that the applicant is entitled to an out-bound to country of origin baggage allowance at the single / married* rate. The amount to be reimbursed is (please specify the currency).

5. I certify that relevant receipt(s)/invoice(s)/boarding pass(es) have been sighted by me and are kept in the school for record purpose.

Signature of supervisor/principal*: Date:

Name of supervisor/principal*: Mr./Mrs./Ms./Miss.*

Name of school:

Part IV (To be completed by the NET Administration Team, the Education Bureau)

I confirm that (Full name of the NET) has already established that his/her normal place of residence as outside Hong Kong and he/she is entitled to receive the Passage/Baggage Allowance (please specify currency if not in Hong Kong Dollar) as follows:

(a) Passage Allowance:

(b) In-bound to Hong Kong Baggage Allowance:

(c) Out-bound to Country of Origin Baggage Allowance:

Signature:

Name:

Post : Date:

Part V (To be completed by the Recurrent Subventions Section, the Education Bureau)

Received on Input Prepared by Date Checked by Date

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Enhanced Native-speaking English Teacher (NET) Scheme in Secondary Schools Application for Reimbursement/Encashment of Passage/Baggage Allowance

Personal Information Collection Statement Purpose of Collection

1. The personal data provided by you in this form will be used by the EDB for one or more of the following purposes:

(a) Activities relating to the processing, authentication and counter-checking of employment- related matters including appointments, training and career developments, remuneration and benefits, staff relation, communications and compliance with procedures;

(b) Activities relating to matching of the personal data with the database of relevant Government bureaux / departments in connection with the processing, authentication and counter-checking of employment-related matters mentioned in (a) above;

(c) Activities relating to matching of the personal data within the database of EDB for purposes of verifying / updating records of the EDB, and

(d) Activities relating to compilation of statistics, research and Government publications.

2. The provision of personal data required by this form and during the processing of this form is obligatory. In the event that you do not provide those personal data, we may not be able to handle or further process the form.

Classes of Transferees

3. The personal data you provide will be made available to persons working in EDB. Apart from this, they may be transferred or disclosed to the parties or in the circumstances listed below:-

(a) other Government bureau and departments for the purposes mentioned in paragraph 1 above;

(b) personnel, agent, service provider or organisations engaged by EDB to provide services or advice for the purposes mentioned in paragraph 1 above;

(c) where you have given your prescribed consent to such disclosure; and

(d) where such disclosure is authorised or required under the law or court order applicable to Hong Kong.

Access to Personal Data

4. You have the right to request access to and correction of your personal data held by EDB.

Request for access or correction of personal data should be made in writing to the Controlling Officer (Data Protection) at 15/F, Wu Chung House, 213 Queen's Road East, Wan Chai, Hong Kong or email to [email protected].

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