Application for Encashment of Passage Allowance
Native-speaking English Teachers (NETs) under the Enhanced NET Scheme in Secondary Schools/NET Scheme in Primary Schools
Please insert a in the appropriate box * Delete as appropriate Part I (To be completed by the NET)
To: Supervisor/Principal of (School)
I hereby apply for encashment of the following flight tickets as my passage allowance. Relevant particulars are as follows:
Name of NET: _______________________________________
Approved normal place of residence: __________________________
Encashment rate: /ticket
Name of my spouse (if any): Hong Kong Identity Card Number.:
My dependent child(ren) (if any) :
Name of my child(ren) Date of birth (dd/mm/yyyy)
Up to the present, the following flight tickets are unclaimed:
Contract period
Name of employing school
No. of tickets Eligible family members
Remarks Inbound
passage to Hong Kong
Outbound passage to my home country e.g.
16.8.2018 – 15.8.2020
ABC Primary School
NA 3
Myself My spouse My child(ren)
I have reimbursed my inbound flight tickets
16.8.2020 – 15.8.2022
ABC Primary School
3 NA Myself
My spouse My child(ren)
I will claim reimbursement of the outbound flight tickets
1
Declaration
1. I am single.
I am married and particulars of my spouse and children (if any) provided above are accurate.
2. 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:
3. I declare that my family members and I are eligible for the passage allowance claimed and that my family and I are not receiving any double passage 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.
Signature of NET: Date:
Hong Kong Identity Card Number:
(Mandatory to be provided once available) Full name of NET:
(Given names) (Surname) Name of school:
Contract period: from to
2
PART II (To be completed by aided schools/special schools 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 / NET Scheme in Primary Schools* in my school from
to .
(b) eligible for the encashment of passage allowance, i.e. as far as I understand, he/she is leaving the NET Scheme with effect from 16 August 2022.
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 encashment of passage allowance is approved.
Signature of supervisor/principal*: Date:
Name of supervisor/principal*: Mr./Mrs./Ms./Miss.*
Name of school:
3
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 encashment of Passage Allowance as follows:
- Approved normal place of residence:
- Rate: (a) - No. of tickets: (b) Passage Allowance:
_____________ x ____________ = $_______________
(a) (b)
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
