Ministry of education adhoc application for use of post secondary education account




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MINISTRY OF EDUCATION

ADHOC APPLICATION FOR USE OF POST SECONDARY EDUCATION ACCOUNT


Please note: You may need 5 minutes to fill in this form. MOE will not be able to process your application if you provide wrong (especially NRIC / BC No) or incomplete information. Please see instructions on the next page.





Part 1 : To be completed by student (please write within the boxes)


Name :


Contact No : __________________________________ NRIC/BC No :


Institution Name : __________________________________ Usage category*:
Course/Fee Description : _____________________________ Course/Fee Amount : S$ _________________

Part 2 : To be completed by student only if using the PSEA of sibling(s). Sibling refers to natural/adopted/step sibling. Please leave Part 2 blank if student is using his/her own PSEA only.


Deduction Priority

Name Of Sibling

NRIC / BC No of Sibling

Maximum Amount To Use

(% of Fees)



(Place a √ at the appropriate box)




















































25%

50%

75%

100%




First




 




 




 

 

 

 

 

 

 




 




 




 




 




 

















































 




 




 




 

Next




 




 




 

 

 

 

 

 

 




 




 




 




 




 

















































 




 




 




 

Last




 




 




 

 

 

 

 

 

 




 




 




 




 




 


Note : If there are errors or omissions in the information on sibling(s), deduction will be effected from the student’s account only if he/she has a PSEA.
Part 3 : To be completed by student / parent / legal guardian /siblings aged 21 and above


By Student / Parent/Legal Guardian

By Siblings Aged 21 And Above Named In Part 2

Under Section 16(D) of the Education Endowment and Savings Schemes Act, I hereby authorise the PSE Scheme Administrator to make deductions from my / my child’s (children’s) PSEA to pay fees or charges incurred by myself / my child at any approved institution.
I declare that, to the best of my knowledge, all the information in this form is true and accurate. In connection with this application, I undertake to furnish to the PSE Scheme Administrator any documents which the PSE Scheme Administrator may require for verification purposes, and also authorise the PSE Scheme Administrator to obtain from the relevant authorities / persons any information or documents which may be required for such purposes.

Under Section 16(D) of the Education Endowment and Savings Schemes Act, I/we hereby authorise the PSE Scheme Administrator to make deductions from my / our PSEA to pay fees or charges incurred by my / our sibling named in Part 1 at any approved institution.

 


 

Sibling’s NRIC




Signature & Date

 

 


 







 










 

Signature of Student (Aged 21 and above) / Signature of Parent / Legal Guardian (If student or siblings is/are below 21 years old)




Date




 

Sibling’s NRIC




Signature & Date

 

 




 




 










 

Name of Parent / Legal Guardian




Parent's / Legal Guardian's NRIC




 

Sibling’s NRIC




Signature & Date


Part 4 : To be completed by MOE



Batch No

Entered by

Date











* refer to instructions on the next page
INSTRUCTIONS ON COMPLETION OF FORM
Part 1

This part must be completed whether the student uses his own or his siblings’ PSEA, or both his own and siblings’ PSEA.


a) Name : Enter the student’s name as in NRIC/FIN card

b) Institution Name : Enter the full name of the institution e.g. Singapore Polytechnic

c) Usage Category


For Tuition Fees

For Enrichment Programme

For WDA Enrichment Courses only

TTF-COURSE

Tuition Fee Course



EPC-PDEV

EPC Personal Development



WDA-SKLUPG

WDA Course Fee Skill Upgrading



TTF-MISC

Tuition Fee Mandatory Miscellaneous



EPC-LTRIP

EPC Local Trips



WDA-PDEV

WDA Course Fee Personal Development



TTF-OTHERS

Tuition Fee Others



EPC-OTRIP

EPC Overseas Trips



WDA-OTHERS

WDA Course Fee Others






EPC-SPORTS

EPC Sports






EPC-OTHERS

EPC Others


EPC is Enrichment Programme Charges



Part 2

This part is to be completed only if the student is requesting to use his siblings’ PSEA. If the student is using his own PSEA only, this part need not be completed.


a) Name of sibling : To enter sibling’s name as in NRIC/BC/Citizenship Certificate
A student may request to deduct funds from up to 3 siblings’ PSEA. However, if the student has a PSEA, deduction will first be made from his own account. Any shortfall will then be deducted from the sibling’s account labelled “First” under the column heading “Deduction Priority”. If there is still shortfall, deduction will be made from the sibling’s account labelled “Next”, followed by the account labelled “Last”. Please see the examples below


 

Student

Sibling

Sibling

Sibling

PSEA Balance

$200

$200

$400

$400

Deduction Priority




First

Next

Last

Maximum Amount To Use




100%

25%

50%

Example

Course Fees

Amount Deducted

A

$350

$200

$ 150







B

$500

$200

$200

$ 100




C

$1,000

$ 200

$200

$250
( 25% of $1000)

$350



Part 3

This part authorises the use of the PSEA in Part 2.

a) "By Student/Parent/Legal Guardian"

This section must be signed by either



  1. the student, if he is 21 years old or above, or

  2. a parent/guardian if the student or any sibling whose account is to be used is below 21 years old

b) "By Siblings Aged 21 And Above Named In Part 2"



This section must be signed by siblings who authorise the use of their PSEA if they are 21 years old or above


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