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STUDENT FINANCE OFFICE (SFO)
2024/25


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HOUSEHOLD APPLICATION FORM FOR STUDENT FINANCIAL ASSISTANCE SCHEMES

(Please read the Guidance Notes and "Notes on How to Complete and Return Electronic Household Application Form" carefully before completion.)
[Applicable to the Kindergarten and Child Care Centre Fee Remission Scheme (KCFRS), Grant for School-related Expenses for Kindergarten Students (Grant-KG), School Textbook Assistance Scheme (TA), Student Travel Subsidy Scheme (STS), Subsidy Scheme for Internet Access Charges (SIA), Diploma of Applied Education Fee Reimbursement (DAEFR) / Diploma Yi Jin Fee Reimbursement (DYJFR) and Fee Reimbursement (Financial Assistance Scheme for Designated Evening Adult Education Courses) (FR(FAEAEC))]

(# Please select the appropriate item,* are mandatory items and @ are optional items.)


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Part I  Particulars of the Applicant(The Applicant must be the parent or guardian (as recognised under Guardianship of Minors Ordinance, Cap 13) of the student-applicant(s).)


(If HKID Card No. is not available, please provide Other Identity Document No. with copy of relevant proof.)

(Please refer to paragraph 2.1 of "Notes on How to Complete and Return Electronic Household Application Form")




(Note: The collection of information about the ethnicity is for statistical and research purposes and will not affect the processing or assessment of the household application for student financial assistance schemes.)

Part II  Particulars of Family Members and Financial Assistance Schemes being Applied for

A.  Spouse

(If HKID Card No. is not available, please provide Other Identity Document No. with copy of relevant proof.)

(Please refer to paragraph 2.1 of "Notes on How to Complete and Return Electronic Household Application Form")


B.  Student-applicants and unmarried children residing with the family


Student-applicant 1 / Unmarried child residing with the family 1
DD MM YYYY


Applicants with children receiving whole-day child care services (N1-N2) should complete the "Social Needs" Assessment Form (SFO 235A) below and submit together with the supporting documents.
1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 2 / Unmarried child residing with the family 2

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 3 / Unmarried child residing with the family 3

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 4 / Unmarried child residing with the family 4

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 5 / Unmarried child residing with the family 5

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 6 / Unmarried child residing with the family 6

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 7 / Unmarried child residing with the family 7

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 8 / Unmarried child residing with the family 8

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 9 / Unmarried child residing with the family 9

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





Student-applicant 10 / Unmarried child residing with the family 10

DD MM YYYY




1
2

1. 
2. 
a


a

b

c


a

b

c


a

b

c

d

e


a
 and the relationship with the applicant is 


a

b


a


Not Applicable

* In the circumstance where social worker’s recommendation is required, the applicant may seek assistance from his or her social worker / his or her family’s social worker (for example, social workers of integrated family service centres, integrated children & youth service centres, medical social service units, school social work services and district elderly community centres). If the applicant is not receiving service from any social worker, he/she may wish to, where appropriate, make enquiries to and seek assistance from the social workers of the subvented non-government organization operating the kindergarten/child care centre. Where the kindergarten/child care centre is not operated by a subvented non-government organization or the operator does not have social workers, the applicant may approach any of the integrated family service centres in the neighbourhood of his/her residence for assistance. Telephone numbers and addresses of integrated family service centres are available at the website of the SWD (www.swd.gov.hk).





C.  Subsidy for Internet Access Charges (SIA)
(On household basis and only applicable to families with students of primary and secondary levels. Not applicable to families with pre-primary students only.)



 

D.  Dependent Parent

(If Applicant or his/her spouse have no dependent parent, please do not fill out the spaces below.)



  Dependent Parent 1





Dependent Parent 2





Dependent Parent 3





Dependent Parent 4






Part III  Residential Address

(If the correspondence address provided in Part I is not your residential address, please provide the full residential address in English in the following boxes, otherwise do not fill out the spaces below.)

  
  
  

  

Part IV  Family Income

(Please provide a copy of supporting document)




1. Applicant
    
* 



2. Spouse




3. Unmarried child residing with the family (if applicable)




4. Unmarried child residing with the family (if applicable)



5. Other income

Part V  Medical Expenses Incurred by Family Member(s) with Chronic Illness(Please provide a copy of supporting document)



Part VI  Applicant's Bank Account for Payment of Assistance(The account must be under the applicant's name and please provide copy of the bank statement / first page of bank book)






Part VII  Applicant's Supplementary Information(Please append a separate sheet for supplementary information, if necessary)





Attachment

Part VIII  Declaration

(Applicant and spouse of applicant may choose to provide electronic signatures by "iAM Smart" or click "Print Declaration" to print and sign on the printed copy of the declaration. If applicant and spouse of applicant choose to sign on the printed declaration, applicant should attach and submit the signed declaration under the "Supporting Documents" page.)


I / We have read the "Household Application for Student Financial Assistance Schemes - Guidance Notes" (GN) and "Notes on How to Complete and Return Electronic Household Application Form" (Notes). I / We fully understand and agree to the arrangements stated therein in relation to my / our application. I / We undertake and warrant that I / we shall comply with all provisions in the GN and Notes as may be amended by the Government of the Hong Kong Special Administrative Region (HKSAR) from time to time and such other requirements and directions as specified from time to time by the Government of the HKSAR. I / We hereby declare that
(a) The information in this application form, supplementary form(s) (if any) and the supporting documents and all other information and representation provided or made by me / us in relation to my / our application are true, complete and accurate. I / We understand and consent that (i) the Working Family and Student Financial Assistance Agency (WFSFAA) will assess the eligibility and assistance level of my family based on the information provided by me / us; (ii) the WFSFAA may conduct authentication of my / our application (including home visits and random checking and take other actions as necessary) to investigate and verify whether the information provided in relation to my / our application is true, complete and accurate. I shall fully cooperate, and shall procure my family members to fully cooperate with staff of the WFSFAA; and (iii) the WFSFAA may make adjustment to the assistance level / amount of financial assistance granted based on the findings of the authentication. Any misrepresentation, concealment of facts, provision of misleading or false information or intentional obstruction of the authentication conducted by WFSFAA staff may lead to revocation of an issued eligibility certificate and withdrawal of the letter notifying the result of my / our application, restitution in full of the assistance granted and possible prosecution. I / We undertake to refund in full the Government of the HKSAR any overpayment of financial assistance granted to me / us under any of the financial assistance schemes and loan schemes administered by the WFSFAA, regardless of the cause for such overpayment, immediately upon request. I / We also agree that if any overpayment was made to me / us or any amount was due to be paid by me / us to the Government under or in connection with any of the financial assistance schemes and loan schemes administered by the WFSFAA, the WFSFAA may set off the amount overpaid or the amount due against the financial assistance which I am / we are entitled to under any financial assistance scheme(s) administered by the WFSFAA.
(b) I / We give consent to the WFSFAA and its authorized bodies (including but not limited to relevant government bureaux / departments such as the Education Bureau (EDB), the Immigration Department (ImmD), Social Welfare Department (SWD), the agents of the WFSFAA / EDB, the schools / institutions concerned, etc.) to process my / our application and use the personal data provided to the WFSFAA in connection with this application form and supplementary form(s) (if any) in accordance with Paragraph 5 of the GN and to liaise with related parties to verify and disclose the information provided by me / us. I / We agree that the relevant Government bureaux/departments/organisations (including but not limited to EDB, ImmD and SWD) to release my/our personal data to the WFSFAA for the purpose of processing and vetting any information in this application.
(c) I am / We are authorized by all the family members listed in this application form to give consent and hereby give consent on their behalf to the WFSFAA and its authorized bodies to use such family members' personal data in accordance with Paragraph 5 of the GN and to liaise with related parties to verify and disclose the information provided to the WFSFAA. I / We consent to the WFSFAA and the relevant government bureaux/departments/organisations (including but not limited to EDB, ImmD and SWD) to carry out the matching procedure for the purposes of processing the application and the granting of other student financial assistance, which may include the recovery of overpayment(s) (if applicable) from me / us.
This declaration shall be governed by and construed in accordance with the laws of the HKSAR. I / We and the Government of the HKSAR shall irrevocably submit to the jurisdiction of the Courts of the HKSAR. I / We have read the provisions of this declaration carefully and fully understood my / our obligations and liabilities under this declaration.













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