Application for Reimbursement Form

Guidelines

A scholar may utilise this form to request a re-imbursement of any actual expenses that he/she may incur relevant to the course of study that is approved by the Lender. Scholars
requesting a Reimbursement must ensure that the following documents are attached to his/her request:

Original Receipts/Evidence of expenditure;
Any other document that is required by the Ministry to support the request

Section A- Scholar Information

Scholar Name:

Scholarship Awarded (Required)

If "Other" was selected above

Category of Award (required)

President’s MedalOpenAdditional

Academic Institution (required)

Address of Academic Institution(Required)

Country of Study (Required)

Degree Level (Required)

If "Other" was selected above

Course of Study (Required)

Contact Information

Airfare for Travel From(Required)

Airfare for Travel To(Required)

Receipt Date(Required)

Receipt Number(Required)

Currency(Required)

Cost(Required)

Please Upload Receipt
Airfare for Travel From(Required)

Airfare for Travel To(Required)

Receipt Date(Required)

Receipt Number(Required)

Currency(Required)

Cost(Required)

Please Upload Receipt
Disability Allowance for:(Required)

Receipt Date(Required)

Receipt Number(Required)

Currency(Required)

Cost(Required)

Please Upload Receipt
Thesis and Dissertation (Printing and Binding)(Required)

Receipt Date(Required)

Receipt Number(Required)

Currency(Required)

Cost(Required)

Please Upload Receipt
Tuition and Compulsory Fields)(Required)

Receipt Date(Required)

Receipt Number(Required)

Currency(Required)

Cost(Required)

Please Upload Receipt

Section B: Additional Information

Means of Re-imbursement:

ChequeDirect Deposit

Account Number(Required)

Payable to(Required)

Financial Institution(Required)

Declaration

I confirm that the information provided above and all the attachments are true and correct. I acknowledge that any false information provided or any relevant information deliberately withheld, may result in the immediate withdrawal of approval for employment while on scholarship or termination of my scholarship