General Medical Council, Fees Team

3 Hardman Street, Manchester, M3 3AW

Telephone: 0161 923 6602 (+44 161 923 6602 from outside the UK)
Email: gmc@gmc-uk.org
Website: www.gmc-uk.org

Income Discount application form

The income discount scheme provides a 50% discount on your annual fee. Before applying you should read the guidance on our
webpage www.gmc-uk.org/incomediscount

You are eligible to apply if: Income discount threshold

• you are registered with or without a licence to practise Effective until 31 March 2022
• you pay an annual fee that is not already discounted
• your gross taxable income during your registration year is less £32,000
than the income discount threshold. Effective from 1 April 2022

£33,000
Calculating income
We define income as your gross annual worldwide taxable income from all sources. You should calculate your income between your annual
retention fee dates, not your income earned in the tax year. For example:

• If your annual fee is due 1 August and you're applying for the year 2021–22, you’d calculate your actual or expected income from 1 August
2021 to 31 July 2022. If it is below £32,000 you are eligible to apply.
• If your annual fee is due 1 May and you're applying for the year 2022–23, you’d calculate your actual or expected income from 1 May 2022 to
30 April 2023. If it is below £33,000 you are eligible to apply.

Part A: New application

GMC reference number 7 7 2 1 6 7 1

Name Rachellyn Malayao Alba

1. I am applying for income discount on my registration year:

2020 - 2021 2021 - 2022 2022 - 2023

2. Please tick one of the options below that best explains your current situation. This is for our records only and does not affect
your eligibility:
Retired Maternity/Paternity leave Part time work

F1/F2 Training Not in paid employment Health reasons

Non clinical work Working in a low income country Other (please specify below)

Part B: Confirmation
3. Please complete this section if you know your exact income for the above period. If you have applied for discount based on
an estimated income, please confirm your eligibility at the end of the period by logging into GMC online. If you're no longer
eligible, please withdraw your discount by contacting us, or logging into GMC Online.
I confirm my income during the period above was below the threshold.

Part C: Signature
4. I confirm the information provided is accurate to the best of my knowledge. I will notify the GMC of any changes that may
affect my eligibility for income discount and pay any fees owed.
Signature Date

Rachellyn Malayao Alba April 27, 2022

Working with doctors Working for patients

The GMC is a charity registered in England and Wales (1089278) and Scotland (SC037750). GMC/LIDAPP/DEC2021/DC1359