Form Ref: DEF/001/FO_TBDU

For Finance Office Use :

Hong Kong Baptist University Date
Received :
Manual Application for Deferral of Tuition Fee Payment Record
updated:
(For Local Full-time Undergraduate Students)
S1 : F/
Record
no. : S2 : F/

Before submission of application, please check and confirm that you have read the “Notes for Application of Deferral of
Tuition Fee Payment” and agreed to its terms and conditions.

Completed form and required supporting document(s) should be submitted to the Finance Office by email to
fostudent@hkbu.edu.hk or fax to 3411-5959 at least 3 working days before the payment due date. Late submission will
NOT be processed.

Student who is able to submit on-line application for deferral of tuition fee payment should not submit this form.

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Student Name: __________________________________________________ Student No.

Chinese Name: ________________________ Mobile No.: _______________________ HKID : __________________

Programme of Study: ___________________________ 1st Sem Original / Deferred due date / / .

Period to be deferred: Academic year 2 0 2nd Sem Original / Deferred due date / / .

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Reason(s) for Application of Deferral Payment of Tuition Fee :
A. I have applied for TSFS/NLSFT/FASP/NLSPS for this year and waiting for notification:
1. Application submitted on ____________ and application no. is _____________
2. Attached supporting documents:
 Notification of application for TSFS/NLSFT issued by SFO (Sample 1)
 Notification of application for FASP/NLSPS issued by SFO (Sample 2)
 Others: (Please specify) _________________________________________
B. I have received notification of result of TSFS/NLSFT/FASP/NLSPS and waiting for disbursement of grants/loans:
1. Notification letter dated ____________
2. Tuition fee grant: $ _______________ Accepted loan(s): $________________
3. Attached supporting documents:
 Notification of result of application for financial assistance issued by SFO (Sample 3)
 “Confirmation of Submission of Loan Documents”(for NLSFT only) issued by SFO (Sample 4a)
 “Student, Indemnifier and Witness Details Input Form” with receiving date stamped by SFO (Sample 4b & 4c)
 Others: (Please specify) _________________________________________
C. I have applied for review of TSFS/FASP and waiting for final review results:
1. Review application form submitted on ______________ and application no. is _____________
2. Progress: _______________________________________________________
3. Attached supporting documents:
 Acknowledge receipt of application for review of TSFS / FASP issued by SFO (Sample 5)
 Notification of result of application for review of TSFS / FASP issued by SFO (Sample 6)
 Others: (Please specify) _________________________________________

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DECLARATION: I declare that the above information is true and complete and all the required documents have been attached
at the time of submission. I understand that any false, misleading and incomplete information provided may
result in my application being rejected.

__________________________________ _________________________________
Signature of Student Date

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Key:
1. SFO - Student Finance Office of the Working Family and Student Financial Assistance Agency
2. TSFS - Tertiary Student Finance Scheme – Publicly-funded Programmes
3. FASP - Financial Assistance Scheme for Post-secondary Students
4. NLSFT - Non-means-tested Loan Scheme for Full-time Tertiary Students
5. NLSPS - Non-means-tested Loan Scheme for Post-secondary Students
(For Finance Office Use Only)

 Approved (Deferred payment due date to: 1st Sem : 2nd Sem : )

 NOT approved

Reasons:
_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Other follow-up action required:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Assessor’s Signature: ______________________ Date: ___________________

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Use of Information: Information provided by applicant in this form will be treated strictly confidential and will be used by
the University for consideration of deferral of tuition fee payment only.

For more details of the University’s Privacy Policy Statement and Personal Information Collection Statement, please visit
the website at http://bupdpo.hkbu.edu.hk/policies-and-procedures/pps-pics/.

~End~

Last updated: 10.2021