Application for Deferred Repayment of University Financial Assistance Loan (Due to Financial Hardship / Illness)

Application Procedures:

1. Complete this online application form

2. Upload the following supporting documents:

2.1 Copy of all the bank passbook(s)/statements (including the payroll bank account) in your possession showing the transaction details for the past 6 months. If “NET BACK” item(s) is/are included, please apply to the bank(s) for details of the transaction records;
2.2 Source(s) of income which supports your living at the moment;
2.3 Copy of the medical certificate(s) issued by a hospital/clinic/registered medical practitioner certifying your health condition and the period of sick leave granted (if appropriate)
2.4 Copy of the supporting documents for your application, if any.

3. We may approach you for further information, if necessary.

4. You will be notified or your application result via email within 5 working days.

Notes:

1. You need to settle the surchages of late payments / overdue payments, if any.

2. You should apply at least 14 working days before the due date.

Enquiries: cedarsufa@hku.hk

Part I. Personal Particulars

1. Full Name (in English)

2. University Number

3. Email Address

4. Residential / Home Address

5. Correspondence address (if different from the above residential address)

6. Residential telephone number

7. Mobile phone number

8. Date of graduation / leaving the institution (month / year)

9. Curriculum (e.g. BBA, BEcon)

Part II Deferment of Loan Fund Information

Total number of loan fund(s) which require deferred repayment

1. List out the name of loan fund(s)

2. List out the awarded loan amount (by each loan fund)

3. List out the year of awarded loan fund(s)

4. List out the overdue repayment amount (if any) and the last due date

5. List out the total outstanding amount of each loan fund (i.e. including those which are not due at this moment)

6. List out the next due date of each loan fund

7. Reasons for application

8. Your proposed loan repayment plan, which includes your proposed loan repayment schedule

Part III. Financial Circumstances / Employment History (for the past 12 months up to present)

Name of Company

Position / Job nature

Period of employment (from MM/YYYY to MM/YYYY)

Monthly income

List out the present employment of your family member(s), including the name of your family member(s), relationship with applicant, occupation, name of company, and monthly income.)

Other sources of income (e.g. rental, contribution from relatives/siblings, allowance from Social Welfare Department etc.), please specify the nature of income and the amount

List out monthly expenses for necessities (e.g. housing expenses, medical expenses, tuition fee, etc.)

Upload the documentary proofs for the application

Copy of all the bank passbook(s)/statements (including the payroll bank account) in your possession showing the transaction details for the past 6 months. If “NET BACK” item(s) is/are included, please apply to the bank(s) for details of the transaction records

- If you have more than one file, please compress the files into a PDF or ZIP file before uploading.

One file only.
8 MB limit.
Allowed types: jpg, png, bmp, txt, pdf, doc, docx, zip.

Pls upldate proof on source(s) of income which supports your living at the moment

- If you have more than one file, please compress the files into a PDF or ZIP file before uploading.

One file only.
8 MB limit.
Allowed types: jpg, png, bmp, txt, pdf, doc, docx, zip.

Copy of the medical certificate(s) issued by a hospital/clinic/registered medical practitioner certifying your health condition and the period of sick leave granted (if appropriate)

- If you have more than one file, please compress the files into a PDF or ZIP file before uploading.

One file only.
8 MB limit.
Allowed types: jpg, png, bmp, txt, pdf, doc, docx, zip.

Copy of the other supporting documents (if any)

- If you have more than one file, please compress the files into a PDF or ZIP file before uploading.

One file only.
8 MB limit.
Allowed types: jpg, png, bmp, txt, pdf, doc, docx, zip.

Personal Information Collection Statement

The information collected will be used for the processing of student financial assistance applications and related reporting purposes. CEDARS will adhere to the HKU Privacy Policy (https://www.hku.hk/about/policies_reports/privacy_policy.html).

Declaration

1. I hereby declare that the information and supporting documents provided by me are true, complete and accurate.

2. I understand that provision of false or misleading information or failure to supply documentation will lead to the disqualification of my application.

3. I agree to the release of my personal details and application information to the relevant parties who are involved in the assessment and approval of my application.