APPLICATION FOR 2008/2009 SCHOOL YEAR

DE   EUROPEAN UNION COMMITTEE OF REGIONS Direction A - Administration/Finances A3. Working conditions/Rights/Training

Staff nr................

Family name and first name of applicant: .......... ..... ...... .......... ..... ...... .......... ..... ...... .........................

Office telephone No: ................ 17217g619r ..... Office address: .......... ..... ...... .......... ..... ...... .......

Pursuant to Article 3 of Annex VII and Section 3, Article 16 (96) of Annex XIII to the Staff Regulations of Officials of the European Communities, I hereby apply for an education allowance for my child/children.

Part  A must be completed for each child attending a primary/secondary school, or university

Part B duly completed by the educational establishment, must be submitted:

- for each child attending primary school for the first time

- for each child reaching the age of 16  or aged over 16 years during the 2008/09 school year

- for each child attending a school that charges fees (registration fee/tuition fees)

I hereby declare that (please tick as applicable)

O my child .......... is attending primary school for the first time (+ attendance certificate)

O my child .......... is attending a higher-education establishment for the first time

O my child .......... ..... ...... .. completed his/her education on .......... ..... ...... ................(date of final examination/dissertation)

O my child............................ interrupted his/her education on .......... ..... ...... .......... ..... ...... ....

O my child .......... ..... ...... resumed his/her education (after an interruption) on .......... ..... ...... ..

O my child .......... ..... ...... . changed school on .........................

O my child ........................... has been taking correspondence courses since .......... ..... ...... ...........

O my child ........................... has been an apprentice since ......(please enclose copy of contract)

O my child .......................... has been a trainee since .........................(please enclose copy of contract)

I enclose supporting documents and undertake to notify the personnel unit immediately of any change in my child's circumstances (gap year, military or civilian service, traineeship, gainfully employed, marriage, etc.) liable to affect my entitlement to the allowance or its amount. I am aware that any undue payments made to me will be deducted from my salary.

Applications must reach the address below by 31 October 2008:

A3. Working conditions/Rights/Training

Mrs MARIE SYNETOU (BVS 811- 812)

For any information, please send an e-mail to the following adress:

individual-rights@cor.europa.eu

Place.......... ..... ...... .....  Date .............................. Signature ............................

Name.......... ..... ...... .........

PART A

(1 copy must be completed for each child)

Child's name .......... ..... ...... .......... ..... ...... ...... Date of birth .......... ..... ...... .............

Name of educational establishment attended

Address .............................Country ............

NB: A fee-paying school, means a primary or secondary school which charges registration fees (include the original of the educational establishment's stamp or certificate + a copy of detailed invoice + proof of payment). Fees to cover the cost of photocopying, school materials, administrative expenses, school trips and so forth are not eligible for reimbursement

Name............

ATTENDANCE CERTIFICATE

I the undersigned (name) .......... ..... ...... .................... (position) .......... ..... ...... .......... certify that (name of pupil/student) .......... ..... ...... .......... ..... ...... ....(date of birth) ............................

is attending (name of establishment) .......... ..... ...... ......................in.......... ..... ...... .....(town) .......... ..... ...... . (country) for the 2008/2009 academic year, which began on (date)....... ........................... and will end on (date) .......... ..... ...... ... He/she is in the .............. class/year of the .......... ..... ...... .......... ..... ...... .... course described below:

TYPE:

O DAY COURSE

O EVENING COURSE

O CORRESPONDENCE COURSE (proof of participation in examinations must be submitted)

O APPRENTICESHIP/TRAINING (please enclose a copy of the contract)

LEVEL:

O PRIMARY

O SECONDARY OR EQUIVALENT

O UNIVERSITY OR EQUIVALENT

THE PUPIL/STUDENT is enrolled as a:

O DAY PUPIL

O BOARDER (Section C must be completed)

O OBSERVER

TOTAL WEEKLY HOURS ATTENDANCE: ..................

(place and date).......... ..... ...... .......................  .......... ..... ...... .......... ..... ...... .

Signature .......... ..... ...... ........................  Official stamp .......... ..... ...... ...................

Name: .............

PART C

I the undersigned (name) .......... ..... ...... .......... ..... ...... .......... (position or capacity) .......... ..... ...... ... certify that (name of pupil) .......... ..... ...... ..........................(date of birth) .......... ..... ...... ......... is/was living from .......... ..... ...... ... to .......................... at the following address (private address or establishment) .......... ..... ...... ...........

Place.......... ..... ...... .......... ..... ...... .......................... Date..............

Signature .......... ..... ......   Official stamp (for establishments)