General Claim Form for the payment Of Grant Aid
Published date | 23 October 2019 |
Issuer | Department of Education |
General Claim Form for the payment Of Grant Aid
The completed claim form should be submitted to:
Special Needs and Tuition Grants (SNTG), Schools Division Financial, Department of Education,
Cornamaddy, Athlone, Co. Westmeath, N37 X 659
SECTION 1: APPLICANT DETAILS
Name: ________________________________________ PPSN: ________________________________________
Address: __________________________________________________________________________________________
Email Address: __________________________________ Contact telephone number: _____________________
BANK ACCOUNT DETAILS
Name & Address of Bank: ____________________________________________________________________________
Name on Account: __________________________________________________________________________________
Bank (BIC) Code: ____________________________________________________________________________________
IBAN code: ________________________________________________________________________________________
DETAILS OF GRANT AID SOUGHT
__________________________________________________________________________________________
__________________________________________________________________________________________
Please attach a copy of the Approval/Sanction/Notification Letter/ Service Level Agreement issued by this Department
in respect of this grant aid.
Receipt Requirements: Where the grant aid sought is by way of a refund of fees already paid please attach the
receipt/payslip.
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