Quotation to Purchase Service under the Notional Service Purchase Scheme - Application by a Teacher

Published date24 October 2019
IssuerDepartment of Education
Aonad na bPinsean
An Roinn Oideachais agus Scileanna
Corr na Madadh
Baile Átha Luain
Co. na hIarmhí
N37 X659
Pension Unit
Department of Education and Skills
Cornamaddy
Athlone
Co. Westmeath
N37 X659
Email: pensions@education.gov.ie www.education.ie Form NSQ 1 1st Jan. 2018
APPLICATION FOR A QUOTATION TO PURCHASE SERVICE UNDER
THE NOTIONAL SERVICE PURCHASE SCHEME.
Circular 129/06 should be read before completing this form.
Please complete this form in full using block letters:
- Do not leave any gaps from the date which you started your working.
- Unpaid absences include such absence as career breaks, unpaid maternity
leave, unpaid sick leave, strike days, any unpaid personal leave.
- Teaching status includes permanent, temporary, substitute, part time, EPT,
RPT, job sharing or CID teaching service.
- Applications for quotations must be received at least 6 weeks before your
next birthday
Please note that there are a number of circumstances which exists whereby notional
service cannot be purchased. This include:
- If you are not currently employed
- If you are in the Single pension scheme
- If you are currently on sick leave
If you are in casual or intermittent employment.
This list is to be used as a guide only and is not exhaustive.
Note: Members who are seeking to purchase notional service and also wish to avail of
a career break must have their application and contract completed in full prior to the
start of their career break
Please tick (√) box to indicate which sector in which you are employed:
Primary Post Primary Special Needs Assistant
PART 1 - YOUR DETAILS BLOCK CAPITALS ONLY PLEASE.
Surname: _______________________________ First Name: __________________
PPSN: _________________________ Date of Birth: __________________
Telephone Contact: ____________________________
Email address: ________________________________
Postal Address: _______________________________
On what date do you intend to retire: ______________________

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