Remuneration Claim Form

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WU YEE SUN COLLEGE
THE CHINESE UNIVERSITY OF HONG KONG
STUDENT SERVICE AWARD SCHEME 2015/16
REMUNERATION CLAIM FORM
Completed remuneration claim forms should be sent to Ms Carol Cheng, Wu Yee Sun College Office by 15 June 2016.
Any project fund unclaimed by then will be forfeited.
Part I – Project Information (to be filled in by Project Supervisor)
Project Title:
Project Ref No.:
Project
Prof./ Dr./ Mr./ Ms.
Contact No.:
Supervisor:
Part II – Personal Particulars (to be filled in by Student Helper)
Name:
(English)
(Chinese)
Contact No.
Student ID:
Major:
Faculty:
Year:
 Yes
 No
Non-local Student?
Important Note: To comply with the policies of the Hong Kong Immigration Department, non-local students are required to:
a) submit a copy of the “No Objection Letter” issued by Hong Kong Immigration Department to the hiring person, and;
b) complete the “Log Sheet for Non-local students working in CUHK” (attached), to be endorsed by the hiring person.
Please attach BOTH of the aforementioned documents to this form for the College Office to process.
Name of Bank:
A/C No.:
A/C Holder Name:
Paid by Cheque
Bank Auto-pay
Please “” appropriate box
Part III – Service Records
Actual Working Time (excl. meal hours)
Actual Hours
Total Amount
Date (dd/mm/yyyy)
Hourly Rate
Worked
(HK$)
From
To
HK$55
HK$55
HK$55
HK$55
HK$55
Total:
HK$
Conditions
1. Student helpers must be currently registered full-time students of Wu Yee Sun College, The Chinese University of Hong Kong.
2. Conditions of engagement as Student Helpers with University
a) Service hours should be LESS than 18 hours per week.
b) The duration of this engagement should NOT exceed 59 days.
c) There should be a break of service for at least 30 days between each engagement as a student helper in the University.
d) Non-local students of full-time, locally accredited programmes at degree level whose study period is not less than one academic year may take up
part-time on-campus employment. However, please note that undergraduate students enrolled in foundation year / year zero are not eligible
under this Government policy.
e) All lunch/dinner hours must be excluded.
Student Declaration
I declare that all my engagement(s) as a Student Helper with the University (including engagement(s) under other department(s) / project(s) during the period
stated above) is (are) in compliance with conditions 2(a) to 2(e)above.
Signature of Student Helper:
Date:
Date:
Signature of Project Supervisor:
For Office Use:
Company Code
Cost Ctr /Project /Business Area Code
Account Code
Checked /Received by Department /Unit
Approved by Head
1 August 2015

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