Application Form for Assistance During Online Learning

Application Form for Assistance During Online Learning


1.Name of Student / Isem tal- istudent:*

2.Surname of Student / Kunjom tal- istudent:*

3.ID Number / Numru tal- identita:*

4.Contact Number / Numru ta Kuntatt:*

5.School / Skola:*

6.Class / Klassi:*

7.Under which Criteria you are Eligible / Taħt liema Kriterji int Eliġibbli:* Families whose students are already benefitting from Scheme 9 Familji li l-istudenti tagħhom diġà qed jibbenefikaw mill-Iskema 9 Families on Minimum Wage or whose annual income is lower than the minimum wage Familji b'Paga Minima jew li d-dħul annwali tagħhom huwa inqas mill-paga minima Families relying solely on social benefits - including parents with 1 child Familji li jiddependu biss fuq benefiċċji soċjali - inklużi ġenituri bi wild wieħed Families with two or more children (of different ages) and whose annual income does not exceed Euro 15 000 Familji bi zewgt' itfal jew aktar (ta ’etajiet differenti) u li d-dħul annwali tagħhom ma jaqbiżx l-Euro 15 000.

8.Choose Benefit / Ghazel il-beneficcju:* Device Internet



9.Supporting documents (Please upload here any supporting documents that confirms your eligibility as stated in previous question) / Dokumenti Necessarji (Jekk jogħġbok tella 'hawn dokumenti ta' sostenn li jikkonfermaw l-eliġibilità tiegħek kif iddikjarat fil-mistoqsija preċedenti)

Attach Documents 1:

Attach Documents 2:

Attach Documents: