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inter-departmental

    THE CHINESE UNIVERSITY OF HONG KONG

    Graduate School

    Application for Transcript of Academic Record

     (Please read the Notes for Application at the back before completing this form.)

    A. Personal Particulars

     Name (in English) : (in Chinese, if any) :

     Student ID No. : HKID Card No. # :

     Date of Birth (DD/MM/YYYY) : Division :

     Programme : Degree/Diploma :

     Time Basis : ? Full-time ? Part-time Study Year / Year of Graduation :

     Correspondence Address :

     Contact Tel. No(s). : E-mail :

     (# The HKID Card No. is for verification of the identity of the applicant.)

    B. Type and Copies of Transcript Required

    (Please put a ?” as appropriate)

     ? Official Copy No. of copies :

     ? Student Copy No. of copies :

     C. Payment Method (Please put a ?” as appropriate)

     ? by ATM (please attach original receipt) ? by PPS (payment reference No. _________________________ )

     ? by e-banking ? by EPS ? by cheque / bankdraft

     D. Method of Despatch (Please put a ?” as appropriate)

     Official Transcript shall not be issued to a student or any private individual. It shall be sent directly to the institution or prospective employer by CUHK.

     Please select your mailing preference (Please fill in the address slip to which your transcript is to be sent.):

     ? air/surface (no additional postal charge) ? registered (HK$13)

     ? express (overseas only, HK$6) ? Others (please specify) _____________________________

     Student Copy of Transcript (Please put a ?” as appropriate)

     ? Please send the transcript(s) by mail (Please fill in the address slip to which your transcript is to be sent.):

     ? air/surface (no additional postal charge) ? registered (HK$13)

     ? express (overseas only, HK$6) ? Others (please specify) _____________________________

     ? I will collect in person.

     ? To be collected by the person authorized in the letter attached.

Signature : Date :

     FOR OFFICE USE ONLY:

    1. Copy/copies at $40.00 each HK$ 2. For inter-departmental transfer

     Postage HK$ Postage involved HK$ __________

     Total : HK$

     Date Signature

     Application received on

     Transcript(s) despatched on

     Transcript(s) collected on

     ____________________________

     (Applicant‟s Signature) Transcript.doc (9/2008)

    Notes for Application for Transcript

    1. Application will be processed upon receipt of the completed application form and payment. The processing time

    normally takes 3 working days.

2. Fee per single copy of the transcript, including postage of local or ordinary air mail is HK$40. If you require other

    postal services, please add additional charges as stated on the application form.

    3. Payment Method:

     i. Payment by ATM Service

    This service is only applicable to students admitted in 1986 and thereafter.

    ATM cardholder of HSBC, Hang Seng Bank or JETCO member banks may pay at these banks‟ ATM by selecting

    the screen of CUHK and choosing bill type „02‟ for payment. Please input the first seven digits of the student ID

    number for the bill account number.

     ii. Payment-by-Phone Service (PPS)

    This service is only applicable to students admitted in 1986 and thereafter.

    Registered PPS user may dial 18031 (English) or 18033 (Chinese) or visit PPS website www.ppshk.com for

    payment. The merchant code for CUHK (PPS) is „9110‟ and the bill type for payment is „02‟. Please input the

    first seven digits of the student ID number for the bill account number and quote your PPS reference number on

    the application form.

    No receipts will be issued by CUHK for PPS payment.

     iii. Payment by e-banking

    This service is only applicable to students admitted in 1986 and thereafter.

    Internet banking user of HSBC, Hang Seng Bank or JETCO member banks may visit these banks‟ websites and

    pay via the bill payment service provided by their websites. Please input the first seven digits of the student ID

    number for the bill account number.

     iv. Payment by Cheque / Bank Draft

    Applicants may send a personal cheque or bank draft made payable to “The Chinese University of Hong Kong”.

     v. Payment by EPS

    Applicants can make payment by EPS at the Graduate School Office when submitting the application form.

     vi. Payment by Credit Card

    This option is only available for applicants who submit application via Internet. Despatch Method: 4.

     i. Please fill in on the address slip the addressee and correspondence address to which your transcript(s) is/are to be

    sent.

     ii. Collection of documents in person or by an authorized person must be done within one month from the date of

    application.

    If you wish to authorize another person to collect transcript(s)/other document(s) on your behalf, please submit a

    letter of authorization along with the application stating the HKID Card/Passport No. of the authorized person.

    Photocopy of your HKID Card and the authorized persons HKID Card/Passport will be required for verification.

    The identification documents will be returned after inspection.

    5. The Graduate School accepts no responsibility for any loss or damage of the documents during postal delivery.

    6. Personal Information Collection Statement:

     i. The personal data provided on the application form will be used by the Graduate School for the purpose of

    processing this application only. All information provided, when no longer required, will be destroyed.

     ii. For correction of or access to the personal data after submission of the application, please contact the Graduate

    School at 2609 8976/8977 or email to gradschool@cuhk.edu.hk.

     iii. Information provided on the application may be transferred to other departments/administrative units within

    CUHK for consideration and granting approval, where applicable.

    7. Students of the IASP programme and (Advanced) Postgraduate Diploma in Education should enquire at/submit

    applications to the Office of Academic Links and Faculty of Education respectively. Transcript.doc (9/2008)

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