Application for Transcript of Academic Record / Certifying Letter
Application for Transcript of Academic Record / Certifying Letter
$
0
Total
Document apply for (Please tick as appropriate):
*
Document apply for (Please tick as appropriate):
Academic Record (Transcript)
Certifying Letter
Surname (BLOCK letters in English)
*
Given Names (BLOCK letters in English)
*
Full name (in Chinese)
*
Programme Enrolled
*
Study Year / Year of Graduation
*
Must be a number less than or equal to
4
.
Frequently Checked Email Address
*
Purpose of Application
*
Method of Despatch (Please tick as appropriate):
*
Method of Despatch (Please tick as appropriate):
I will collect the transcript /certifying letter in person.
The transcript /certifying letter will be collected by the person authorized in the letter attached.
Please send the transcript /certifying letter locally by mail (Hong Kong Post plain letter) or overseas by ordinary air mail. (For mail despatch, please fill in the name and address to which your transcript /certifying letter is to be sent)
Name
Address
*
I wish to pay HK$150 for a Transcript of Academic Record / Certifying Letter.
Draw your signature into the box below.
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Notes to the applicants
1. The personal data provided on this form will be used by the Continuing Professional Education, Department of Social Work Hong Kong for the purpose of processing this application.
All information provided, when no longer required, will be destroyed.
2. For correction of or access to the personal data after submission of this form, please contact the Continuing Professional Education, Department of Social Work.
3. Information provided on this form may be transferred to other departments/administrative units within CUHK for consideration and granting approval, where applicable.
Disclaimer
The personal data collected will be used by Continuing Professional Education, Department of Social Work and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.