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application for student copy of transcript

This document is an application form for obtaining a transcript of academic records from The Chinese University of Hong Kong. It includes sections for personal information, payment methods, and instructions for submission and collection of the transcript. Additionally, it outlines the processing time, fees, and conditions regarding personal data collection and handling.

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6 views

application for student copy of transcript

This document is an application form for obtaining a transcript of academic records from The Chinese University of Hong Kong. It includes sections for personal information, payment methods, and instructions for submission and collection of the transcript. Additionally, it outlines the processing time, fees, and conditions regarding personal data collection and handling.

Uploaded by

acm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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香 港 中 文 大 學

THE CHINESE UNIVERSITY OF HONG KONG


註 冊 及 考 試 組
Registration & Examinations Section
學 業 成 績 表 申 請 表
APPLICATION FOR TRANSCRIPT OF ACADEMIC RECORD
﹝學 生 副 本﹞
(STUDENT COPY)
填表前請參考背頁之申請注意事項。
Please read the Notes for Application at the back before completing this form.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
姓名﹝英文﹞ ﹝中文﹞
Name :﹝in English﹞ ﹝in Chinese﹞
學號 香港身份證號碼
Student I.D. No. : H.K.I.D. Card No. :
出生日期 聯絡電話
Date of Birth: Contact Tel. No. :
通訊地址
Correspondence Address :
電郵地址
E-mail Address :
學制 全日 兼讀 修業年 / 畢業年份﹝畢業生適用﹞
Time Basis : Full-time Part-time Year of Attendance/ Year of Graduation ﹝for graduates﹞ :
主修 / 課程 副修
Major / Programme : Minor(s) :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
包括學位考試結果 ﹝只適用於1983 年或以前之畢業生。﹞
Include Degree Examination Results Yes / No (Applicable only to graduates of 1983 or before.)
申請份數
No. of copies :
繳費辦法﹝請在適當位置「」﹞
Payment Method (Please tick as appropriate):
以自動柜員機付款
賬單類別為“02＂；申請人請以本科課程的學號作為賬單號碼，即學號的十個數字“1009xxxxxx＂，或以往的八位數字學號
（如“05123454＂）。
Payment by ATM
ATM Bill Type “02”; please input your student ID no. of the undergraduate programme as bill payee account no., i.e., 10-digit USID “1009xxxxxx”,
or previous 8-digit USID e.g. “05123454”.
以支票/銀行本票付款
Payment by cheque/bankdraft
郵寄 / 領取學業成績表﹝請在適當位置「」﹞
Method of Despatch (Please tick as appropriate) :
本人自行領取 由他人代為領取﹝附委託書﹞
I will collect in person. To be collected by the person authorized in the letter attached
請郵寄(請將地址清楚填在地址表內)。如需要其他郵遞服務，請在下列方格選擇：
Please send the transcript(s) by mail (Please fill in the address slip to which your transcript(s) is/are to be sent). For other postal services,
please select box below :
掛號 其他
Registered Others (Please specify)
簽 署 日期
Signature : Date :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
收集個人資料聲明
i. 此表格所收集的資料將用以處理有關的申請，所提供的資料於無需保留時將全部銷毀。
ii. 如在遞交此表格後要查閱或改正個人資料，請聯絡註冊及考試組：(電話：3943-9888、傳真：2603-5129、電郵：[email protected])
iii. 本表格所收集的資料或會轉交香港中文大學其他行政或教學部門作考慮或批核用。
Personal Information Collection Statement:
i. The personal data provided on this form will be used for the purpose of processing this application.
All information provided, when no longer required, will be destroyed.
ii. For correction of or access to the personal data after submission of this form, please contact the Registration & Examinations Section:
(Tel. No.: 3943-9888, Fax No.: 2603-5129, e-mail address: [email protected])
iii. Information provided on this form may be transferred to other departments/ administrative units within CUHK for consideration and granting
approval, where applicable.
SS/st/Form-transcriptS/Sept 15
注意事項:

1. 由收妥申請表及費用起計，本組處理有關申請所需之時間一般為三個工作天。若申請人之學生紀錄尚未以電腦存檔，
處理有關申請需時較長。

2. 繳費辦法：

i. 使用自動柜員機付款（只適用於一九八六年及以後入學之學生）：
賬單類別為“02＂；申請人請以本科課程的學號作為賬單號碼，即學號的十個數字“1009xxxxxx＂，或以往
的八位數字學號（如“05123454＂）。
ii. 支票/銀行本票付款
申請人可郵寄個人支票或銀行本票到本組，抬頭請填上“香港中文大學”。

3. 收費：
學業成績表每份收費為港幣四十元，已包括本地或普通空郵之郵費在內（例如：申請兩份學業成績表，費用為港幣八十
元)。
如需要其他郵遞服務，請加付以下費用：

掛號 港幣十五元五角

4. 領取辦法：

 以郵遞方式寄達有關機構或申請人；請將每個地址清楚填在｢郵寄地址字條｣內。

 自行或委托他人領取；如委托他人代領文件，必須出示申請人之委托信 (信內須列明受託人之香港身份證或
護照號碼)及申請人之香港身份證或護照副本，以供本組核對。另外，逾期未領之文件將於申請日起一年後
被銷毀。

5. 本組將不負責任何因郵遞而引致之遺失或損壞。

6. 內外全科醫學士課程學生、研究院學生及亞洲課程學生請分別向醫學院院務處、研究院及學術交流處查詢及辦理
有關申請。

Note:

1. Normal processing time is 3 working days upon receipt of application form and payment. Some may take longer processing time if
student records of the applicants were not computerized.

2. Payment Method:

i. Payment by ATM (ONLY applicable to students admitted in 1986 and thereafter):


ATM Bill Type “02”; please input your student ID no. of the undergraduate programme as bill payee account no., i.e.,
10-digit USID “1009xxxxxx”, or previous 8-digit USID e.g. “05123454”.
ii. Payment by cheque/bankdraft
Applicants may send a crossed cheque or bank draft, made payable to "The Chinese University of Hong Kong" to the
Registration & Examinations Section.

3. Fees per single copy of the transcript, including postage of local or ordinary air mail is HK$40. (e.g. if you apply for 2 copies of
transcript, the payment should be HK$80.)
If you require other postal services, please add additional charges as follows :
Registered Mail HK$15.5

4. Despatch Method:

 Sent directly to institutions (official transcript) or to the applicant (student copy); please fill in on the address slip to which the
transcript(s) is/are to be sent.

 Collected in person, or by an authorized person and in this case, the applicant must submit an authorization letter
stating the HKID Card/Passport No. of the authorized person together with the photocopy of the applicant's HKID
Card/Passport for verification. Uncollected document will be destroyed 1 year after the application date.
5. The Registration & Examinations Section accepts no responsibility for any loss or damage of the documents during postal delivery.

6. Students of MB ChB programme, postgraduate students and students of International Asian Studies Programme (IASP)
should enquire at / submit applications to the Faculty Office of Medicine, the Graduate School and the Office of Academic
Links respectively.
SS/st/transript/Mar 15

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