GRADUATE SCHOOL
Application for Official Transcript of Academic Record

Important Notes
(1)	Please produce your HKID Card / Passport or Student Card for verification when you submit the form in person.
(2)	If this form is submitted by a representative of the applicant, the representative has to produce his/her own HKID card, an authorization letter bearing the applicant’s signature and a copy of the applicant’s HKID card/Passport.
(3)	Should there be any request for changes after the issuance of the transcript, a fresh application with appropriate payment will be required.
(4)	Normal processing time upon receipt of the completed application form is 5 working days.  For applicants graduated in or before 1985, longer processing time may be needed.
(5)	Transcript will be mailed directly to the named institution by registered mail.
(6)	Transcript fee is $70 per copy. Application will only be processed upon complete application details and receipt of payment. NO REFUND will be given under any circumstances.
(7)	Upon request, a transcript can be sent by courier service with a courier service fee for each delivery
(8)	To avoid postal errors, applicants are requested to write clearly the address of the recipient(s). The Graduate School will bear no responsibility for any loss or damages of the transcript during postal delivery.

PLEASE COMPLETE THE FOLLOWING IN BLOCK LETTERS AND “” WHERE APPROPRIATE	

Name (Mr./ Ms*) :________________________________________________	( ____________________________ )
*Please delete as appropriate	(in English)	(in Chinese, if applicable)

Student No	Year Graduated	Type of Award	Programme	
	(if applicable) 	(e.g. PhD, Master)		

_________________	_____________	_____________________________	_________________________

_________________	_____________	_____________________________	_________________________
	OR
	Date Withdrawn:	_____________

No. of Copies	Name of Institution(s): 
	
	(Note: Transcript will be sent by registered mail. Applicants who wish to have transcript(s) sent by DHL Express
	      should tick box below.)

___________	_________________________________________________________________________________

___________	_________________________________________________________________________________

Total No. of Copies Applied for: __________

Please tick box(es) below, where appropriate:
Send the transcript(s) 	 with attachment(s) (e.g. Application for admission to an institution)
	 with testimonial(s)
	 Courier Service (outside Hong Kong only, please refer to the Courier Service Fee overleaf) 
	   Please specify recipient’s name and contact tel. no.: 
		____________________________________________________________________________

	 others (please specify) __________________________________________________________

Applicant’s E-mail Address: ________________________________  Applicant’s Contact Tel. No.: ________________

Applicant’s/Representative’s Signature: 	______________________  Date: ___________________________________

FOR OFFICE USE ONLY

Transcript fee:  $70/copy x ________ = $ _________	 Paid

Courier Service fee:    $150/delivery  (PRC – Guangdong Province)           
 $250/delivery  (PRC – Other than Guangdong Province)  
 $280/delivery  (Rest of the World)                    
 Form Received by ____________ on _____________	HKID/Passport/Student card:		Checked

Remarks: ___________________________________	Form copied to USS:	Yes / No

Prepared by __________________	Checked by __________________	Mailed on ________________________

Personal Data (Privacy) Ordinance
Personal Information Collection Statement
Persons who supply personal data in their applications to the Graduate School for various purposes are requested to note the following:

1.	Personal data provided in the applications are to facilitate the process of their applications and will not be used for other purposes.
2.	Personal data provided will only be used by University staff.
3.	After the applications have been processed, application forms will be destroyed 3 months after the process is over.

Under the provision of the Personal Data (Privacy) Ordinance, request for personal data access or correction may be made and addressed to:
			
	Graduate School
			AAB 904, Level 9, Academic and Administration Building,
			Baptist University Road Campus,
			Hong Kong Baptist University
			Kowloon Tong
			Kowloon

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Mailing Slips: 
Please fill out the Name of Applicant and the Name and Address of Institution(s) where the transcript(s) will be sent to. 
(To avoid postal errors, please write clearly within border.)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

Name of Applicant: _________________________

Dear Sir/Madam,

As per request, enclosed please find the official transcript(s) of the above named that may provide you with the necessary information on his/her academic performance.

For enquiries, please call 3411-5127.

Best Regards,
Graduate School
Hong Kong Baptist University

Name and Address of Institution:  

__________________________________  
__________________________
__________________________
__________________________
______________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

Name of Applicant: _________________________

Dear Sir/Madam,

As per request, enclosed please find the official transcript(s) of the above named that may provide you with the necessary information on his/her academic performance.

For enquiries, please call 3411-5127.

Best Regards,
Graduate School
Hong Kong Baptist University

Name and Address of Institution:  

__________________________________  
__________________________
__________________________
__________________________
______________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _