GRADUATE SCHOOL
Application for Transcript of Academic Record (Student Copy)
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, or the transcript is to be collected by a representative, 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)   For application submitted in person, transcripts of taught postgraduate degree programmes will be available immediately after payment of transcript fee.  Other than the above, please allow 5 working days for the transcript to be prepared.  For applicants graduated in or before 1985, longer processing time may be needed.
(5)    Transcript fee for student copy is $50 per copy. Application will only be processed upon complete application details and receipt of payment. NO REFUND will be given under any circumstances. 
(6)    Upon request, a transcript can be sent by courier service with a courier service fee for each delivery.
(7)    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.
(8)    If you request for collecting the transcript at the Graduate School, please note that it will be kept for 6 months only after the issue date, and be disposed of thereafter.

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	Date Withdrawn:	_____________

 This transcript will be (Please where appropriate):

	  collected at the Graduate School
	             (AAB 904, Level 9, Academic and Administration Building, Baptist University Road Campus, 
                           Hong Kong Baptist University, Kowloon Tong) 
	                  by the student or by an authorized representative

	  mailed to the correspondence address overleaf by ordinary mail
                
                mailed by other delivery method
                                Registered Airmail	         
		   Registered Local Mail	           
                                Courier Service (outside Hong Kong only, please refer to the Courier Service Fee overleaf)
                                Please specify recipient’s name and contact tel. no:

 	                _____________________________________________________________________________
			 
	       sent to __________________________________ Office of the HKBU

 No. of Copies Applied for: 	_______________	Remarks: _______________________________________

 Applicant’s E-mail Address:	____________________________________________________________________

 Applicant’s Contact Tel. No.:	____________________________________________________________________

 Applicant’s/Representative’s Signature: ____________________________	Date: ____________________________

FOR OFFICE USE ONLY
 Transcript fee:  $50/copy x ________ = $ _________	 Paid

Additional fee for using Courier Service 

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 ______________	Completed/Mailed on _________________________

To be completed upon collection of transcript 

Collected by: ________________________________________	( ____________________________________ )
	(Signature)	(Name in BLOCK letters)

HKID/Passport/Student card:		Checked	Date: _________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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 Slip: (Please make extra copies of the mailing slip whenever necessary. A separate mailing slip is required for each address sent.)
Please fill out the Name of Applicant and the Name and Address of Recipient where the transcript(s) will be sent to. 
(To avoid postal errors, please write clearly within border.)
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Name of Applicant: _________________________

Dear Sir/Madam,

As per request, enclosed please find the unofficial transcript(s) of the above named.

For enquiries, please call 3411-5127.

Best regards,
Graduate School
Hong Kong Baptist University

Name and Address of Recipient:

_________________________________
__________________________
__________________________
__________________________
______________________

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