GRADUATE SCHOOL 
Application for Amendment of Student Personal Data

(1)	Please produce your HKID Card / Passport or Student Card for verification if this form is submitted in person.
(2)	If this form is submitted via email or by fax, please submit together a copy of your HKID Card / Student Card.
(3)	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. 

Student No:  __________________  Name:  __________________________________________	( ________________ )
	(in English)	(in Chinese)

Study Programme: _________________________________________________________________________________

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Please fill in using BLOCK letters and complete the appropriate part(s) ONLY.

Types of Amendment:

(Please attach supporting documents (original or certified true copy) such as HKID Card / Passport / Declaration statement etc.)

A)	Family Name:																								
	Other Name:																								

	Name in Chinese:		

B)	Sex:		

C)	Passport / HKID No.:		

D)	Date of Birth:	DD			MM			YY					

E)	Nationality (for current students only):		

F)	Others:		

Signature:  _____________________________			Date:  ___________________________

For Office Use Only

Form Received by ____________ on _____________	HKID / Student Card:	 Checked

Supporting Document Received on _______________

Data Entry in UIS:
 Chinese Name
 English Name
 Changes on Student Personal Data

Data Entry by:  ______________ on ______________	

Privacy Policy Statement and Personal Information Collection Statement (PPS/PICS)
 
According to the Privacy Policy Statement / Personal Information Collection Statement (PPS/PICS) of the Hong Kong Baptist University (the "University"), personal data of students of the University are collected and retained for a variety of reasons and used for many purposes as such have been set out in the PPS/PICS. Please visit https://www.hkbu.edu.hk/eng/about/privacy.jsp for access to the PPS/PICS.
 
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