GRADUATE SCHOOL
Professional Doctorate Degree/Taught Postgraduate Degree/Diploma/Certificate Programmes
Application Fee - Credit Card Payment Form

Applicant Information:

Family Name:			First Name:		
Application No. 					
(if applicable):			Telephone No.:		
Email Address:			Fax No.:		

Type of Credit Card: (Please tick as appropriate.)

	 Visa Card			 Master Card	

Credit Card No.:					

CVV (Visa) / CVC (Master) Code:		
	(The LAST 3 digits of numbers printed on the signature field at the back of the credit card.)	

Expiry Date:					
					
Card Holder Name:				(in English)	
					
Amount:		HK$350.00 (Local applicant) 
	HK$450.00 (Non-local applicant)	
					
Signature:			Date:		
	(Please use authorised signature as shown on your credit card.)				

Note:	Please submit this form together with the completed application form to the Graduate School. Should you have any further enquiries, please do not hesitate to contact us by fax [(852) 3411-5133] or by email [gs@hkbu.edu.hk].
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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