Docstoc

HONG KONG BAPTIST UNIVERSITY

Document Sample
HONG KONG BAPTIST UNIVERSITY Powered By Docstoc
					                                    HONG KONG BAPTIST UNIVERSITY
                                           Academic Registry                                                 URGENT
                                           Admissions Section

                               2006 JUPAS Admissions Exercise (July Interview)

                               Request Form for Change of Interview Date/Time

To:          Mr. Ben Fok / Ms. Helen Chan / Ms. Cherry Chan
Fax:         3411 7373                             E-mail:                      arjoint@hkbu.edu.hk
From:        (Name)

             (JUPAS Application No.)
Contact:     (Mobile)

             (E-mail Address)
             (Applicant will be notified of the result of this request by mobile phone or via e-mail.)

I would like to request for a change of the scheduled interview date/time due to special circumstances
beyond my control, e.g. accident, illness. I understand that this request may be approved or not and I
will accept the decision made by the Academic Registry and the respective department in this regard.
The details of my request are as follows:

 Course for interview:         Course                                     Course
                               Code                                       Title


                                                                                 REQUEST FOR A CHANGE TO
                                         ORIGINAL                         ●      Requested date and time are considered on an
                                                                                 individual basis.
         Interview Date:

         Interview Time:


Reasons for change of interview date/time:




Supporting documents attached:               ___      No          ___         Yes          No. of pages attached =

Signature:                                                        Date:

For Office Use
(i) Department’s Consideration (to be replied                     (ii) Applicant to be notified of the decision by
    * on / before: ____________________ )                              * Department / Academic Registry via
                                                                       e-mail / phone.
   Request is       __ approved __ not approved.

   By:                           Date:                              By:                             Date:
           (name in capital)                                                  (name in capital)


724ba7ea-8043-4d84-af13-                                Page 1 of 1                          * Delete whichever is inappropriate.
1900a46223a8.doc

				
DOCUMENT INFO