HONG KONG INSTITUTE OF VOCATIONAL EDUCATION (CHAI WAN)
APPLICATION FOR STATEMENT OF RESULT
Pleasereadthe instructionsoverleafbeforecompletingthis form.
I. PARllCULARS OF STUDENT
(in Chinese, applicable)
CourseTitle Course Code I I I I I I I
Department Mode of Attendance: *FT/PTE/PWR
Address Tel.No. (Home)
Type of Statement Resultapplied for *TC/IVE (seenote overleaf)
Reason application: Lost/Damaged*
Have you applied for any Statement Resultbefore?
The date(s)of my previousapplication(s)* is/are
.Please deleteas appropriate.
II. ACKNOWLEDGEMENT (To be completed by student upon collection of Statementof Result)
I acknowledge of
receiptof the Statement Result,serialno:
(For Office Use)
III. RECORD AT THE CAMPUS SECRETARIAT tick
(Please the appropriateboxes)
All itemsduly filled in by applicantin SectionI
Hong Kong ID Card checked
Record of previous applicationchecked
Acknowledgement applicationissued(dateavailablefor collection )
RECORD AT THE FINANCE OFFICE
A handlingfee of HK$1 00 hasbeenreceived(Receipt
v. ISSUE OF STATEMENT OF RESULT
Student'sHong Kong ill Cardchecked
Stat~t_result_fonn [rev 5/03)
Instructions to Applicant
Complete Part I of the application fonD and submit it together with your HKID card (for
verification) to the Campus Secretariatin person.
2. Paya handlingfee of HK$l 00 which is non-refundable.
ObtainReceiptof payment(VTC-66) andan Acknowledgement application.
4. Collect the Statementof Result in person on the date specified on the Acknowledgement by
producing your own HKID card, noTnlally 5 working days after application.
CompletePart n of the applicationform to acknowledge
The Hong Kong Technical Collegesand Technical Institutes have been amalgamatedto
become the Hong Kong Institute of Vocational Education in 1999. Graduatesof year
2000/2001or before may opt to chooseeithera TC or an lYE Statement Result.