Application for Letter of Certification

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                                                                                          Chow Yei Ching School of Graduate Studies
                                                                                          Taught Postgraduate Student Records Service Counter
                                                                                          Unit 6B, Block 1, To Yuen Building, 31 To Yuen Street
                                                                                          Tel No.: 3442-9014       Fax No.: 3442-0237

                                         Application for Letter of Certification
Please read the Notes to Applicants overleaf before completing this form.
Student Name: _____________________________ Student No.

Day-time Contact Phone No.: _________________ HKID/Passport* No.

Programme Enrolled (Code and Title): ________________________________________________________

Mode of Attendance: FT/PT/Combined*                           CityU E-mail Address: ____________________________
Application Particulars (Please tick as appropriate)

      To certify the normal duration of the enrolled programme (for current students)
      To certify the classification of award (Please see Note 4 overleaf)
      Extension of student visa – (For non-local students, please see Note 5 overleaf)
      To issue a “Certification of Study” letter to the HKSAR Immigration Department for application of
      further stay in Hong Kong under the Immigration Arrangements for Non-local Graduates (IANG)
      after completion of studies at CityU
      Others – (please specify): ____________________________________________________________
Collection of Certification Letter(s) (Please tick as appropriate)

Number of certification letter(s) required (HK$30 per page) : ____________

      I wish to collect the certification letter(s) in person.

      Please mail my certification letter(s) to _________________________________________________

      I will authorise another person to collect the certification letter(s) on my behalf.
      (Please complete the Authorisation Letter. For details, please see Note 2 overleaf.)

__________________________________                                                                 ______________________________
                 Signature                                                                                             Date
Certification Letter(s) Received By

__________________________________                                                                 ______________________________
                 Signature                                                                                             Date
(For Office Use Only)

     Visa/Master Card                    EPS               Receipt Attached                   Received by __________________

Prepared by _______________________________                                             Sent on ____________________
*       Please delete where inappropriate

Use of Information:       Information provided in this form will be treated as strictly confidential and will be used by the University
                           for checking of records only.
                                       Letter of Certification

Notes to Applicants

1. Students may apply for various certification letters in respect of their studies at the University.

2. Students may authorise a third party to collect the certification letters on their behalf. In this
   connection, the authorised person should present the following upon collection of the certification
    An authorisation letter signed by the student concerned [an authorisation letter template is
        available at the “Form Download” section of the SGS website (“”)
        or SGS Taught Postgraduate Student Records Service Counter].
    A copy of the student identity card/HKID card/passport of the student concerned (this will
        be returned to the authorised person after inspection)

3. Certification letters sent overseas will be by regular air mail. CityU will not be responsible for any
   mishandling of mail.

4. For students who apply for certification of their academic award, please note that certification of the
   award classification will only be available after the Examination Board meeting. (If the request is
   made prior to the Examination Board meeting, only the fulfillment of programme requirements can
   be certified as appropriate.)

5. For non-local students who need certification letters for an extension of their student visa, please
   return the completed application form with their original Travel Document (通行証)/Passport (this
   will be returned to the student or authorised person after inspection).

Procedures for Application

Application can be made by post or in person at the SGS Taught Postgraduate Student Records Service
Counter together with payment of the required fees. Students should apply at least two weeks before
the date the certification letter is required to allow adequate time for processing.

Fees Payment

Please pay by one of the following methods:
a. by direct deposit at any branch of the Hang Seng Bank
   (CityU current account no.: 293-318028-004); or

b. by electronic transfer to the above CityU account at any Hang Seng Bank ATM machine; or

c. by Visa/Master Credit card or EPS at the SGS Taught Postgraduate Student Records Service
   Counter; or

d. by bank draft in Hong Kong dollars payable to “City University of Hong Kong” (for overseas

For fees settled by method (a) or (b) above, please attach the original receipt to the application form as
proof of payment.

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