Application for Letter of Certification
FORM for Undergraduates (Please read the notes carefully before submitting the application)
Name (in English):
Major / Programme:
Student ID No.:
  Input 10-digit USID "1009xxxxxx" or "1155xxxxxx", or the previous 8-digit USID e.g. "05123456".
H.K.I.D. Card No.: ( )
Date of Birth: Day (DD): Month (MM): Year (YYYY):
Time Basis: Full-Time Part-Time
Study Year:
Year of Graduation (YYYY):
(for graduates)
Correspondence Address:
Contact Phone No.:
E-mail Address:
Fill in the despatch method and mailing address in ENGLISH or TRADITIONAL CHINESE for each application. If you need to send the letter of certification to more than three recipients, please submit another application form.
(1.) Method of Despatch:
No. of Copies:
Purpose for this Application:
(Purpose must be entered for the selection of appropriate types of letter of certification. Read the notes carefully in particular for certification of medium of instruction.)
Attention to the Immigration Department:
(2.) Method of Despatch:
No. of Copies:
Purpose for this Application:
(Purpose must be entered for the selection of appropriate types of letter of certification. Read the notes carefully in particular for certification of medium of instruction.)
Attention to the Immigration Department:
(3.) Method of Despatch:
No. of Copies:
Purpose for this Application:
(Purpose must be entered for the selection of appropriate types of letter of certification. Read the notes carefully in particular for certification of medium of instruction.)
Attention to the Immigration Department:
Payment
Press "Calculate" button to determine the amount HK $ Fee schedule
Payment Method
Method of Payment:
*You will be redirected to an online credit card payment service (if payment is made by Credit Card) after you press the "Submit Form" button.
Personal Information Collection Statement
1. The personal data provided on this form will be used for the purpose of processing this application. All information provided, when no longer required, will be destroyed.
2. Information provided on this form may be transferred to other departments/ administrative units within CUHK for processing the application, where applicable.
3. For correction of or access to the personal data after submission of this form, please contact the Registration and Examinations Section:
  (Tel. No.: 3943 9888, Fax No.: 2603 5129, e-mail address: transcript@cuhk.edu.hk)