Application for Transcript
FORM for Undergraduates

Name (in English):
Major / Programme:
Minor(s), if any:
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:
Include Degree Examination Result:
(for graduates of 1983 or before, select Yes)
Fill in the despatch method and mailing address in ENGLISH or TRADITIONAL CHINESE for each application. If you need to send the transcript to more than three recipients, please submit another application form.
(1.) Method of Despatch:
No. of Copies:
Purpose for this Application:
application for a position of other purpose leave blank

(Purpose will be stated on the address slip to be mailed to the recipient. Select "leave blank" if you do not want to state your purpose.)
(2.) Method of Despatch:
No. of Copies:
Purpose for this Application:
application for a position of other purpose leave blank

(Purpose will be stated on the address slip to be mailed to the recipient. Select "leave blank" if you do not want to state your purpose.)
(3.) Method of Despatch:
No. of Copies:
Purpose for this Application:
application for a position of other purpose leave blank

(Purpose will be stated on the address slip to be mailed to the recipient. Select "leave blank" if you do not want to state your purpose.)
Payment
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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)