THE HONG KONG
UNIVERSITY OF SCIENCE
AND TECHNOLOGY
OFFICE OF POSTGRADUATE STUDIES
Application for Part-time Research Postgraduate Student Award
Please read the Terms and Conditions for the Part-time Research Postgraduate Student
Award before completing this form.
Part I
Personal Particulars (to be completed by the applicant)
Name: Mr/Mrs/Ms/Miss* _________________________________________________
(Surname first)
Applicaton / Student* No.:
_______________________________
Program of study: Part-time MPhi / PhD* (______________________________________)
Program commencement Date: __________________________ Year of Study: _______
Staff No.:
Department / Office of Employment: _______
Full-time Position Held:
Email: _________
_
Phone No.: _
* Please delete where appropriate.
Part II
Declaration and Undertaking (to be completed by the applicant)
1. I certify that the information provided in this application is accurate and complete at
the time this application is lodged.
2. I have read the Terms and Conditions governing the Part-time Research Postgraduate
Student Award carefully before submitting this application. I fully understand and
accept the terms and conditions.
3. I understand that the personal information provided in this application form will be
used for eligibility verification and may be shared with relevant offices of the University
for their reference and records.
4. I am currently a registered part-time regular research postgraduate student and a fulltime employee of HKUST. I understand that once I register for the Continuing Student
status or transfer to full-time mode of study, or cease to be a full-time employee of
HKUST, I will NOT be eligible for the Award. I am obligated to keep the Office of
Postgraduate Studies informed of any change in my student or employment status.
5. I understand that my application for the Part-time Research Postgraduate Student
Award will be disqualified if I supply false information in this application.
Signature of the Applicant: ______________________
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Date: _________________
Part III
Endorsement (to be completed by School/ Department/ Office)
We hereby confirm that the applicant is a part-time regular research postgraduate student
in our Department. The applicant is also a full-time employee of the University. After our
evaluation of the suitability and worthiness of the applicant to receive the Part-time
Research Postgraduate Student Award in compliance with the Terms and Conditions of the
Award, we would recommend the applicant to receive the Award effective from
________________________.
(Term/Year)
Comments, if any:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Name
Signature
Date
Head / PG Coordinator:
Dean / Asso Dean(PG):
Head of Unit of Employment:
(if different from program department)
Part IV
Approval (to be completed by PG Secretariat, Office of Postgraduate Studies)
The application for Part-time Research Postgraduate Student Award is:
⃞ approved
⃞ not approved
_____________________
Name
___________________________
Signature
_________________
Date
Please forward this application to the Office of Postgraduate Studies (PGSO) at least 2
weeks before term commencement.
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