(for HKUST Office Use)

Appl. No.

Transcript Request Form

In support of application for Postgraduate Study at
THE HONG KONG UNIVERSITY OF SCIENCE AND TECHNOLOGY (HKUST)

Applicant to note:
Complete this form and send it to the relevant university/institution to request for an official transcript of study to
be sent to HKUST directly.

To the Registrar,
(Name of University / Institution)

I, ___________________________, am applying for admission to postgraduate program(s) at the Hong Kong

University of Science and Technology (HKUST). Please arrange for my official transcript of study in English as
far as possible or with an officially certified translation, to be forwarded together with this form in a sealed
envelope to the Postgraduate Admissions Team, Admissions, Registration and Records Office, Room 1381,
Academic Building, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong
Kong.
My particulars are listed below.

1) Personal Information

Name:
(Surname/Family Name) (Other Names)
HKID/Passport Number:
Correspondence Address:

Contact Phone Number: Other Phone No.:

Email Address:

2) My Record of Study at the University/ Institution

Student I.D. Number:

Period of Enrolment: From To
Degree Awarded/to be Awarded:
Date /Expected Date of conferment:

3) Postgraduate Program(s) Applied for at HKUST

Program Title :

I authorize the release of my transcript to the Postgraduate Admissions Team of HKUST.

Signature : Date :

2011/12