Student Declaration Form and Honour Statement

During the Add/Drop period, it is still possible to swap from one elective 3 rd language course to another, or even drop
the language completely (unless you are in your final semester of a BBA in Global Business and have not yet taken
ONE elective language course). The Center for Language Education (CLE) encourages you to choose a language at
beginner level which you are interested in, but have not studied previously.

Name: ______________LIU, Jiaming____________________ Student ID : 20677603

IMPORTANT: By enrolling in this course, the CLE assumes that you agree to answer the following
questions fully and truthfully. Students with previous knowledge of the language must contact their
course instructor after submitting this form, and follow the advice given to them. Those who do not do so
will be interviewed individually by the 3rd Languages group leader and/or the Director of the CLE.

Course (tick √ ONE): LANG 1210 Japanese / LANG 1310 French / LANG 1330 Spanish

Email address: __________jliucx_______ @connect.ust.hk Mobile phone number:

________51313700___________

* LEARNING a language includes for this purpose any deliberate acquisition of the language, by
self-study or even just exposure to the language with the intention to learn or acquire it.

1. Have you learnt* the language taught by this course before?

 Yes (Go to Q.2)
 No

2. For how many months/years and how many hours in total have you learnt this language?
Duration: _______2___ (months/years)
Total no. of hours: _________7_______

3. Where did you learn this language? (Multiple selections are allowed)
 Primary School
 High School
 Language Centre
 Private tutoring
 Self-study
 Others (Please specify:__CLE non-credit Japanese IA (only took no more than 2-month lecture, dropped
in the middle, can be proved by zoom recording)___________________________________ )

4. Did you sit for any public examination for this language?
 Yes (Go to Q.5)
 No

5. Which examination did you take? Please specify the examination result.
 International Baccalaureate (IB). Result: __________________________
 General Certificate of Secondary Education (GCSE) Examination. Result: _________
 General Certificate of Education (GCE) A-level. Result: ______________________
 Advanced Placement (AP) examination. Result: ______________________________
 Others (Name of the Examination): Result: __________

DISCLAIMER:
1. I declare that I have joined this BEGINNERS credit-bearing course in good faith, as a beginner of the language.
2. I understand that I may be required to withdraw from the course if it is found that I already have prior
knowledge of the language. 
3. I understand that breaches of academic integrity (http://ugadmin.ust.hk/integrity/regulations-1.html) may
result in the award of a “Fail” grade for this course at the end of the semester.
 4. I certify on my honour that my answers to the above questions are full and true:

Signature / Print of full name: _________________LIU, Jiaming__________________________ Date: 15 /

__9_ / 2021