application form

Application for Admission to MPhil/PhD Programmes

Please complete this application form clearly and accurately in BLOCK letters using a black ballpoint pen. The completed form should be returned to the School of Graduate Studies, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong. Please also refer to the section “Use of Application Information” in the Admissions Handbook for details on the specific use of the information collected in this form.

English Name:

Surname:

Given Name:

Chinese Name: Chinese Character Code:

‘M’ – Male ‘F’ – Female

HKID No.:

- ) Passport No.: (only if you are NOT

Nationality:

Date of Birth:

Day Month

Year

Status:

‘L’ – Local

‘NL’ – Non-local

(“Non-local students” are defined as persons entering Hong Kong for the purpose of education with a student visa/entry permit.)

If you are a applicant, please identify which one of the following categories you belong to. (Please tick “√” the appropriate box)

F Holder of a Hong Kong Permanent Identity Card

F Have the right to land in Hong Kong (i.e. with a letter “R” printed above the line of the Date of Issue in the “Hong Kong Identity Card”) F Holder of a One-way Permit for entry to Hong Kong

F Holder of a valid employment visa. Please specify: Visa Number:____________________________________ Expiry Date:____________________

F Holder of other types of visa that will allow you to study in Hong Kong without a student visa/entry permit. e.g dependant visa, entry visa, entry permit for

quality migrants or capital investment entrants. Please specify:

Visa Type: ________________________________ Visa Number:____________________________________ Expiry Date:____________________

Correspondence Address: City: Country:

-

-

Country Code Area Code Telephone No.

Contact Phone No.: Email Address:

(Please tick “√” the appropriate box)

Source of Funding: Government (eligible to apply for financial awards and required to pay tuition fees at a rate set by the government) (Please refer to the section funded

“Government-funded and Self-financing Research Students”.)

(not eligible to apply for financial awards and required to pay a higher level of tuition fees.)

Programme Applied For:

MPhil PhD Mode of Study: Full-time Part-time

Proposed Research Area:

(Please make reference to the section “Research

Areas for MPhil/PhD Programmes”)

Are you a CityU graduate/student? No

Yes If yes, please provide your student no.:

Yes

Have you applied for a CityU MPhil/PhD programme before? No If yes, in which Department/School: