Report Loss of Attendance Permit / Receipt (Certifying copy)
Report Loss of Attendance Permit / Receipt (Certifying copy)
$
0
Total
Surname (BLOCK letters in English)
*
Given Names (BLOCK letters in English)
*
Full name (in Chinese)
*
Year of Admission
Maximum of
4
digits allowed.
Currently Entered:
0
digits.
Programme Enrolled
*
Frequently Checked Email Address
*
*
I wish to pay HK$40.00 for a replacement of Attendance Permit.
I wish to pay HK$40.00 for a replacement of Receipt (Certifying copy).
Please provide details of receipt. For loss of Attendance Permit, please type NA
*
Method of Despatch (Please tick as appropriate):
*
I will collect the Attendance Permit /Certifying copy of receipt in person.
Attendance Permit /Certifying copy of receipt will be collected by the person authorized in the letter attached.
Please send the Attendance Permit / Certifying copy of receipt locally by mail (Hong Kong Post plain letter) or overseas by ordinary air mail. (For mail despatch, please fill in the name and address to which your Attendance Permit / Certifying copy of receipt is to be sent)
Name
Address
Draw your signature into the box below.
*
Clear
Notes to the applicants
1. The personal data provided on this form will be used by the Continuing Professional Education, Department of Social Work Hong Kong for the purpose of processing this application.
All information provided, when no longer required, will be destroyed.
2. For correction of or access to the personal data after submission of this form, please contact the Continuing Professional Education, Department of Social Work.
3. Information provided on this form may be transferred to other departments/administrative units within CUHK for consideration and granting approval, where applicable.
Disclaimer
The personal data collected will be used by Continuing Professional Education, Department of Social Work and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.
Type the letters you see in the image below.