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FormRC/19-
FormRC/19-page1
(RevisedJune2013)
RESEARCHOFFICE
RESEARCHOFFICE
研究事務處
ApplicationforTestimonial(ResearchDegreeProgrammes)
PleasereadtheNotestoApplicantsoverleafbeforecompletingthisform.
Note:Thenormalprocessingtimeis7workingdays,excludingpostaltime.
PARTICULARSOFAPPLICANT
Name:(*Dr/Mr/Ms/Mrs)
/
(inEnglish)
(inChinese,ifapplicable)
Address:
Telephone:
(Mobile)
(Office)
HKID/PassportNo.:
PROGRAMMESTOBEINCLUDEDINTHETESTIMONIAL
Academic
Department
ProgrammeTitle
Modeofattendance
StudentNo.
Yearadmitted
Yearoflastattendance
MPhil/PhD*
RECIPIENTSOFTHETESTIMONIAL(NOTES1-5)
Testimonialtobeaddressedto
Purpose
No.of
copies
#? DirectorofImmigration,ImmigrationDepartment,TheGovernmentoftheHKSAR
visaextension
Towhomitmayconcern
Thefollowingnameandaddress(ifdifferentfromabove):
SignatureofApplicant:
Date:
COLLECTIONMETHOD
FORROUSE
FORROUSE
Applicationreceivedby__________on_____________________
Preparedtestimonialtostudent
by_________________on___________________
Checkedby_____________on_____________________
Signedby_______________on_____________________
Informedby_____________on_____________________
Collectedbystudentortheauthorisedperson/Sentby
_______________________________on___________________
#? inpersonfromtheRO.Pleasetelephonemeatwhenthetestimonialisavailableforcollection.
? Mr/Mswillcollectthetestimonial(s)fromtheRO.His/hercontactphonenumberis.Pleasenotetheattachedauthorizationletter.
? pleasemailthetestimonial(s)to:
? theaddressshownundersectionIII
? theaddressbelow:
Amount(HK$)_____copies@HK$30.00each _________
Amount(HK$)
_____copies@HK$30.00each _________
Airpostage(seeNote7) _________
Registeredmail(
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