ALAN TURING ENTRANCE SCHOLARSHIP APPLICATION FORM
Personal Data
Full Name:
Student No.:
Programme Title:
Code:
Contact Tel. No.: (852)
Undergraduate Study Qualification
Email (Non-PolyU account):
Please attach a copy of your UG transcript
Undergraduate Study Programme Title:
Name of University:
Year Graduated:
Award Title:
GPA / Class of Honor:
Declaration
I,
(name of applicant),
-
declare this application has my consent and the information given by me in this form is complete and true to the
best of my knowledge;
- note my disciplinary record(s) with PolyU (if any) may be taken into consideration in the processing of this
application;
- note this application is no longer eligible if I withdraw my studies from PolyU after being nominated; and
- am aware I am required to attend any related function/ceremony hosted by PolyU/the donor (if any) and may be
invited to join other activities/programmes organized by PolyU/the donor.
I agree to the handling of my information and personal date provided as follows:
- my provision of all the personal data requested in this form is obligatory and failure to provide these data and the
required documents (if any) may affect the processing and outcome of this application;
- the personal data/information provided in this form will be used by the Office of Student Resources and
Residential Life (SRRL) and my Faculty/Academic Department for activities relating to 1) handling and
assessment of this application, 2) conduction of survey(s) for service improvement and 3) publicity or
publication (if I have been selected for the Scholarship);
- SRRL will verify my personal data with the relevant department(s) in PolyU and disclose the personal data
provided to those relevant parties 1) for the above-mentioned purposes, 2) where I have given my consent to
such disclosure, and 3) where such disclosure is authorized or required by law;
- The personal data/information provided will be kept for a period of no more than four years under normal
circumstances, or within one year upon my graduation/departure from PolyU;
- I have the right to access and correct the personal data provided by me in this application form. If I wish to
access my personal data provided in this nomination, I can submit a request via the “Data Access Request Form”
which is obtainable from the Academic Secretariat Service Centre at M101, PolyU. A handling fee will be
charged.
- this application form and the related documents submitted are not returnable.
Signature of Applicant
Date
Note: This scholarship is offered to recognise first-year MSc students with high standing in their undergraduate
studies. The awardee will receive the scholarship in four equal installments at the end of each semester. If the
awardee is no longer registered in the programme, he or she will no longer be eligible for the subsequent installments.
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Recommendations from Department
I am satisfied that this Student
(name of Applicant) has met the
eligibility of the Scholarship, and has already fulfilled all the selection criteria.
Amount of Scholarship: HKD
I am not satisfied that this Student
(name of Applicant) can
meet the eligibility of the Scholarship due to ________________________________________________.
Endorsed by
Signature
Signature
Name of MSc Programme Scheme Leader
Head of Computing
Date
Date
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