ALAN TURING ENTRANCE SCHOLARSHIP APPLICATION FORM

Personal Data

Full Name: Student No.:

Programme Title: Code:

Contact Tel. No.: (852) Email (Non-PolyU account):

Undergraduate Study Qualification

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.

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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