BE86/713

The University of Hong Kong

Faculty of Business and Economics

Application for Leave of Absence

Please complete Part A and return to the Faculty Office at Room 401, 4/F, K.K. Leung Building. Please follow the application instructions overleaf.

Name: ______University Number: ______

(Surname) (First)

Programme: ______Curriculum: 3-Year/4-Year* Year of Study: 1 / 2 / 3 / 4/ EXCH /VISIT*

Email: ______HK Contact Phone No: ______

A.  Leave of Absence

(Please check the box as appropriate)

I would like to apply for leave of absence in the following period:

c from ______(dd/mm/yyyy) to ______(dd/mm/yyyy)

c in the first/second semester* of ______academic year

c the entire ______academic year

Reason(s):

c Participation in overseas competition/ activities organised by the Faculty/University.

c Internship

c Medical leave

c Compassionate leave

c Military service

c Others: ______

______

Note: Supporting documentation (e.g., employment contract, medical certificate, etc.) must be provided and attached to this application form. If the supporting documents are not in English, please provide a certified/endorsed copy in English version.

Student’s signature: ______Date of submission: ______

B.  Endorsement/Approval (for Faculty Office use only) Date received ______

1.  Endorsement of School Programme Director:

Authority / Signature / Decision & Date
BBA Programme Director/
BBA Programme Associate Director,
School of Business / Supported / Not supported*
Date:
UG Programme Director,
School of Economics & Finance / Supported / Not supported*
Date:

2.  Faculty Board Approval:

Faculty Board Chairman, FBE / Approved / Disapproved*
Date:

*Please delete as appropriate.


Application Instructions

1.  The applicant shall complete Part A only, and should type and submit the signed application form with supporting documentation to the Faculty Office located at Room 401, 4/F, K.K. Leung Building. The office hours of the Faculty Office are Monday to Friday – 9:00 am to 1:00 pm and 2:00 pm to 5:50 pm. Saturdays, Sundays and Public Holidays – closed.

2.  Applications with incomplete information or insufficient documentation will NOT be processed. If supporting documents are not in English, students are required to provide a certified/endorsed copy in English version.

3.  For any leave-of-absence applications, submission must be done BEFORE the end of the add/drop period of the semester concerned.

4.  Partial leave of absence, i.e. taking leave for particular courses, is NOT allowed under all circumstances.

5.  Applicants will be informed of the results by the Faculty Office.