Application for Concurrent Enrolment

Form ASR 38

APPLICATION FOR CONCURRENT ENROLMENT (Applicable to Research programmes offered in or after 2018/19)

Please read the notes overleaf before completing this form. I. PARTICULARS OF STUDENT / APPLICANT

Name : HKID/Passport No./Mainland ID No. Day-time Contact Number :

Name of Partner Institution : ______(applicable to students on joint PhD programmes leading to dual awards)

II. PROGRAMMES FOR WHICH APPROVAL FOR CONCURRENT ENROLMENT IS BEING SOUGHT

(1) Institution Faculty / Department

Programme Title Mode of Attendance^ Programme PhD / MPhil / Master’s Degree / Bachelor’s Degree Level* Programme Code Stream (if any) Student / Planned duration of From ____-____ to ____-____ Application No.# study (academic year) (e.g. 2018-19 to 2018-19)

(2) Institution Faculty / Department

Programme Title Mode of Attendance^ Programme PhD / MPhil / Master’s Degree / Bachelor’s Degree Level* Programme Code Stream (if any) Student / Planned duration of From ____-____ to ____-____ Application No.# study (academic year) (e.g. 2018-19 to 2018-19)

* Programme Level : PhD = Doctor of Philosophy / MPhil = Master of Philosophy ^ Mode of Attendance : FT = full-time / PT = part-time / SAND = sandwich / DL = distance learning MIX = mixed mode / OL = on-line # Student/Application No.: The application no. must be quoted from the application data checklist.

III. REASON(S) FOR CONCURRENT ENROLMENT (please use additional sheet if the space below is insufficient)

Signature of Student/Applicant Date

(November 2017)

FOR OFFICE USE

IV. FOR CONCURRENT ENROLMENT ON RESEARCH PROGRAMME(S)

(a) To be completed by the Programme Offering Department/School:-

Application is *recommended / not recommended.

Name Department / School Chief Supervisor

Signature Date Chief Supervisor

Name Department / School #DRC/FRC/SB Chairman

Signature Date #DRC/FRC/SB Chairman

#If the DRC Chairman is one of the supervisors, this section shall be completed by FRC/SB Chairman.

Notes: 1. Application recommended by DRC/FRC/SB Chairman shall be returned to Research Committee (RC) via Academic Secretariat (AS) for approval. 2. Application not recommended by DRC/FRC/SB Chairman shall be returned to AS. AS will inform the student/applicant of the application result.

(b) To be completed by Academic Secretariat:-

The signed application is received from Department/School on (Date).

(c) To be completed by Research Committee (RC):-

Application is *approved / rejected.

Name RC Chairman or his delegate

Signature Date RC Chairman or his delegate Note: After giving decision, please pass the completed form to AS for informing the student/applicant of the application result.

V. FOR CONCURRENT ENROLMENT ON MASTER’S / BACHELOR’S DEGREE PROGRAMME (Application for concurrent enrolment on both research programmes can ignore this section)

To be completed by the Programme Offering Department/School:-

Application is *approved / rejected.

Name Faculty / Department

Signature Date Head / Departmental Enrolment Liaison Officer Notes: 1. If departments wish to support cases which are not allowed by the University regulations, they should submit the cases to relevant committees for special approval. 2. After giving decision, please pass the completed form to AS for informing the student/applicant of the application result.

* Please delete as appropriate

NOTES TO STUDENTS / APPLICANTS

1. Research students are not allowed to enrol concurrently either on two full-time/sandwich programmes or one full-time/sandwich programme and one part-time day release programme, whether or not one of the programmes is offered by another institution. Written approval from the Research Committee should be obtained before registration in case you wish to enrol concurrently on one full- time/sandwich programme and one part-time programme or more than one part-time programmes, including those offered by another institution. Failure to obtain approval may lead to disciplinary action including discontinuation of study at PolyU.

2. Students who attend programmes concurrently should note that the University is not responsible for making alternative arrangement for clashes in timetables including examination timetables.

3. You must complete Sections I, II and III of the form and pass the form to the Academic Secretariat (AS) for further processing before registration on the programme(s) concerned.

4. You will normally be advised of the result of your application in writing within 6 weeks.

5. Please note that the information given in the form will only be used for processing this application.