1. PROGRAMMES AVAILABLE Please refer to the Full-time Programmes Prospectus for entry requirements and the programme codes. You are required to submit

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1 FULL-TIME UNDERGRATUATE PROGRAMMES 年度全日制本科課程 INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM 入學申請填表須知 This application form is not applicable to the following programmes offered jointly with the VTC SHAPE: 本表格不適用於下列與職業訓練局 SHAPE 合辦的課程 : BSCHEEF3/BSCHBCF3/BSCHBHF (September 2015 Entry 2015 年 9 月入學 ) GENERAL INFORMATION A. This form is for NEW full-time undergraduate students only. B. Complete the form clearly in English, and in BLOCK letters. C. You must provide the data required by the application form so that we can process your application for admission. If you do not provide the data requested, the University may not be able to process your application. See Personal Data (Privacy) Statement in these instructions. D. After completing the form, you must sign and date the application form. Application forms that do not bear the signature of the applicant will NOT be processed. E. Submit the application form within the stated application period with the following: (a) HKID/Passport for verification if you apply in person, or a photocopy of your HKID/Passport with the word copy written across the face if you apply by mail. (b) HK$200 application fee (non-refundable) by a crossed cheque or bank draft (for the amount of HK$200) made payable to The Open University of Hong Kong, OR cash in person at our Full-time Programmes Office from Monday to Friday (9:00 am 1:00 pm & 2:00 pm 5:40 pm). Please do not send cash by mail. (c) a copy of academic transcript(s)/certificate(s) with examination results (i.e. documents to prove fulfilment of entry requirements). F. Enquires and methods of submission include: Online application: Website: In person or by mail: 1) Information Centre The Open University of Hong Kong G/F, 30 Good Shepherd Street Ho Man Tin, Kowloon Telephone: info@ouhk.edu.hk Office hours: Monday to Friday: 9:00 am 7:30 pm Saturday: 9:00 am 5:30 pm Sunday: 12:00 noon 5:30 pm (Closed on Public Holidays) or 2) Full-time Programmes Office, Registry (Admission Full-time Programmes) The Open University of Hong Kong E0005, G/F, Block E, Jubilee College 81 Chung Hau Street Ho Man Tin, Kowloon Telephone: ftreg@ouhk.edu.hk Office hours: Monday to Friday 9:00 am 1:00 pm 2:00 pm 5:40 pm (Closed on Saturdays, Sundays and Public Holidays) (1) 一般事項 A. 此表格只供全日制本科新生使用 B. 請用英文正楷清楚填寫表格 C. 你必須填妥申請表上的資料, 以便本校處理你的入學申請 若未能提供所需資料, 本校可能無法處理你的申請 詳情請細閱本須知的 個人資料 ( 私隱 ) 聲明 D. 填寫表格後, 你必須簽署姓名並填寫日期 未附有申請人簽名的表格概不受理 E. 在指定申請期內, 把申請表格連同下列文件交回本校 : (a) 若親自遞交, 請出示香港身份證 / 護照, 以資核對 ; 若郵寄報名, 請連同身份證 / 護照副本 ( 正面寫上 副本 字樣 ) 一併寄回 (b) 港幣二佰元之申請費 ( 不獲退還 ), 以劃線支票或銀行本票支付, 抬頭請寫 香港公開大學, 或於星期一至五 ( 上午九時至下午一時, 下午二時至五時四十分 ) 到全日制課程辦公室繳交現金 請勿郵寄現金 (c) 證明你符合課程指定入學要求的學歷文件副本 F. 查詢及遞交方法如下 : 網上入學申請 : 網址 : 親自遞交或郵寄往 : 1) 香港九龍何文田牧愛街 30 號地下香港公開大學諮詢中心電話 : 電郵 :info@ouhk.edu.hk 辦公時間 : 星期一至五上午九時至下午七時三十分星期六上午九時至下午五時三十分星期日中午十二時至下午五時三十分 ( 公眾假期休息 ) 或 2) 香港九龍何文田忠孝街 81 號銀禧學院 E 座地下 E0005 室香港公開大學教務處全日制課程辦公室 ( 全日制課程入學組 ) 電話 : 電郵 :ftreg@ouhk.edu.hk 辦公時間 : 星期一至五上午九時至下午一時下午二時至五時四十分 ( 星期六 日及公眾假期休息 )

2 1. PROGRAMMES AVAILABLE Please refer to the Full-time Programmes Prospectus for entry requirements and the programme codes. You are required to submit photocopies of your transcripts and certificates with your application, along with other programme-specific documents as required. Original documents will need to be presented for verification at a later time, upon request by the University. (Graduates of this year can submit the copies of certificates later.) 2. PERSONAL DETAILS Name Enter your name as shown on your Hong Kong Identity (HKID) card. For those who do not possess a HKID card, enter your name as shown on your passport. Hong Kong ID Number Enter your HKID number as shown on your Hong Kong Identity (HKID) card. Only use your passport number if you do not have a HKID card. Area Please enter the area code that best matches your correspondence address. Hong Kong Island H1 Wanchai and Eastern H2 Central and Western H3 Southern Kowloon K1 Yau Tsim and Mongkok K2 Sham Shui Po K3 Kowloon City and Wong Tai Sin K4 Kwun Tong New Territories N1 Tsuen Wan and Kwai Tsing N2 Sha Tin N3 Tai Po and North N4 Tuen Mun and Yuen Long N5 Sai Kung Others O1 Others (e.g. Islands) Address Complete the information clearly; pay special attention to numerals and symbols. During the application stage, the University will communicate with you through this address. After your registration (i.e. after payment of tuition fees), the University will provide you with a university account for communication. You will also be alerted about s sent to your University account through this address. Phone Number During the admissions stage, the University will communicate with you or send message to you using this phone number. Type of Disabilities or Special Educational Needs To allow us to provide appropriate and feasible services* (e.g. special examination arrangements) to persons with Disabilities or Special Educational Needs (SEN), please write the relevant type of Disabilities or SEN if such circumstances apply to you. Otherwise, leave this section blank. Such information will not affect your chances of admission. Your indication of this information is voluntary but very important. If you do not do so before programme/course commencement, you may not be able to complete the programme/course due to its compulsory requirements. Please refer to the section on Students with Disabilities or Special Educational Needs in the Fulltime Programmes Prospectus for details. * The University will try to provide the required services according to circumstances; however, it may not always be possible to do so if there are insufficient resources or other constraints. Code 1 Hearing Impairment (profound hearing loss to stone deaf) 2 Hearing Impairment (mild to severe hearing loss) 3 Visual Impairment (profound low vision to totally blind) 4 Visual Impairment (mild to severe low vision) 5 Physical Disabilities (wheelchair/crutch/callipers user) 6 Other Physical Disabilities (please specify) 7 Visceral disability/chronic Illness (please specify) 8 Speech and Language Impairment (e.g. dyslexia) (2) 1. 課程選擇 請參閱全日制課程概覽所列的入學條件和課程編號 入學申請表格必須連同成績單及證書副本一併遞交, 並必須夾附個別課程所要求的證明文件副本 在大學要求下, 你必須在指定日期內出示文件正本, 以資核對 ( 應屆畢業的同學可後補證書副本 ) 2. 個人資料 姓名按照你的香港身份證上所示的姓名填寫 未有香港身份證者, 請按照你的護照上所示的姓名填寫 香港身份證號碼填寫你的香港身份證號碼 若沒有香港身份證, 則可填寫護照號碼 地區請在有關的空格內填上你的通訊地址的適當地區編號 香港島 H1 灣仔及東區 H2 中西區 H3 南區九龍 K1 油尖及旺角 K2 深水埗 K3 九龍城及黃大仙 K4 觀塘新界 N1 荃灣及葵青 N2 沙田 N3 大埔及新界北 N4 屯門及元朗 N5 西貢其他 O1 其他 ( 例如 : 離島 ) 電郵地址清楚填寫資料, 請特別留意數字以及符號 在申請入學期間, 大學會通過此電郵地址與你聯絡 在你辦妥註冊手續後 ( 即已繳付學費 ), 大學會為你開設大學電郵賬戶以便通訊 當你的大學電郵賬戶收到新郵件, 電郵信箱會向你發出提示 電話號碼在申請入學期間, 大學會通過此電話號碼與你聯絡或發放訊息給你 殘疾或有特別學習需要的人士申請者如殘疾或有特別學習需要, 請填寫相關類別, 以便大學提供適當及可行服務 * ( 例如 : 特別考試安排 ); 非此類人士者請留空此部分 此部分資料非常重要, 但你可決定是否填寫 有關資料不會影響取錄機會 如你未有於開課日期前說明特別學習需要, 則有可能基於課程 / 學科要求而未能完成相關課程 / 學科 詳情請參閱 全日制課程概覽 內 殘疾或有特別學習需要的學生 一節 * 大學會盡量按情況安排所需服務 ; 然而, 某些服務也許礙於資源所限或其他原因而無法提供 編號 1 聽障 ( 極度嚴重聽障至失聰 ) 2 聽障 ( 輕度至嚴重聽障 ) 3 視障 ( 極度嚴重視障至全盲 ) 4 視障 ( 輕度至嚴重視障 ) 5 肢體傷殘 ( 輪椅 / 拐杖 / 腳架使用者 ) 6 其他的肢體傷殘 ( 請註明 ) 7 器官殘障 / 長期病患 ( 請註明 ) 8 言語障礙 ( 例如 : 讀寫障礙 )

3 9 Specific Learning Disabilities (please specify) 10 Attention Deficit/Hyperactivity Disorder 11 Autism Spectrum Disorder 12 Intellectual Disabilities 13 Mental Illness 99 Others (please specify) Remarks: If you entered the 6th, 7th, 9th or 99th items in the application form, please specify the details of your disability type or special educational needs. Non-local Applicants Non-local applicants are people who require student visas/permits issued by the Hong Kong Immigration Department to enter Hong Kong for the purpose of education. If you are a non-local applicant, please also specify where you come from in the second box of this part. Otherwise, please leave that box blank. Code 1 Mainland (please specify the province) 2 Macau 3 Taiwan 4 Others (please specify) 3. Education Level Qualification Enter the code which best matches your highest level of education. Code 1 Secondary 6 (Hong Kong) 2 Secondary 7 (Hong Kong) 3 Pre-associate Degree from Li Ka Shing Institute of Professional & Continuing Education (LiPACE) 4 Pre-associate Degree from local institutions other than LiPACE 5 Associate Degree 6 Diploma 7 Higher Diploma 8 Bachelor s degree 9 Postgraduate degree 10 Other tertiary qualification 11 Secondary school qualification (overseas) 12 Tertiary qualification other than degree (overseas) 13 Professional qualification: degree level equivalent or above 14 Others Institution Enter the code for the institution granting your highest level of education. Code (including its continuing and professional unit, community college or equivalent) 1 Local secondary school 2 The University of Hong Kong 3 The Chinese University of Hong Kong 4 The Hong Kong University of Science and Technology 5 The Hong Kong Polytechnic University 6 City University of Hong Kong 7 Hong Kong Baptist University 8 Lingnan University 9 The Hong Kong Institution of Education 10 Hong Kong Shue Yan University 11 The Open University of Hong Kong 12 Vocational Training Council (VTC) including Hong Kong Institute of Vocational Education (IVE) and School of Business and Information Systems (SBI) 13 Caritas 14 Overseas high school 15 Overseas college/university 16 Others 4. OTHER INFORMATION Language Competency Enter the code which denotes your Chinese/English standard. Code 0 I have completed Yi Jin Diploma 1 I have obtained a Grade C or above in the Hong Kong Certificate of Education Examination or its equivalent 2 I have obtained a Grade D or E in the Hong Kong Certificate of Education Examination or its equivalent (3) 9 特殊學習障礙 ( 請註明 ) 10 注意力不足 / 過度活躍症 11 自閉症譜系障礙 12 智障 13 精神病 99 其他 ( 請註明 ) 備註 : 如於報名表格選擇第六 七 九或九十九項, 請註明殘疾或特別學習需要情況 非本地申請人非本地申請人即必須持有由香港入境事務處簽發的學生簽證, 以便在香港接受教育的人士 如你屬於非本地申請人, 請同時於此項的第二個空格內註明你來自何地 編號 1 內地 ( 請註明省份 ) 2 澳門 3 台灣 4 其他 ( 請註明 ) 3. 教育程度 學歷填寫與你的最高教育程度相配的編號 編號 1 香港中六 2 香港中七 3 李嘉誠專業進修學院副學士先修課程 4 其他本地院校副學士先修課程 5 副學士學位 6 文憑 7 高級文憑 8 學士學位 9 碩士或以上 10 其他大專學歷 11 中學程度 ( 海外 ) 12 大學學歷 ( 海外 ), 學位除外 13 專業資格 : 相等於學位程度或以上 14 其他 教育機構填寫你獲取最高教育程度的教育機構編號 編號 ( 包括該教育機構的持續教育和專業教育部門 社區學院或等同教育機構 ) 1 本地中學 2 香港大學 3 香港中文大學 4 香港科技大學 5 香港理工大學 6 香港城市大學 7 香港浸會大學 8 嶺南大學 9 香港教育學院 10 香港樹仁大學 11 香港公開大學 12 職業訓練局, 包括香港專業教育學院 (IVE) 和職業訓練局工商資訊學院 (SBI) 13 明愛 14 海外中學 15 海外學院 / 大學 16 其他 4. 其他資料 語文水平填寫表示你的中文 / 英文水平的編號 編號 0 完成毅進文憑課程 1 在香港中學會考或同等程度考試中, 取得 C 或以上的成績 2 在香港中學會考或同等程度考試中, 取得 D 或 E 的成績

4 3 I have obtained a Level 4 or above in the Hong Kong Diploma of Secondary Education Examination or its equivalent 4 I have obtained a Level 3 in the Hong Kong Diploma of Secondary Education Examination or its equivalent 5 I have obtained a Level '2' in the Hong Kong Diploma of Secondary Education Examination or its equivalent 6 I have obtained a Level 4 or above in the Hong Kong Certificate of Education Examination or its equivalent 7 I have obtained a Level 3 or 2 in the Hong Kong Certificate of Education Examination or its equivalent 8 I do not have any of the above qualifications, but understand this language 9 I do not have any of the above qualifications and do not understand this language 5. OPTION FORM FOR THE higher diploma in Nursing studies PROGRAMME Applicants for the Higher Diploma in Nursing Studies programme must complete this form. 6. NOTE FOR APPLICANTS FOR Bachelor of Business Administration with Honours IN PROFESSIONAL ACCOUNTING PROGRAMME (YEAR 3 ENTRY) The Bachelor of Business Administration with Honours in Professional Accounting programme is an accredited programme of the Hong Kong Institute of Certified Public Accountants (HKICPA). Graduates of the programme may enrol in the HKICPA's Qualification Programme (QP) as students. However, there are some additional requirements for Year 3 entrants to the programme. Students are required to take an integrated course. If students have taken any related course(s), she/he may apply for the course exemption to the University. 7. NOTE FOR DIRECT APPLICATION TO JUPAS PROGRAMMES Applicants who have already applied through the JUPAS scheme 2015 are NOT eligible to apply for the Honours Degree programmes (Year 1 entry) through direct application. Applicants who only have HKDSE Examination results should apply for the Honours Degree programmes (Year 1 entry) through JUPAS. 8. NOTE FOR APPLICANTS FOR 'Study SUBSIDY scheme for Designated professions/sectors' PROGRAMMEs (sssdp) The intake places of programmes under the SSSDP are mainly allocated through the Joint University Programmes Admissions System (JUPAS). Should there be unfilled intake places after all admission rounds of JUPAS, the SSSDP participating institution will admit local non-jupas applicants via direct admission up to no more than 10% of the subsidized places of each selected programme. The number of unfilled intake places for each SSSDP programme, if available, and details of the application arrangements will be announced via the OUHK website after 10:00am, 29 August important note Only the shortlisted candidates will be invited for interview. You may consider your application for 2015 admission to be unsuccessful if you do not receive any result from the University by mid-september All the information submitted in the Application Form and other attachments will only be used for admission purposes. If an offer has not been made to the applicant, all documents submitted will be destroyed and will not be returned after the admission process is completed. The University reserves the right to cancel any programmes and amend the programme contents, if necessary. Personal Data (Privacy) Statement You must provide the University with the personal data required by the application form. If you do not provide the data requested, the University may not be able to process your application. The University will keep such data confidential but may need to transfer it to third parties assisting the University in carrying out the admission exercise. In the event that your application is successful, the personal data will be transferred to your student file established by the University and may also be transferred to partner institutions, for the purposes of student and University administration. You have the right to ascertain whether the University holds personal data on you, to obtain a copy of such personal data and to have any inaccuracies corrected. Data access and/or correction requests should be made in writing and addressed to: The Data Protection Officer dpo@ouhk.edu.hk 3 在香港中學文憑考試或同等程度考試中, 取得 4 或以上的成績 4 在香港中學文憑考試或同等程度考試中, 取得 3 的成績 5 在香港中學文憑考試或同等程度考試中, 取得 2 的成績 6 在香港中學會考或同等程度考試中, 取得 4 或以上的成績 7 在香港中學會考或同等程度考試中, 取得 3 或 2 的成績 8 我並無上述任何一項成績但懂這種語言 9 我並無上述任何一項成績, 亦不諳這種語言 5. 護理學高級文憑課程的選修課程意向書 報讀護理學高級文憑課程的申請人, 必須填寫這份意向書 6. 專業會計榮譽工商管理學士課程 ( 三年級入學 ) 申請人須知 專業會計榮譽工商管理學士課程經香港會計師公會審訂認可 畢業生可報讀該會的專業資格課程 然而, 三年級入學的學生需符合該會的附加要求 因此, 學生須多修讀一科綜合科目 如學生在過往曾修讀相關之科目, 可向大學申請豁免 7. 直接申請辦法入讀 JUPAS 課程須知 已通過 2015 年度大學聯合招生辦法 提交入學申請者, 不得再經直接申請辦法報讀榮譽學士學位課程 ( 一年級入學 ) 只持有香港中學文憑考試成績的申請人, 必須通過 大學聯合招生辦法 提交入學申請, 報讀榮譽學士學位課程 ( 一年級入學 ) 8. 指定專業 / 界別課程資助計劃 課程申請人須知 指定專業 / 界別課程資助計劃 下的課程主要通過 大學聯合招生辦法 ( 聯招 ) 分配學額 如經聯招各輪遴選收生後仍有餘額, 院校可直接錄取非應屆聯招的本地學生, 但人數不會超過各指定課程的 10% 資助學額 如有剩餘學額, 我們會於 2015 年 8 月 29 日上午十時後於公開大學網站公布各資助課程的餘額數目及有關申請安排 9. 重要事項 大學會邀請入選者進行面試 申請人如在 2015 年 9 月中仍未收到大學的通知, 即表示大學不予錄取 申請表及所有附件資料只作申請入學之用 申請程序完成後, 未獲取錄者所有遞交的文件將會被銷毁, 恕不歸還 本校保留權利, 可因應情況隨時更改所開辦的課程及修訂課程的內容 個人資料 ( 私隱 ) 聲明 你必須提供入學申請表所需的資料 若未能提供所需資料, 本校可能無法處理你的申請 本校會將該等資料保密, 但在需要時, 會將資料交予協助大學處理入學申請的人士或機構 入學申請一經批核, 你的個人資料將成為你在本校的學生紀錄 在需要時, 本校會將資料交予其他協辦機構 本校及該等機構可利用該紀錄作一切學業和行政用途 你有權確定本校是否有保存你的個人資料 索取該等資料的副本, 以及更改任何不正確的個人資料 查閱或更改個人資料, 請向本校的保障資料主任提出書面申請 保障資料主任的聯絡方法如下 : 電郵 :dpo@ouhk.edu.hk (4)

5 PROGRAMME APPLIED FOR 擬報讀課程 (see Note 1, Note 5, Note 6, Note 7 and Note 9 ) ( 請參閱附註 1 附註 5 附註 6 附註 7 及附註 9) Enter the code of the programme you are applying for in order of preference. 請按個人意願填寫擬報讀的課程編號 First programme 課程一 Second programme 課程二 FULL-TIME UNDERGRADUATE PROGRAMMES 年度全日制本科課程 1. Follow the Instructions for Completing the Application Form. 2. Complete the form clearly in English, and in BLOCK letters. 3. For applicants submitting more than one form, the University will only accept the first form processed. 4. Attach photocopies of the relevant document(s) marked with. 5. There are two rounds of applications. Applications must be submitted before the following dates*: 1 st round: 13 March 2015 (Year 2, Year 3 entry) 27 March 2015 (Year 1 entry) 2 nd round: 12 August 2015 (All Year entries) * Overseas and mainland applicants who need to apply for student visa to study in Hong Kong should submit the applications on or before 29 May Applicants who apply for programmes offered by the Lee Shau Kee School of Business and Administration as their first choice should submit the application online. Applications will normally be processed on a first-come, firstserved basis; therefore, it is advisable for applicants to submit their applications as early as possible. Online Application 網上入學申請 : APPLICATION FOR ADMISSION 入學申請表格 This application form is applicable to full-time undergraduate programmes only. 本表格只適用於申請入讀全日制本科課程 1. 填寫本表格前請細閱 入學申請填表須知 2. 請以英文正楷清楚填寫本表格 3. 呈交超過一份申請表格者, 大學只接受首份已處理的表格 4. 標有符號的項目, 請夾附有關文件副本 5. 各項課程設有二輪申請日期 申請人必須於下列日期前遞交申請 * : 第一輪 :2015 年 3 月 13 日 ( 二 三年級入學 ) 2015 年 3 月 27 日 ( 一年級入學 ) 第二輪 :2015 年 8 月 12 日 ( 各級入學 ) * 海外及國內申請人如須申請學生簽證來港就讀, 必須於 2015 年 5 月 29 日或之前提交申請表 申請人如欲報讀李兆基商業管理學院之課程為首選課程, 則必須經網上遞交申請 申請一般以先到先得形式處理 因此, 申請人應盡早提交申請 Third programme 課程三 Fourth programme 課程四 If you are interested in the Study Subsidy Scheme for Designated Professions/Sectors (SSSDP) programmes, please see page 2. 如你對 指定專業 / 界別課程資助計劃 課程有興趣, 請參閱第 2 頁 Applicants applying for the Bachelor of Business Administration with Honours in Professional Accounting programme (Year 2 / 3 Entry), please see Note 6. 申請專業會計榮譽工商管理學士課程 ( 二 / 三年級入學 ), 請參閱附註 6 This application form is NOT applicable to the following programmes offered jointly with the VTC SHAPE: 本表格不適用於下列與職業訓練局 SHAPE 合辦的課程 : BSCHEEF3/BSCHBCF3/BSCHBHF3 This application form is NOT applicable to admission to postgraduate programmes. Please refer to the Prospectus for details. 本表格不適用於入讀深造課程申請 詳情請參閱課程概覽 Programme applied for: ( ) Entry requirements met Yes / No Signed by: Date: Interview Yes / No Signed by: Date: Conditional offer Programme: Subject to: Signed by: Date: Offer Programme: Signed by: (September 2015 Entry 2015 年 9 月入學 ) (ONLY FOR NEW FULL-TIME APPLICANTS) ( 只適用於全日制新生 ) FOR OFFICE USE 供本校填寫 Studied at OUHK before APPLICANT NUMBER Form checked by CAMPUS STUDENT NO. 學生編號 Yes No Appl. centre PERSONAL DETAILS 個人資料 (see Note 2)( 請參閱附註 2) TITLE 稱銜 SURNAME (as shown on HKID card/passport) 姓 ( 按香港身份證 / 護照上所示 ) 1 = Mr 先生 2 = Ms 女士 3 = Dr 博士 FIRST/OTHER NAMES (as shown on HKID card/passport) 名字 ( 按香港身份證 / 護照上所示 ) NAME IN CHINESE (if any) 中文姓名 ( 如適用者 ) Date: On waiting list / Rejected Programme: Signed by: Date: Remarks: HONG KONG ID NUMBER 香港身份證號碼 OR 或 PASSPORT NUMBER 護照號碼 ( ) (Alpha 字母 ) DATE OF BIRTH 出生日期 Day 日 Month 月 Year 年 SEX 性別 (Reprint Version 更新版本 ) (1) M=Male 男 F=Female 女 SSSDP Programme: Result: Marks: Signed by: Date:

6 CORRESPONDENCE ADDRESS 通訊地址 AREA 地區 ADDRESS 電郵地址 MOBILE PHONE NUMBER 手提電話號碼 HOME TELEPHONE 住宅電話 FAX NUMBER 圖文傳真機號碼 TYPE OF DISABILITIES OR SPECIAL EDUCATIONAL NEEDS (please specify if entered the 6 th, 7 th, 9 th or 99 th items) 殘疾或有特別學習需要的人士 ( 如選擇第六 七 九或九十九項, 請註明 ) NON-LOCAL APPLICANTS 非本地申請人 Are you a non-local applicant? 你是否 非本地申請人? Y=Yes 是 N=No 否 If yes, where do you come from? 如你並非本地申請人, 你來自何地? (please specify if entered 'Mainland' or Others )( 如選擇 內地 或 其他, 請註明 ) Do you need study visa for studying the full-time programme at the OUHK? 你是否需要學生簽證才可修讀香港公開大學之全日制課程? Y=Yes 是 N=No 否 Have you studied at the OUHK before? 你是否曾就讀香港公開大學? Y=Yes 是 N=No 否 If yes, please specify: 如是, 請註明 : Distance Learning 遙距課程 Full-time Programme 全日制課程 Student number 學生編號 Have you joined JUPAS in 2015? 你有否參加 2015 年度 大學聯合招生辦法? Y=Yes 有 N=No 沒有 PROGRAMMES UNDER STUDY SUBSIDY SCHEME FOR DESIGNATED PROFESSIONS/SECTORS (SSSDP) 指定專業 / 界別課程資助計劃 課程 If you are interested in the SSSDP programmes, please take note of the following arrangements. 如你對 指定專業 / 界別課程資助計劃 課程有興趣, 請留意以下安排 : Applicants who apply for OUHK s self-financing programmes and are also interested in SSSDP programmes (if unfilled intake places are available) 報讀自資課程及對 指定專業 / 界別課程資助計劃 課程有興趣者 ( 如有剩餘學額 ) Non-JUPAS local applicants can indicate on the application form their interest against the SSSDP programmes. If unfilled intake places are available after all admission rounds of JUPAS, you may be considered for admission to the SSSDP programmes together with all other non- JUPAS applicants. No separate application is required. 本地非應屆聯招申請人可在申請表填上你對 指定專業 / 界別課程資助計劃 課程的報讀意向 指定專業 / 界別課程資助計劃 課程如經聯招各輪遴選收生後仍有餘額, 申請將與其他報讀相關課程的非應屆聯招申請人一併考慮 你並不需另交申請 Please indicate against the SSSDP programmes that you are interested in by filling in the relevant boxes below in order of preference from 1, 2 請按個人意願的次序在適當的方格內填上 1 2, 以表示你對相關 指定專業 / 界別課程資助計劃 課程的興趣及意願 SU14 SU40 SU50 SU60 Applicants who are only interested in SSSDP programmes (if unfilled intake places are available) 只對 指定專業 / 界別課程資助計劃 課程有興趣者 ( 如有剩餘學額 ) Non-JUPAS local applicants may submit their applications for unfilled SSSDP intake places after 10:00am, 29 August Applications should be submitted online by the deadline at 5:00pm, 31 August Late applications will not be considered. 本地非應屆聯招申請人可在 2015 年 8 月 29 日上午十時後至 8 月 31 日下午五時前, 就有關剩餘學額向本校遞交網上申請 逾期遞交的申請將不獲考慮 (2)

7 EDUCATION LEVEL (in date order, from the most recent) 教育程度 ( 請按完成日期倒序列出 ) (see Note 3)( 請參閱附註 3) Qualification 學歷 Institution 教育機構 Please provide in English details of your academic qualifications at secondary level or above, including incomplete and/or current studies. 請以英文填寫中學程度或以上的學歷 ( 包括未完成 / 現正修讀課程 ) 之詳情 School/College/ Institution Attended/Attending 曾修讀或正修讀中學 / 學院 / 教育機構 Country 國家 Programme of Study 課程名稱 (Full Time/ Part Time) 全日 / 兼讀 Qualification 學歷程度 GPA 平均積點 Date of Attendance (mm/yy to mm/yy) 修讀日期 ( 月 / 年至月 / 年 ) PUBLIC EXAMINATION RESULTS 公開考試成績 You have never attended any of the public examinations listed in the following table. 你從未參加下表列出的公開考試 You will not attend any of the public examinations listed in the following table in the current year (i.e. 2015). 你不會於本年 ( 即 2015 年 ) 參加下表列出的公開考試 Y=Yes 是 N=No 否 Y=Yes 是 N=No 否 Enter only the best grade of the same subject obtained in any year. Please enclose relevant proof. If you are going to take public examination in the current year and the results are not yet available, please put down the year of attempt and the subjects but leave the results blank. Results will need to be presented at a later time, upon request by the University. 如同一科目應考多於一次, 請只填上考獲成績最好的年份及成績, 並附上有關的證明文件副本 假如你會在本年參加公開試而成績未公布, 請填寫應考年份和科目 你必須於大學指定限期內提交考試成績 (3)

8 Public Examination Results 公開考試成績 Year 年份 Examination 考試 (e.g. HKDSE, HKCEE, HKALE, GCSE, GCE, TOEFL, IELTS, SAT, ACT etc.) Subjects # 科目 Results (e.g. levels/grades/ scores/bands) 成績 # Please indicate whether the subject is 'AL' or 'AS' for the HKALE results. 有關高級程度會考成績, 請註明屬於 高級程度會考 或是 高級補充程度會考 Professional qualifications OR SCHOLARSHIPS (in date order, from the most recent) 專業資歷或獎學金 ( 請按頒授日期倒序列出 ) Qualification, Membership or Scholarship 已獲取的專業資格或獎學金 Awarding Body and Country (Full Name) 頒授機構和國家 ( 全名 ) Date of Award 頒授日期 WORKING EXPERIENCE (in date order, from the most recent) 工作經驗 ( 請按任職日期倒序列出 ) This part is only applicable to students who apply for the Bachelor of Nursing with Honours and Higher Diploma in Nursing Studies programmes. Applicants who apply for other programmes are not required to fill in this part. 此部分只適用於報讀護理學榮譽學士學位及護理學高級文憑課程的申請人 其他申請人不用填寫 Position Held 職位 Period of Employment (please specify no. of years) 任職期 ( 請列明在職年數 ) Name of Firm/Institute/Organization 工作機構 (4)

9 OTHER INFORMATION 其他資料 (see Note 4)( 請參閱附註 4) LANGUAGE COMPETENCY Chinese English 語文水平 中文 英文 Please tick [ ] the box to indicate your choice. 請在方格內加上 號, 以示你的選擇 Chinese 中文 Putonghua 普通話 Spoken/Listening Excellent Good Average Poor 聽說能力 非常好 好 一般 差 Cantonese 粵語 Spoken/Listening Excellent Good Average Poor 聽說能力 非常好 好 一般 差 Written Excellent Good Average Poor 書寫能力 非常好 好 一般 差 English 英文 Spoken/Listening Excellent Good Average Poor 聽說能力 非常好 好 一般 差 Written Excellent Good Average Poor 書寫能力 非常好 好 一般 差 SOURCE OF INFORMATION* 資訊來源 * From where did you learn about the full-time programmes of the OUHK? (You may tick [ ] more than one option.) 你從何處得悉香港公開大學全日制課程的資料?( 可選擇一項或以上 ) a. School attending 就讀的學校 b. Admission information seminar / Information Day 入學諮詢講座 / 資訊日 c. OUHK Ho Man Tin campus, Homantin Plaza Learning Centre or Kwai Hing Learning Centre 本校何文田校舍 何文田廣場教學中心或葵興教學中心 d. Electronic mail 電子郵件 e. Web advertising (e.g. social media and discussion forums) 網上廣告 ( 例如社交媒體及討論區 ) f. OUHK website 公開大學網站 g. Distribution booths at MTR stations 港鐵站的流動派發站 h. Exhibitions 展覽 i. Outdoor advertising (e.g. bus and MTR) 戶外廣告 ( 例如巴士及港鐵 ) j. Print advertising 報章雜誌廣告 k. Newspaper supplement / News report 報章特刊 / 新聞報道 l. Referrals by acquaintances 親友推介 m. Others 其他 * The provision of information under this section is voluntary. It is for statistical purposes or for facilitating the provision of appropriate services. Such information will not affect your chances of admission. * 本部分的資料僅作統計之用, 或供本校參考以提供適當的輔學服務, 你可決定是否填寫該等資料 這些資料不會影響錄取的機會 CHECKLIST When you submit your application form, please make sure that you (please tick [ ] as appropriate): ( ) have completed the application form fully. ( ) will produce your HKID card/passport in person for verification during our office hours or have attached a copy of the card and marked copy across the face. ( ) have attached a cheque/bank draft in favour of The Open University of Hong Kong for the amount of the non-refundable application fee (HK$200) or have paid the application fee in cash and attached the OUHK copy of the pay-in slip. ( ) have attached copies of relevant supporting documents, including those for your academic attainments, i.e. certificates/transcripts of the public examinations, school examinations, post-secondary or other professional qualifications. Please write down your name and HKID/Passport number on each page. 核對表 在呈交申請表時, 請確保你 :( 在適當處加上 號 ) ( ) 已完全填妥申請表 ( ) 將於辦公時間內親臨本校並出示你的香港身份證 / 護照供本校核實, 或已附上該證副本並在正面寫上 副本 字樣 ( ) 已附上支票或銀行本票 ( 抬頭 香港公開大學 ) 以繳付報名費港幣 200 元 ( 不獲退還 ) 或已繳交現金並附上銀行繳費單大學副本 ( ) 已附上需要呈交的證明文件副本 ( 包括學歷證明, 如公開考試 校內考試 專上院校或其他專業資格等證書 / 成績單 ), 並於每頁寫上姓名及身份證 / 護照號碼 DECLARATION 1. I declare that all information given in this application form and the attached documents are, to the best of my knowledge, accurate and complete. 2. I have noted the contents of the Personal Data (Privacy) Statement as detailed in the Instructions for Completing the Application Form. 3. I consent that if registered, I will conform to the Statutes and Regulations of the University. 4. I acknowledge that The Open University of Hong Kong reserves the right to cancel any programmes and amend the programme contents, if necessary. 聲明 1. 本人聲明本申請表及隨附文件所載一切資料, 依本人所知均屬真確, 並無遺漏 2. 本人清楚 入學申請填表須知 所載關於 個人資料 ( 私隱 ) 聲明 的內容 3. 本人同意如本人註冊入學, 當遵守大學實施的所有規程和規例 4. 本人同意香港公開大學保留權利, 可因應情況隨時更改所開辦的課程及修訂課程的內容 Signature 簽署 Date 日期 (5)

10 普通科護理學高級文憑 / 精神科護理學高級文憑 選修課程意向書 ( 請參閱附註 5) 本校全日制護理學高級文憑課程皆分為普通科及精神科課程, 選修不同課程的同學需要完成不同的學科以取得學術資格和專業護士資格 校方會根據申請者的意願 學業成績 面試表現等條件作考慮 另外, 大學會安排同學到公營或私營醫院上課和實習 請填妥這份 選修課程意向書, 並與入學申請表格一同遞交 申請人如獲錄取但沒有遞交或遲交這份意向書, 校方將替其安排選修其中一項課程, 申請人不能提出更改 查詢電話 : 姓名 : ( 中文 ) ( 英文 ) 香港身份證 / 護照號碼 : 選科 : 普通科 精神科 如未能安排修讀所選修之課程, 你是否願意被安排修讀另一課程? 願意 不願意 ( 請在 內填上 號 ) 註 : 大學保留所有課程和實習安排的最終決定權 簽署 : 日期 : 備註 : 本課程是依據香港護士管理局對登記護士訓練課程的要求而編寫, 已獲得香港護士管理局認可 完成本課程 的學員可以向香港護士管理局申請 登記護士 的專業資格, 並可以在香港執業 (Please see overleaf to complete the form. 請翻看背頁續填表格 )

11 LEE SHAU KEE SCHOOL OF BUSINESS AND ADMINISTRATION 李兆基商業管理學院 CHECKLIST FOR APPLICANTS The Lee Shau Kee School of Business and Administration requires that relevant documentary evidence be submitted together with all applications (this includes applications submitted online, by post or in person). Applicants are required to submit their applications together with the following documents. Please tick [ ] the box(es) to indicate that the item(s) has been attached, as appropriate: Year 1 Entry A copy of certificates for public examinations (e.g. HKDSE, HKCEE, HKALE, GCSE, GCE, TOEFL, IELTS, SAT, ACT, etc.) which have already been obtained A copy of school reports of secondary 6 level or above A copy of certificates or proofs of other training or professional qualifications not listed above but that are relevant to your application Year 2 / 3 Entry A copy of certificates for public examinations (e.g. HKDSE, HKCEE, HKALE, GCSE, GCE, TOEFL, IELTS, SAT, ACT, etc.) which have already been obtained A copy of official transcripts of post-secondary qualifications obtained or programmes pursuing (including those of the most recent term/semester) A copy of certificates or proofs of other training or professional qualifications not listed above but that are relevant to your application Please note that applications without supporting documents cannot be processed and may cause delays. 申請人核對表 報讀李兆基商業管理學院的申請人 ( 不論是在網上辦理入學申請 郵寄還是親自遞交申請表 ) 必須將相關證明文件連同申請表一併遞交 申請人須將申請表連同下列文件一併遞交 請於適當空格內以 號列示所夾附之項目 : 一年級入學 已獲取之公開考試證書副本 ( 例如 : 香港中學文憑考試 香港中學會考 香港高級程度會考 英國中等教育證書 普通教育證書 托福測驗 國際英語測試系統 學術評量測驗 美國大學入學測驗等 ) 中六或以上程度之學校成績表副本 上述未列出但與所申請課程相關之其他培訓或專業資格證書副本或證明副本 二 / 三年級入學 已獲取之公開考試證書副本 ( 例如 : 香港中學文憑考試 香港中學會考 香港高級程度會考 英國中等教育證書 普通教育證書 托福測驗 國際英語測試系統 學術評量測驗 美國大學入學測驗等 ) 專上院校學歷或所修讀課程 ( 包括最近學期 / 學年 ) 之學業成績單副本 上述未列出但與所申請課程相關之其他培訓或專業資格證書副本或證明副本 申請人如未能提供相關證明文件, 申請將不獲即時處理並因而導致延誤 Full name 姓名 (English 英文 ) HKID/Passport number 香港身份證 / 護照號碼 Signature 簽署 Date 日期

12 FULL-TIME UNDERGRADUATE PROGRAMMES 年度全日制本科課程 Use of personal data The University intends to use your personal data (i.e. your name, student number, contact details, and other relevant information) to send you promotional materials related to our education and training programmes, activities and services including but not limited to awards, scholarships, bursaries, grants, loans, banking/ insurance/ credit cards, discounts, benefits, privileges, fundraising, celebration events, talks, conferences, seminars and publications, but we will not use the data unless we have received your consent. In any circumstances, the University will not transfer your personal data to a third party for direct marketing purpose. Please tick [ ] the box to indicate your consent. I AGREE that the University may use my personal data to send me promotional materials related to education and training programmes, activities and services as mentioned above. If later you decide to change your selection on 'Use of Personal Data', you may update your selection at MyOUHK (Personal Information). Alternatively, you may inform us by at dpo2@ ouhk.edu.hk with your full name, student number (if applicable) and contact information (e.g. phone, ). No fee will be charged for this arrangement. For any enquiries, please contact the University Data Protection Officer by at dpo2@ouhk.edu. hk. 個人資料的使用 大學擬使用你的個人資料 ( 即你的姓名 學生號碼 聯絡資料及其他相關資料 ), 作為推廣教育及培訓課程 活動以及服務事宜之用, 推廣項目包括 ( 但不限於 ) 獎項 獎學金 助學金 資助金 貸款 銀行 / 保險 / 信用卡 折扣 福利 優惠 籌款 慶祝活動 講座 會議 研討會及刊物 然而, 大學如沒有得到你的同意, 不會使用或轉交你的個人資料作上述用途 你可以在方格內加上 號, 以示同意 我同意大學使用我的個人資料, 作為大學推廣教育及培訓課程 活動及服務事宜之用 如日後你希望更改以上選擇, 你可以登入 MyOUHK( 個人資料 ) 作出更改, 或者通過電郵 (dpo2@ouhk.edu.hk), 提供你的姓名 ( 全名 ) 學生編號( 如適用 ) 及聯絡方法 ( 電話號碼 電郵 ) 等資料 這項安排不會收取費用 如有查詢, 請電郵 dpo2@ouhk.edu.hk 與香港公開大學保障資料主任聯絡 Full name 姓名 Student Number 學生編號 (if applicable 如適用 ) HKID Number (alphabet + first 3 digits)/ Passport Number (first 4 digits) 香港身份證號碼 ( 英文字母連同首 3 位數字 )/ 護照號碼 ( 首 4 字 ) Contact / Phone 聯絡電郵 / 電話 Signature 簽署 Date 日期