Letter of Authorization
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Student Affairs Office
The Hong Kong Polytechnic University

Dear Sir / Madam,

I,                                                                                       , authorize
Mr./Ms.                                                                                        to collect my official Co-curricular Achievement Transcript carrying the following personal particulars:
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Full Name of Student (in English) :                                                                                 

Student ID Number :                                                                                                          
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A copy of my student ID card / HKID Card / Passport* is attached for verification purpose.

Thank you for your attention.

Yours faithfully,

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Original Signature of Applicant
(faxed / photocopied signature not accepted)

Date :                                                                                                

* please delete as appropriate