Application Form - Check-Out Form (For Bachelor'S Degree Programmes)

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APPLICATION FORM
APPLICATION FORM
UNIVERSIDADE DE MACAU
CHECK-OUT FORM
UNIVERSITY OF MACAU
(For Bachelor’s Degree Programmes)
Important Notes
1.
Students who apply for deferment of study or withdrawal from study are required to complete the Application Form for Deferment of
Study / Withdrawal from Study (REG/Form/008) and Check-Out Form (REG/Form/002) and clear all outstanding items with the
departments concerned.
2.
Discontinued and inactive students are required to make up the check-out procedures by completing the Check-Out Form
(REG/Form/002) and clear all outstanding items with the departments concerned before applying for re-admission of study.
However, they are not required to obtain approval from the Dean of the academic unit concerned for the check-out.
3.
Students who cannot complete this application in person may authorize a representative to complete it on his/her behalf by
completing and signing the Authorization Letter on the back page of this application form. The authorized representative must
submit this application form together with the I.D. copies of both parties.
4.
If students leave the University in the course of study without going through the check-out procedures, no official document (such as
testimonial, transcript or graduation certificate) will be issued.
5.
All resuming and re-admitted students should pay their tuition fees according to the tuition schemes of the resuming/re-admitted
year and are required to check the study plan with the general office of the academic unit concerned.
Student Information
□-□□-□□□□-□
Name: _________________________________________ Student No.:
Academic Unit
FAH
FBA
FED
FHS
FLL
FSS
FST
Major/ Specialization: __________________________________________________________
Contact No.: __________________________________________________________________
E-Mail: ________________________________________________________________________
Notification will be sent through e-mail upon completion of check-out procedures.
Applicant’s Signature: _________________________________
Date: ____________ / _____________ / _____________
 I declare that the information provided in this application form is correct and I have acknowledged and understood the
<Personal Data Collection Statement of the University of Macau/the Registry of the University of Macau>.
For Academic Unit’s Approval
Major Programme
Remarks
Signature of Dean of Academic Unit and Stamp
Approve
Disapprove
__________________________________
Date: _____________ / _____________ / ______________
REG/Form/002
Updated on 28/05/2015

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