Employment Record of Non-local FOSS UG Students

Full name (in English)*

(Surname in capital letters e.g. CHAN Tai Man)

University no.*

(The 10-digit university number, e.g. 3035123456)

Email address*

Programme of study*

First Major*

For undeclared Year 1 student, please choose your intended major

Year of study*

Year of study (fill in)*

Visa Reference No.*

(Sample: EOEN-XXXXXXX-XX(X) OR MEEN-XXXXXXX-XX(X))

Visa Valid until*

Copy of your Visa*

File in pdf / jpg / jpeg or png format; maximum file size: 2MB

Please make sure the photo uploaded clearly shows
1) the Visa Ref. No. EOEN-XXXXXXX-XX(X) / MEEN-XXXXXXX-XX(X); AND
2) your Visa Valid Period information

Employment details

Mode of employment*

Please note that students who engage in full-time study should not take up any full-time employment.

Students are required to apply for leave of absence, by submitting 1) Application for Special Approval, 2) a contract with the employment details (including job description, period of employment, nature of the institution etc.), 3) a study plan on how you aim to complete your degree as a support of your leave, AND 4) the Degree audit

Name of company (in English)*

Job Title/Position (in English)*

Start date*

End date*

Is your employment curriculum-related? (for Faculty’s reference only)*

Yes, related to my first major

Yes, related to my second major

Yes, related to my minor

No

Please specify the employment field / related major*

Job descriptions (in English)*

Copy of your Employment Contract*

File in pdf / jpg / jpeg or png format; maximum file size: 2MB

I fully understand that the updated NOL I am about to receive is ONLY applicable for the above employment.

I fully understand the need to re-submit a new Employment Record if I am about to commence a new employment which is different from the above employment.

Upon your submission of this Employment Record, the Faculty Office will review the submitted information and get back to you, in 5 working days, with the updated NOL accordingly. Please reach out to the Faculty Office via socscug@hku.hk if you do not hear from us or if you may have any questions.

Personal Information Collection Statement and ASE Personal Information Collection Statement (PICS)