THE HONG KONG

UNIVERSITY OF SCIENCE OFFICE OF POSTGRADUATE STUDIES

Asian Future Leaders Scholarship Program (AFLSP) 2016-17

Application Form

Part I Personal Particulars

Name: Mr/ Ms*

(Surname / Family name) (First name)
#
Application No. :

Program applied for: MPhil program in

Nationality: Place of birth:

Contact number: Contact email:

Part II Academic Qualifications

Highest Qualification
Attained/ to be Attained:

Year awarded/
to be awarded: GPA:

Institution:

English Language Proficiency

Test taken: IELTS/ TOEFL/ none*

Date of test:

Scores: Overall:

Reading: Writing:

Listening: Speaking:

* Please delete as appropriate

#
Application number can be obtained after lodging an application for admission to postgraduate programs
through the HKUST Postgraduate Online Admissions System at http://pg.ust.hk/apply.
Part III Personal Statement

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 THE HONG KONG
UNIVERSITY OF SCIENCE OFFICE OF POSTGRADUATE STUDIES

Please outline your future study and career plans, the reasons you are applying for the Scholarship,
and how you hope to contribute to resolving issues and challenges faced by nations in the Asia-
Pacific Region (around 600 words).

Part IV Additional Information

Please provide additional information if any, e.g. awards, extra-curricular activities, community
services, hobbies and interests, etc.

Part V Supporting Documents

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 THE HONG KONG
UNIVERSITY OF SCIENCE OFFICE OF POSTGRADUATE STUDIES

For the review of the Selection Committee, please ensure the following supporting documents have
been successfully uploaded to the Postgraduate Online Admissions System of the University.

Please tick the boxes as appropriate to certify your submission.

Academic transcript(s)
CV/ Rsum
English proficiency test report (IELTS/ TOEFL, if any)

Part VI Declaration

1. I certify that the information provided in this application is accurate and complete at the time
this application is lodged. I understand any misrepresentation will lead to disqualification of my
application for the AFLSP and enrollment at the University.

2. I understand that all information submitted to the Universitys Postgraduate Online Admissions
System will also be used for eligibility verification of my Scholarship application and selection
purpose for the Bai Xian Asia Institute.

Signature: Date:

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