THE UNIVERSITY OF HONG KONG



THE UNIVERSITY OF HONG KONG

Department of Physics

Undergraduate Overseas Experiential Learning Activities 2018-19

Application Form

Deadline: 13 February, 2019 (Wednesday)

Completed form, together with your examination results up to the first semester of 2018-2019, should be returned to the General Office, Room 518 CYM Physics Building

|English Name: | | |Email: | |

|Chinese Name (if any): | | |Phone: | |

|University No.: | | |Have you received overseas/mainland experiential learning | |

| | | |funding from the Faculty of Science before? (Yes / No) | |

| | | |If yes, please also provide details. | |

|Year of Study: | | | | |

|Major / Minor: | | | | |

Pease indicate your priority by putting 1st (and 2nd) below.

|Activity |Priority |

|Practical Observational Astronomy | |

|Summer School on Nuclear Physics at RIKEN, Japan | |

Use not more than 200 words to briefly explain why you are interested in the selected activity.

Date: Signature:

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