TUNG WAH COLLEGE Form REG-03S
Registry Ref. No.:
Application for Special Add/Special Drop/Course Withdrawals AD-____S___-________
Normal add/drop should be conducted online via PowerCAMPUS Self-Service during add/drop period. This form
is applicable only for the following situations:
(a) Students cannot add/drop the course online DURING the add/drop period due to special reasons.
(b) Students wish to withdraw from a course with justification AFTER the add/drop period.
Please submit ONE form for EACH course/application and read the NOTES TO STUDENTS overleaf before
completing this form.
Section A: Student Particulars and Confirmation
Name(Mr/Miss/Ms*): Yuen Chun Ming ( ) Student No.: 24002047
English Name in BLOCK letters Chinese Name
Programme of Study: Bachelor of Health Science (Hons) in Nursing (Major: Nurse ) Phone No.: 56189805
I confirm that:
(a) I have discussed my application with Programme Leader and/or Student Academic Advisor
(b) there is no time conflict among my registered course(s) and the course(s) to be ADDED; and
(c) prerequisite courses, if any, for course(s) to be ADDED have been completed successfully.
Signature of Student: Date: 12/1/2026
* Delete as appropriate
Section B: Application Details
Course Code Course Title Request Section
NUR1120 The Fundamentals of Special Add
Lecture: _____ Seminar: _____
Chinese Medicine Tutorial: _____ Lab: ________
Special Drop 01
Lecture: _____ 02
Seminar: _____
Course Withdraw 02
Tutorial: _____ Lab: ________
Reason(s) (please provide supporting documents if available
I want to make sure that I can pass Nur1102 such that my clinical praticum will not be
delayed and nur1120 is a course that I can delay in learning.
Endorsement by the Course Instructor (Please "✓" as appropriate) Name:
ENDORSE the Special Add/Special Drop/Couse Withdrawal Signature:
NOT ENDORSE the Special Add/Special Drop/Couse Withdrawal
Comments: _____________________________________________________________
_______________________________________________________________________
Date:
Approval by the Programme Leader (Please "✓" as appropriate) Name:
Signature:
APPROVE the Special Add/Special Drop/Couse Withdrawal
DISAPROVE the Special Add/Special Drop/Couse Withdrawal
Comments:
_______________________________________________________________________
_______________________________________________________________________ Date:
For FO/REG use only (Form REG-03S)
Paid by Cheque / Bank-in / Octopus / EPS Payment Ref: ________ Amount: $________
FO Receipt No.: _______________ Handled/Recorded by ____________ on ________________
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Ref. No.:
NOTES TO STUDENTS AD-____S___-________
1. Normal add/drop should be conducted online via PowerCAMPUS Self-Service during add/drop period. This
form is applicable only for the following situations:
(a) Students cannot add/drop the course online DURING the add/drop period due to special reasons.
(b) Students wish to withdraw from a course with justification AFTER the add/drop period.
2. Please note that special add/drop requests require special consideration by the respective School on a case-by-
case basis and may NOT be approved. The application fee for application AFTER the course add/drop period
is $200/course.
3. Permission to withdraw from a course after the add/drop period deadline will only be given to students who
could provide medical supporting documents or strong justifications for other unforeseen circumstances.
Course approved for withdrawal will be assigned a 'W' grade in the academic transcript. Grade 'W' will not be
included in GPA calculation. Students are required to pay the FULL amount of tuition fees for the withdrawn
courses and the retake fee when he/she retakes the course in a later semester.
4. Applications should be submitted to the Registry at least four weeks (two weeks for Semester 3) before the
commencement of the semester examination.
5. Students will be notified of the application result via the College email once available.
6. Students are required to attend the classes as scheduled until the application for dropping the course / course
withdrawal is formally approved.
7. The Registry will update the course registration records for the students upon receipt of decision for the
application from the respective School.
8. The information provided in this form will only be used for processing this application. The Registry will
keep the personal data provided confidential but may need to disclose it to appropriate personnel in the
College for handling of the application.
For REG use only (Form REG-03S)
1. Receive application form, scan and pass to REG Programme Officer by __________ on ______________
2. Check seats availability in PowerCAMPUS by __________ on ______________
3. Check student has met the prerequisite(s) and no time conflict by __________ on ______________
4. Email application to School by __________ on ______________
5. Receive decision from School and keep record in REG by __________ on ______________
6. Update PowerCAMPUS on approved add/drop/assign 'W' grade in PowerCAMPUS by __________ on___________
7. Notify student of result via e-mail, scan AND file by __________ on ______________
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