ForHKPCInternalUse Academic Experience Others PleasecompletethisforminBLOCKLETTERS ProgrammeFee: 10005041 (PartA) ApplicantInformation CheckedBy: Date: (///*) ChineseName(Mr./Miss/Mrs./Ms*) (/ Mustbethesameas shownonidcard/passport) NameinEnglish CompanyName Position OfficeTelephone LastName FirstName (/ MustbethesameasshownonIDcard/Passport) MobileNumber Highest Achieved Education Level ( Please select one only): Primary Secondary DiplomatoAssociateDegree Degree Postgraduate EmailAddress CorrespondenceAddress Room/Flat Floor Block,Building : FaxNumber: Estate,Street/Road District (PartB) MethodofPayment Pleaseselectoneonly */Pleasedeletewhicheverisinappropriate Istheprogrammefeesponsoredbyyouremployer? YES NO Cash/ EPS/ CreditCard**(Visa/MasterCard)* Mustbemadeinpersonatenrolmentcounter ChequeNo. ( Company/ Private*) (Thechequehastobecrossedandmadepayabletothe HongKongProductivityCouncil. ) ** YoumayauthorizeHKPCtohandlemoneytransfer.Fordetails,pleasecontactourstaff Declaration Ideclarethatallinformationprovidedinthisenrolmentformandtheaccompanyingdocumentsare,tothebestofmyknowledge,true,accurateandcomplete.I havereadandacceptedallthetermsandconditionsofthisenrolmentform. () ( ) Iobjecttotheproposeduseofmypersonaldataincluding,withoutlimitation,name,age,gender,phonenumber,fax number, job title, member status, payment details including credit card information (where applicable), academic and professional qualification, correspondenceaddressandemailaddress( PersonalData )forthepurposeofsendingmeinformationrelatingtohkpc'slatestdevelopments,industry supportservices,consultancyservices,trainingcoursesandrelatedevents,andothermarketingactivitiesasmaybeorganizedbyhkpc. Applicant ssignature Date (PartC) Survey ()Wheredidyougettheinformationaboutthisprogramme?(Maychoosemorethanoneoption) HKPCBuilding Newspaper Promotionemail HKPCwebsite AppleDaily CompanyReferrals OrientalDaily Internet HKEconomyTimes Fax HKPCNewsFlash SingTaoDaily Referrals Magazine MingPao Others ezone MetroHongKong PCMarket Headline Recruit JiuJik Others AM730 Journals/Publicationsof ProfessionalInstitutes PTI104 (05/2016)
() Pleaseindicatewhicharea(s)ofinformationyouwouldliketogetfromHKPCthemost AdvancedManufacturingTechnology LatestNewsofHKPC AutomationServices ManufacturingProcessManagement BrandManagement ProductDesignandDevelopment BusinessProcessManagement SeminarandActivities CustomerServiceEnhancement SoftwareTesting EnvironmentalManagement TestingandCertificationServices InformationandCommunicationsTechnology TrainingandHRDevelopment IPandPatent SizeandNatureofOrganization Totalnumberofemployees Under50(50) 50 99 100 199 200 499 500andover(500) () PrimaryIndustryTypeofyourCompany(Maychoosemorethanoneoption) InformationTechnologyandTelecommunications AdministrativeandSupportServices(e.g.Advertising,Exhibitions, Machinery,MetalsandTooling ManufactureofChemicalsandRaw PublicRelations,PropertyManagement,etc.) Materials AutomotiveComponent Media,PrintingandPublishing Aviation MedicalDeviceandHealthcare Construction OpticalProducts CreativeIndustry Plastics EducationandTraining ProfessionalServices(e.g. ElectricalAppliances Accounting,architecture,legal,etc.) Electronics Retail EnvironmentalServices TextileandApparel // Government/NGOs/TradeAssociations Toys Hospitality,FoodandBeverage TransportationandLogistics ImportandExportTrade Watch,ClockandJewelry 78 () : 1. 2. 3. 4. 4% 5. 6. 7. / / 8. (09:0013:00)(14:0017:00) (18:3022:00)() 6:0011:00 4:00 () 6:0011:00 4:00 9. ENROLMENTPROCEDURE Please complete and send this enrolment form with requisite documents and fee to the Instituteinpersonorbymail. MailingAddress:ProductivityTrainingInstitute,HongKongProductivityCouncil,HKPCBuilding, 78TatCheeAvenue,Kowloon.(Pleasemarktheprogrammetitleandprogrammecodeon theenvelope.) TermsandConditions: 1. Programmefeemustbesubmittedtogetherwiththisform(orphotocopyofthisform) beforeprogrammecommencement,otherwiseenrolmentwillberejected. 2. Personal Data collected will be used for processing your application for admission, registration,academic,administrative,researchandstatisticalpurposesandwillalso beusedformarketingpurposes,specificallyforthepurposeofsendingyouinformation relatingtohkpc slatestdevelopments,industrysupportservices,consultancyservices, eventsandtrainingprogrammes.personaldatawillbetreatedinstrictconfidence Unlessotherwiseagreed byyou,hkpcwillnottransferpersonaldatato anythird parties. HKPC implements a policy governing the collection, use and retention of PersonalData,whichismadeavailableattheenrolmentcounter.Youmayalsocontact PersonalDataControllingOfficerofHKPCforfurtherdetails. 3. Youmaymakepaymentbycreditcards,EPSorcheques. Amountreceivedwillbe imprintedontheofficialreceipt. OnlyreceiptprintedwithreceiptprintersatHKPCis valid. Receiptofchequepaymentissubjecttobankclearance. 4. Enrolmentfee(infullorinpart)isnotrefundableexceptifHKPCisnotifiedinwriting ofyourwithdrawal: at least 5 working days before the programme commencement for training programrunbylocalspeaker atleast15workingdaysbeforetheprogrammecommencementfortraining programrunbyoverseasspeaker AhandlingchargeofHK$200willbelevied.Forpaymentmadebycreditcard, anadditionalbankchargeofaround4%oftheenrolmentfeewillbeimposed. 5. You may, subject to the prior approval of HKPC, nominate a person to attend the programmeonyourbehalf.programmeswitchingrequestwillnotbeaccepted. 6. HKPCreservestherighttorejectanyapplicationinanycircumstancesandforwhatever reasons. Payment of fees should only be construed as conditional acceptance of application. To be accepted for any application, you are required to fulfill the admissionrequirements. 7. HKPCreservestherighttoreplacethespeakerand/orchangethecontents,venue and/ortimeasmaybenecessary. 8. Classesinthemorning(09:0013:00),afternoon(14:0017:00)orevening(18:3022:00) willbecancelledif: (1)TropicalCycloneSignalNo.8oraboveORBlackRainstormWarningremainshoisted after6:00a.m.,11:00a.m.and4:00p.m.respectively;or (2)TropicalCycloneSignalNo.8oraboveORBlackRainstormWarningisannouncedby thehongkongobservatorytobehoistedat/after6:00a.m.,11:00a.m.and4:00p.m. respectively. Youwillbenotifiedofthereschedulingarrangementassoonaspossible. 9. Thesetermsandconditionsaresubjecttorevisionsasmaybesetoutintheprogramme pamphletsandthelatestupdatesintheinstitute swebsite PTI104 (5/2016)