網上報名 / Online Application

Activity No. / 活動編號: NO EVENT / 沒有活動  

Activity Name / 活動:

Serving School / 現職學校(全寫):


(全寫)/LONG SCHOOL NAME

School Telephone / 學校電話:
School Fax / 學校傳真:
Name In English / 英文姓名:

　

(Surname first) i.e. CHAN TAI MAN, PETER

Upon successful application, your name will be shown on the Acceptance List in our HKTC website.
Name In Chinese / 中文姓名:  
  若成功取錄，你的姓名會顯示在香港教師中心網頁的課程取錄名單•

Total teaching experience (year) / 總教學年資(年)

 (Remark: This item is solely for statistical purposes and does not affect the enrolment result.)
（註：此項資料僅供統計之用，並不影響取錄結果。）
HKTC Liaison Teacher / 教師中心聯絡代表:
Mobile Phone/ 手提電話 [8 Digit]
E-mail / 電郵:
  (Please type a correct e-mail address)
我還未是教師中心資訊訂戶；我希望日後收到教師中心資訊電郵。
___ I have not yet been an HKTC info-subscriber. I would like to receive HKTC's
___ information by e-mail in future.
每次申請只限一人 / One person for each application
  請勿重複報名
1.
 本表格所提供的個人資料會作記錄及統計之用，並會於課程完結六個月後銷毀。請你提供本表格所要求的個人資料。如你未能提供充份資料，你將不獲接受參加是項活動。
 

The personal data provided by means of this form will be used for record and statistical purposes. They will be destroyed six months after the course. Please provide sufficient information, or your application may be rejected.

2.
報名表若有錯漏，可能失去參加資格。
 
Incomplete application form/cheque may lead to unsuccessful application

3.
本中心不提供車位予學員使用。
 
NO parking space is available for participants .