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Application for Certification of IC Training - The Hong Kong ...

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<strong>IC</strong>-T47(3/2012)<strong>Application</strong> <strong>for</strong> <strong>Certification</strong> <strong>of</strong> <strong>IC</strong> <strong>Training</strong>Please read the in<strong>for</strong>mation overleaf be<strong>for</strong>e completing this <strong>for</strong>m.Personal Particulars <strong>of</strong> Applicant (This should correspond with that on your HKID Card/Passport)Full Name (*Mr/Ms/Miss) /(English in block letter) (Surname First) / (Chinese, if applicable)Contact No.EmailProgrammes <strong>of</strong> StudyStudent / HK ID Institution *PolyU / CityU / CUHK / HKCCDepartmentYear AdmittedOthersProgramme CodeYear <strong>of</strong> LastAttendanceInternship / Academic Exchange / <strong>Training</strong> Attachment / SPEED / PTeC<strong>Application</strong> Details<strong>Application</strong> <strong>for</strong>(please √ as appropriate) Certificate(Only <strong>for</strong> applicants who have successfully completed ALL <strong>IC</strong> <strong>Training</strong>.) Testimonial (For applicants who have PARTIALLY completed <strong>IC</strong> <strong>Training</strong> or lost <strong>of</strong> their original certificate.) Partially completed the <strong>IC</strong> <strong>Training</strong> Lost <strong>of</strong> original certificateHave you applied <strong>for</strong> a Certificate or Testimonial be<strong>for</strong>e?* Yes/NoFor Urgent Cases (see Note 5 overleaf), please suggest the• Date Required: (DD/MM/YYYY)____________________________• with supporting documents enclosed* Yes/NoDeclarationI am aware that I am not permitted to retain more than one copy, <strong>of</strong> the certification obtained from the Industrial Centre<strong>of</strong> <strong>The</strong> <strong>Hong</strong> <strong>Kong</strong> Polytechnic University. I, the undersigned, declare the above in<strong>for</strong>mation given in this application iscorrect to the best <strong>of</strong> my knowledge and belief. I hereby apply <strong>for</strong> the issue <strong>of</strong> an <strong>IC</strong> <strong>Training</strong> Certificate/Testimonial.Signature <strong>of</strong> Applicant:Date:Acknowledgement (to be completed by applicant or authorized person)I acknowledge receipt <strong>of</strong> the <strong>IC</strong> *Certificate/Testimonial.Signature:Date:*Delete as appropriateFor <strong>IC</strong> General Office Use Only<strong>Application</strong> received on: Urgent Case: *Yes/No Re-issue Copy: *Yes/NoChecked: <strong>IC</strong> Results Payment Supporting documents enclosed Issued Certificate No. ___________________________Trainee Forms/<strong>IC</strong>-T47


Important Points to Applicants1. Only applicant who have successfully completed ALL <strong>IC</strong> <strong>Training</strong> and have PASSED the requiredassessment will be issued with the <strong>IC</strong> Certificate.2. For applicant who have PARTIALLY completed <strong>IC</strong> <strong>Training</strong> or lost their original certificate,Testimonial will be issued as a document certifying the training which you have attained at <strong>IC</strong>.3. You are required to provide the following documents, together with the completed application <strong>for</strong>m:-a. copy <strong>of</strong> your Transcript <strong>of</strong> Studies; andb. a production fee <strong>of</strong> HKD 50 <strong>for</strong> each certificate/testimonial. Fees paid are NOT refundable.4. Processing an application <strong>for</strong> <strong>Training</strong> Certificate/Testimonial normally takes 1 month after allnecessary documents and application fee have been received. A collection Notice specifying the period<strong>of</strong> collection and the <strong>of</strong>fice <strong>for</strong> collection <strong>of</strong> the certificate will be sent to applicant.5. For urgent cases, please indicate the date when the certificate/testimonial is required. Documentaryevidence must be attached. <strong>IC</strong> will try its best to entertain urgent cases with supporting documents. Incase the request could not be acceded to, you will be in<strong>for</strong>med by telephone.6. If you cannot collect the certificate in person, you can appoint a representative to collect thecertificate/testimonial on your behalf. A letter stating your authorization with a copy <strong>of</strong> <strong>Hong</strong> <strong>Kong</strong>Identity Card to the representative should be included and must contain the names and <strong>Hong</strong> <strong>Kong</strong>identity card numbers <strong>of</strong> both applicant and the representative, and the contact number <strong>of</strong> yourrepresentative. Copy <strong>of</strong> <strong>Hong</strong> <strong>Kong</strong> Identity Card will return immediately after verification.7. Please note that if your transcript is not collected within 3 months from the date <strong>of</strong> issue printed on thecertificate/testimonial, the certificate/testimonial will be destroyed <strong>for</strong> security reason.8. <strong>The</strong> personal data you provide will be used by the Industrial Centre <strong>for</strong> the purposes <strong>of</strong> assessment <strong>of</strong>your application and activities relating to the training matters.9. You can contact the enquiry hotline <strong>of</strong> <strong>IC</strong> General Office (Tel: 2766 7585) if you have queries on theapplication procedures.Trainee Forms/<strong>IC</strong>-T47

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