14.12.2012 Views

NLPU Master Practitioner Program - New Life Plus Training ...

NLPU Master Practitioner Program - New Life Plus Training ...

NLPU Master Practitioner Program - New Life Plus Training ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

��������� Please complete this form in BLOCK LETTERS.<br />

�� <strong>Program</strong>me�<br />

���� <strong>Program</strong>me Code� ���� <strong>Program</strong>me Title� �� <strong>Program</strong>me Fee:<br />

40128238<br />

�� (Part A) ����� Applicant Information�<br />

���� (��/��/��/��*)�<br />

Chinese Name (Mr./Miss/Mrs./Ms*)�<br />

�����<br />

Name in English�<br />

�����<br />

Company Name�<br />

���<br />

Position�<br />

PTI104 (03/2010)<br />

��������������<br />

�����������<br />

�� ��� ������������������� ��� �<br />

������� ����������� �������������<br />

� �<br />

last name first name<br />

������ Highest Achieved Education Level ( ������ Please select one only.)�<br />

� ��<br />

Primary School<br />

������<br />

Office Telephone�<br />

�����<br />

E-mail Address�<br />

�����<br />

Correspondence Address�<br />

� ��<br />

Secondary School<br />

�����<br />

Mobile No.�<br />

��(Part B) ���� Method of Payment�<br />

����� Please select one only<br />

� �� Cash � ��� Visa / <strong>Master</strong><br />

� ������<br />

Diploma to Associate Degree<br />

(��������/����<br />

HK26,800/HK24,800/<br />

�����������<br />

Must be the same as shown on ID card/Passport)<br />

� ��<br />

Degree<br />

�����<br />

Home Telephone�<br />

���<br />

Fax�<br />

� ������<br />

Postgraduate<br />

� ���� Cheque No.� �( �� Company / �� Private*)�<br />

(���������������������The cheque has to be crossed and made payable to the “Hong Kong Productivity<br />

Council.”)<br />

Is The programme fee sponsored by your employer?<br />

���������� � YES � � NO �<br />

�� Declaration�<br />

*Please delete whichever inappropriate / �������<br />

���������������������������������<br />

I declare that all information provided in this enrolment form and the attached documents are, to the best of<br />

my knowledge, accurate and complete.<br />

������������������������<br />

I consent that if admitted, I will comply with all the Rules and Regulations stipulated by the Institute.<br />

�������������������������������������������������<br />

I have read and understood the “Important Note” in this enrolment form is subject to revisions in the course<br />

pamphlets and the latest updates in the Institute’s website.<br />

�����<br />

Applicant’s Signature�<br />

��� Enrolment Form<br />

��<br />

Date�

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!