A+ Education    

 

FILL AND PRINT APPLICATION 申請表

Shop 102, Metro City Plaza III, Tseung Kwan O, NT  將軍澳新都城中心3期商場102號鋪

E-Mail: info@a-plus-education.com    Tel/Fax: 3194-7111    Website: www.a-plus-education.com

 

Applicant’s Name (surname, given name) 學員姓名:           Male Female    

Photograph

(相片

Date of Birth (d/m/y)出生日期:

Age年齡:

Place of Birth 出生地點:

Nationality: 國籍:

Home Address 住址:   

Home Tel No.電話號碼:

E-mail 電郵地址:

EMERGENCY INFORMATION (students under 18 years of age) 緊急聯絡資料 (18歲以下學生適用)

Medical Details (if any):

Mother’s Name母親姓名:

Father’s Name父親姓名

Occupation 職業:

Occupation職業:

Tel No. 電話號碼:

Tel No. 電話號碼:

E-Mail電郵:

E-Mail電郵:

Present School (students under 18 years of age)  現在就讀學校 (18歲以下學生適用)

School Name 學校名稱:

Grade Enrolled 就讀班級:

Please note that fees are neither refundable nor transferable. 已繳費用恕不退回及不能轉讓

Payment may be made in cash, EPS or by Cheque made payable to ‘Aplus Education Ltd.’

各學員可以用現金, 易辦事或支票付款, 支票抬頭請寫 ‘Aplus Education Ltd.’

Program  課程

Day & Time 時間

Remark (Office Use)

 

 

 

 

Signature  簽署 : _______________________________________  Date  日期 : ____________