PDF《Adult Course Re-registration Form》

Adult Course Re-registration Form 成人课程旧生续报表格 The United Kingdom'

s international organisation for cultural relations and educational opportunities.

A registered charity:

209131 (England and Wales) SC037733 (Scotland). Student name 学生姓名:Student number 学生编号: A) Class choice details 所选课程资料 (Please fill in the appropriate option(s) according to the timetable. 请跟奔浔硖钚词实钡难≡) Course 课程: First choice 首选班别: Venue 上课地点:Class day and time 上课日期及时间: *Second choice 次选班别: Venue 上课地点:Class day and time 上课日期及时间: *Please note that if you have selected a second choice class,you will be allocated to this when the first choice is full. You will only be contacted when the class in both choices are full.若首选班别学位已满,本会将自动为你报读次选班别.如所选的班别全部额满,我们将会联络你. B) Contact details 联络资料 For fax/postal registration, we will send a confirmation email to you upon registration completed. Please contact us on

2913 5100 if no email is received within a week. The booking confirmation and the payment receipt will be sent by post within

2 weeks. 如以传真/邮寄报名,将会一星期内收到电邮确认.如没有收到有关电邮,请致电

2913 5100 查询.我们亦会於两星期内寄回报名确认信及收. *Student'

s contact no. 学生联络

电话:must completed 必须填写) *Email 电邮:must completed 必须填写) C) Declaration 声明 ? The student plans to study permanently overseas or leave Hong Kong in______(month)______(year). 本人/学生有意於______月______年内计划离开香港前往海外升学或居住. ? The student does NOT plan to study permanently overseas or leave Hong Kong in the near future. 本人/学生暂无计划於短期内离开香港前往海外升学或居住. I,hereby certify that I have read and understood the enclosed Registration Terms and Conditions. 本人_已阅读、明白并同意附页报名条款及细则. Signature of parent/guardian of student Date 学生/家长或监护人签署 日期: D) Payment methods 付款方法 ? By Cheque 支票 (made payable to '

The British Council'

支票抬头请写「英国文化协会」) ? By Credit Card Authorisation 信用咭授权 (Please fill in your credit card details 请填妥信用卡资料) Not applicable for American Express and Union Pay card 不适用於美国运通咭及银联咭 Cardholder'

s Name 持卡人姓名: Credit Card Number 信用卡号码: Tel no.联络

电话:Expiry Date 到期日:? VISA ? MasterCard Amount 费用: HK$ Cardholder'

s Signature 持卡人签署: (Faxed registration forms without credit card details will NOT be accepted or processed.未填上信用卡资料的报名表将不会受理.) By signing, I hereby authorise British Council to charge the specified credit card account the indicated amount. I promise to pay such total subject to and in accordance with the agreement governing the use of such card. 本人授权英国文化协会在上述信用卡户口内扣除所需金额.本人承诺将根庞每ㄊ褂锰蹩, 全数支付款项 ? In person 亲临报名 We accept Visa, Master card, EPS or cheque. We do not accept cash or post-dated cheques. 本会接受 Visa 卡、万事达卡、易辨事及支票付款.不接受期票及现金付款. Instalment plans are only applicable for registrations in person with designated HSBC, Bank of China and Citibank credit cards. You can use these to pay for selected courses at a minimum amount of HK$6,000. The 12-month payment plan is only applicable when using designated HSBC, Bank of China, Standard Chartered Bank and Citibank credit cards in one transaction. The minimum instalment amount is HK$10,000. Terms and conditions apply. 免息分期须亲临报名并使用指定的汇丰银行、中国银行、渣打银行及花旗银行信用卡报读金额不少於港币 6,000 元之指定课程.12 个 月之免息分期只适用於汇丰银行、中国银行、渣打银行及花旗银行信用卡缴交费用,最低分期付款金额为港币 10,000 元.须受有关条款及细则约束. Customer Services Centre 顾客服务中心 Address 地址: 3/F, British Council,