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亞洲運動及體適能專業學院 ASIAN ACADEMY FOR SPORTS & FITNESS PROFESSIONALS
課程報名表 Course Enrollment Form
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「中醫運動處方
-
慢性病患」證書課程
Certificate of Exercise Prescription for Chinese Medicine Practitioners - Chronic Diseases
亞洲運動及體適能專業學院
主辦
新華中醫中藥促進會
協辦
學習目標
課程資料
「中醫運動處方
-
慢性病患」證書課程
Certificate of Exercise Prescription for Chinese Medicine Practitioners - Chronic Diseases
課程報名 Course Enrollment
對以上課程有興趣者請即填寫以下報名表，
提交此報名表後，AASFP職員會與閣下聯絡跟進付學費的安排。
謝謝!
英文姓氏 Family Name
*
Your answer
英文姓名 Given Name
*
Your answer
中文姓名 Full Name in Chinese
*
Your answer
身份證 / 護照號碼 H.K.I.D. / Passport No. (首4位數字 The first 4 digits)
*
Your answer
國籍 Nationality
*
香港 Hong Kong
中國 China
台灣 Taiwan
澳門 Macau
新加坡 Singapore
馬來西亞 Malaysia
Other:
性別 Gender
*
男 Male
女 Female
出生日期 Date of Birth (日日/月月/年年)
*
Your answer
住宅地址 Home Address
*
Your answer
職業類別 Occupation
*
公務員/行政人員 Civil Servant/Executive
醫生/中醫師/護理人員 Doctor/Traditional Chinese Medicine Practitioner/Paramedic
物理治療師 Physiotherapist
運動員 Athlete
健身教練 Fitness Coach
美容師 Beautician
模特兒/演員 Model/Actor/Actress
教師 Teacher
學生 Student
商人/自僱人士 Businessman/Self-Employed
家庭主婦 Housewife
Other:
若你是中醫師，請提供中醫師註冊編號 Please provide the registration no. if you are a Traditional Chinese Medicine Practitioner
Your answer
手提電話 Mobile Phone
*
Your answer
電子郵箱 Email
*
Your answer
有沒有緊急聯絡人？ Do you have any emergency contact person?
*
有 Yes
否(不方便提供) No (Inconvenient to provide)
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