英文名 (如有) (English Name, if any) (e.g. Peter, Sally, etc.)
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性別 (Sex) *
會員號碼 (Membership Code)
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職業 (Occupation) *
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手提電話 (Mobile Phone No.) *
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電郵 (Email address) *
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聲明 (Declaration): 1. 本人明白如需退出, 將不獲退還任何款項. I understand that I would not be refunded for withdrawal. *
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2. 本人明白中心將錄影課堂, 用作記錄, 評估, 宣傳, 教學或出版之用. I understand the Center would video-tape the session, for the purposes of record, evaluation, promotion, training or publication. *
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3. 本人承諾不會在未獲中心授權的情況下,對課堂進行錄影、錄音、攝影或截圖。I undertake that I would not make video or audio recordings, take photograph or capture the screen of the course, without prior approval from the Center. *
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4. 本人自願提供以上資料, 作中心處理課程報名之用. 除個人資料(私隱)條例所訂明的豁免外,本人明白本人有權查閱及更正個人資料. I am willing to provide above personal data for course registration. I understand that I have the right of access and correction with written request in accordance with the provisions of the Personal Data (Privacy) Ordinance. *