(初级)潮语会话班报名表格 Courses Registration Form
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南华潮剧社有限公司社员 Nam Hwa Opera Limited Member *
中文姓名Chinese Name : *
英文姓名English Name : *
身份证号码(后四码) NRIC No.(last 4 digit):
性别 Gender:   *
出生年份 Year of Birth: *
职业 Occupation:
联系号码 Contact No.: *
电邮 Email: *
请问有用过ZOOM吗? *
紧急联络号码Emergency Contact No.: *
关系 Relationship: *
声明及同意  Declaration and Agreement
1. 学费按课程收取,恕不退款。No refund of course fees.

2.我证实所填具的个人资料属实并在此准许南华潮剧社收集我的个人信息,并且可通过电话、短信、电邮等通讯方式随时联系我有关申请的进度,活动以及任何其它信息的更新。
I hereby confirm that the information provided is correct and consent to NHOL for collection and use of my personal data via telephone, SMS, email or any other means of communication that may not be notified to me from time to time, for information on application status, activities, and other updates.

3. 活动录音/录象记录的免责声明 Disclaimer Regarding Audio/Video Recording of Events
我理解并同意活动中的照片、音频或视频可以让南华潮剧社进行宣传并批准南华潮剧社使用实体拍摄的任何照片、录像或录音的权利。在参加活动之前,我已完全了解与同意上述声明。
I understand and agree that photo, audio and/or video may be taken at the event for publicity purposes. You also waive any right to inspect or approve any photo, video, or audio recording taken by NHOL or the person or entity designated to do so by NHOL. You have been fully informed of your consent, waiver of liability, and release before participating in the event.

我已完全了解与同意上述声明。I have been fully informed of my consent, waiver of liability, and release before participating in the event. *
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