DBAAA Associate Member Application

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Cohort year (year started the programme) *

Graduation year (if graduated, year finished the programme). Leave blank if not graduated. *

Programme name *

Doctorate in Business Administration

Doctorate in Management

Doctorate in FinTech

Study mode *

Part-time

Full time

Last Name *

First name *

English name (if any)

Chinese name (if any)

Gender *

Male

Female

Email address (can list more than one) *

Phone number (can list more than one)

WeChat number (if available)

I authorise the DBAAA to use my personal data to maintain ongoing communication with me, including delivery of the announcements of the association and other information such as activities, education programmes, benefits & services and solicitation of donation, etc. *

Yes

Lifetime membership fee of HK$2,000 shall be paid by: *

Please email the pay-in slip to admin.dbaaa@polyu.edu.hk

Bank Transfer to HSBC Bank Account No. 173-293333-001 “The PolyU DBA Alumni Association Limited”

Crossed Cheque (Payable to: “The PolyU DBA Alumni Association Limited”)

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