「耆萃匯」 Network of Ageing Well for All (NAWA)
歡迎您登記成為 「耆萃匯」 會員。有關「耆萃匯」的內容,請瀏覽香港中文大學賽馬會老年學研究所的網頁(https://www.ioa.cuhk.edu.hk/zh-tw/knowledge-transfer/nawa/nawa-events)。
請提供以下資料,我們將會透過電郵向你發放最新消息。

Thank you for your interest in joining our Network of Ageing Well for All  (NAWA). Please refer to the following link for details of NAWA: (https://www.ioa.cuhk.edu.hk/en-gb/knowledge-transfer/nawa/nawa-events).
Please provide the following information so that we will disseminate updated information to you through email.

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姓名 Name  *
電郵 Email Address *
流動電話 Mobile number
以下那些範疇的活動能吸引您的興趣?(可選多於一項) Which areas of programs or activities would attract your interest?  (Can choose more than 1 option)
個人背景 Personal Background (可選多於一項 Can choose more than 1 option)
如您就「耆萃匯」有任何建議,歡迎寫下您的意見,讓我們作為寶貴的參考 If you have further suggestions or opinion towards the “NAWA”, please write it down :
個人資料收集聲明  Collection of Personal Information
1. 此表格上所提供的個人資料乃屬自願性質,有關資料只供日後本研究所及此活動相關負責機構聯絡之用。而有關資料亦只供日後本研究所授權的相關職員接觸。本研究所會透過信件、電郵或電話等方式發放包括講座、服務及研究等的活動消息及資訊。   閣下可隨時以書面形式向本研究所提出是否願意繼續接收宣傳資訊。
Provision of personal data is voluntary. The information collected will be used for the purposes of events and communication related to the Institute and related responsible organization for this event. Only authorized personnel in the Institute can access the information. The Institute will promote and disseminate information such as talks, services and research information to you by post, email or phone. You have the right to make subsequent changes on your choice of receiving further promotional information by notifying us in written format.

2. 根據《個人資料(私隱)條例》,閣下有權查閱及更改表格上的個人資料。如有需要,請與本研究所職員聯絡。
Under the provisions of the Personal Data (Privacy) Ordinance, you can access and apply for amendment of the data in this form. Please contact the staff of our Institute if necessary.

3. 本人明白及同意此「個人資料收集聲明」,並聲明在此表格上所填報的資料亦真確無訛。
I understand and give consent to the collection of my personal data. All information given in this application form are accurate to the best of my knowledge.

4. 本研究所會選用活動有關的照片及錄像作籌辦活動及公開推廣之用。如     閣下不同意相關安排,可於活動舉辦前透過書面形式向本研究所提出您的意願。
The Institute will use the  photos and videos taken from events in organizing and promotional purposes. If you do not agree with the relevant arrangements, you may submit your wishes and notifying us in written format before the event.
如你不同意本研究所提供你的個人資料予香港中文大學賽馬會老年學研究所其他成員或相關機構作上述用途,請於此方格填上「√」。You should check ("√") this box if you do not wish the Institute to provide your personal data to any other members of The CUHK Jockey Club Institute of Ageing or related organizations for their use as stated above.
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