選讀課程 Selection of Programme/Course
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# 必須填寫 must fill in
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課程編號
Programme/Course Code
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#課程類別
Programme/Course Category
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# 課程名稱
Programme/Course Name
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開課日期
Commencement Date
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#高級文憑/毅進文憑核心課程上課地點
Venue of Higher Diploma/Diploma Yi Jin Core Subjects
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N/A
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N/A
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* 須與香港身份證相符 as shown in your HKID card
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* 英文姓名
English Name
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* 中文姓名
Chinese Name:
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* 性別
Sex:
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* 現持有之身分證明文件Identity
Document:
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* 香港身份證號碼
HK Identity Card No.
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(
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* 出生日期
Date of Birth(DD/MM/YY)
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(年/月/日)
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# 出生地點
Place of Birth
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# 國籍
Nationality
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# 職業
Occupation
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# 宗教
Religion
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# 通訊地址
Correspondence Address
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# 住宅電話
Home Phone No.
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# 手提電話
Mobile Phone No.
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# 電郵地址
Email Address
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# 必須填寫 must fill in
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家長/監護人資料 Particulars of Parent/Guardian
（21歲以下申請人必須填寫此部Applicant aged below 21 must complete this section）
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家長/監護人英文姓名
Name of Parent/Guardian in English:
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家長/監護人中文姓名
Name of Parent/Guardian in Chinese:
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與申請人關係
Relationship to Applicant:
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聯絡電話
Contact Phone No.:
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緊急聯絡人Contact Person (in case of an emergency)
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英文姓名 #
English Name:
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中文姓名 #
Chinese Name:
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與申請人關係 #
Relationship to Applicant:
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聯絡電話 #
Contact Phone No.:
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# 必須填寫 must fill in
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學歷 Academic Qualifications
(只適用於設有入學要求的課程 For programmes that have admission requirements only)
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最近就讀之院校
Name of Last Institute Attended
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完成級別
Level Completed
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曾參與公開考試
Public Examination Attended
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就讀年份
Year of Study
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自From
年YY
月MM 至 To
年YY
月MM
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香港中學文憑考試
HKDSE:
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5科最高成績總分 Total Score of Best 5 Subjects
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類別 Categories
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科目 Subjects
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年份 Year
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等級 Grade
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1.
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2.
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3.
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4.
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5.
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6.
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7.
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8.
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第1級 = 1, 第2級 = 2, 第3級 = 3, 第4級 = 4,
第5級 = 5, 第5*級 = 6, 第5**級 = 7
達標並表現優異II = 4
HKDSE Common Scoring System:
Level 1 = 1, Level 2 = 2, Level 3 = 3, Level 4 = 4,
Level 5 = 5, Level 5* = 6, Level 5** = 7
For the ApL courses, Attained = 2, Attained with Distinction (I)
= 3, Attained with Distinction (II) = 4
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中學會考/其他公開考試
HKCEE/Other Public Examinations:
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傷健或有特別學習需要人士 Disabilities or Special Educational Needs (自由選擇塡報
Optional item to fill)
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你是否傷健或有特別學習需要人士? Are you a person with disability/(ies)
or special educational need/(s)?
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若是，請註明有關性質及程度。If yes, please indicate the nature and degree
of disability/(ies) or special educational need/(s).
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本書院以劃一準則考慮所有入學申請。在此欄填報的資料，有助本書院衡量提供設施協助同學學習。
All applicants will be considered on an equal basis. The collection of information
about the nature and degree of any disability/(ies) or special educational need/(s)
will be used by the institute to assess the provision of facilities to assist students
in their studies.
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其他資料
Other Information
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閣下如何得知本書院課程資料
From what source(s) did you learn of CICE programmes:
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聲明 Declaration
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- 1. 個人資料收集聲明 Personal Data Collection Statement
- 2. 申請人聲明
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I、
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本人謹此聲明在表格內提供的資料均屬正確及完整。
I declare that the information provided in this form is accurate and complete.
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II、
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本人明白若提供任何虛假或誤導性資料，本人的申請資格及學位將被取消，而一切已繳交之費用概不退還。
I understand that provision of any false or misleading information therein shall
lead to disqualification of my application for admission and any resulting enrolment.
Any fees paid will not be refunded.
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III、
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本人當遵守明愛社區書院所有適用的守則及規例。
I agree to comply with all the Rules and Regulations for students as stipulated
by CICE.
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IV、
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本人已細閱、明白並同意以上之「個人資料收集聲明」及其他申請須知的內容。
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請輸入驗證碼 Please enter verification code
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