報名表 (請用正楷填寫) Application Form 中文姓名 Name in Chinese:* 證件外文譯名 Name in English:* 性別 Sex:* 男M 女F 年齡 Age:* 出生日期 Date of Birth: (yy/mm/dd) 籍貫 Origin: 出身地 Place of Birth:* 國籍 Nationility: 葡 Portugal 中 Chinese 英 English 其它 Others 證件類別 Type of ID:* 認別證 BIN 居民證 BIR 港證 HK ID 其它 Others號碼NO. 職業 Occupation:* 教育程度 Education:* 大專 University 高中 High School 初中 Middle School 小學 Primary 地址 Address:* 住宅電話Telephone: 手提電話 Mobile:* E-mail:* 所屬工會 Organziation: 會員證號碼 Membership No.: 報讀課程 Course Title:* 課程編號 Course Code:* 持續進修發展計劃編號 Continuing Education and Development Programme Code:* 曾否就讀本校 iCentre student: 是 Yes 否 No 已繳費用，概不退還，也不辦理中途退學、換人、轉課程及順延下期課程的一切手續。 All fees paid are non-refundable. Applications for discontinuation of course, change of student or course or course extension will not be accepted.* 同意 不同意 填表日期 Date: (yy/mm/dd) 符合報讀《持續進修發展計劃》之學員，為本年度12月31日或該日前年滿15歲的澳門特別行政區居民。報名時須出示 澳門居民身份證。倘未能親身報名，代辦人須出示其澳門居民身份證、報名者的澳門居民身份證副本及由其簽署的委託文件，方可辦理報名手續。如報名的居民未滿18歲，應請居民填寫專用的報名表格，其中應具該居民父母或監護人為 同意有關報名而作出的簽署。 All students eligible for the Continuing Education and Development Programme must be MSAR residents aged 15 or above on or before 31st December 2011 and shall present their MSAR Resident Identity Card upon enrolment. Should the applicant be unable to enrol in person, the person acting on behalf of the applicant shall present his/her MSAR Resident Identity Card, a copy of the applicant’s Identity Card and an authorised letter signed by the applicant in order to complete enrolment procedures. If the applicant is under 18 years of age, he/she is required to complete the specific enrolment form, with parent’s or guardian’s signature as proof of consent for enrolment. *為必需要填寫的欄位You must fill in the fields marked with a *