【Registration Form】 One From Hundred Thousand” Social Innovation Symposium | Season 16: Smart Urban Living with Dementia 【活動報名】 「十萬分一」社創研討會 | 第16季:「腦」朋友的智慧城市

活動詳情 Programme Details

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🔹 Feel free to check out our website for our programme details.🔹


社創研討會 Social Innovation Symposium

- 日期 Date:  2023.10.03 (TUE)

- 時間 Time: 14:30-17:30

- 地點 Venue:  香港理工大學賽馬會創新樓 V1201

V1201, 12/F, Jockey Club Innovation Tower (Core V), The Hong Kong Polytechnic University

- 模式 Format: 現場參與 In-person & 網上參與 Online

- 語言 Language: 英語 English 

- 費用 Fee:免費 Free of charge

- 截止報名日期 Registration Deadline: 2023.09.26 (TUE), 23:59


** 每個報名只有一個名額,歡迎邀請親朋好友另行報名研討會!Each registration reserves one quota. Feel free to invite your friends and relatives to join the Symposium! (A separate registration is required)

** 由於場地座位有限,若現場人數過多,現場將有工作人員安排到鄰近場地遙距參與研討會。If there are too many people on-site due to the limited space of the venue, the on-site staff will arrange for participants to attend the seminar at a nearby venue.

** 茲收到您的報名後,將發送確認報名電郵至你的電子郵件。After receiving your registration, a confirmation registration email will be sent to your email address.

** 參加是次研討會的非理大教職員或學生將會在2023年9月29日或之前透過電郵收取進入理大校園的二維條碼For non-PolyU registrants attending this symposium at PolyU, a QR code for campus access will be generated to you by 29 September 2023 via email.

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你希望報名參加社創研討會?*
Do you wish to register for Social Innovation Symposium?
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你將以什麼形式參加社創研討會?

What is your preferred form of participation in the social innovation symposium?

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姓氏 Surname
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名字 Given Name*
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稱謂 Title*
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聯絡電話 Contact Number
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你的電子郵件 Your email address *
確認你的電子郵件 Confirm your email address
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所屬機構/院校 (可選擇填寫) Organisation/Institution (Optional)
職業 (可選擇填寫) Occupation (Optional)
在你認識的人之中,有認知障礙症患者嗎
Do you know any person with dementia?
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你如何得知是次活動消息? (可選多於一項)*
How did you know about our programme? (multiple choice)
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Required
使用個人資料收集聲明  Personal Information Collection Statement (“PICS”)


香港理工大學賽馬會社會創新設計院(JCDISI)將會收集、保存、處理、使用及(在香港或境外)轉移閣下向理大提供的個人資料,用作以下用途:

·        處理有關使用服務之查詢或登記事宜,及為使用人士提供服務;

·        促進使用人士跟理大之間的溝通;

·        協助理大遵從任何有關呈交文件的適當法定或規管程序;

·        協助理大根據任何適用程序、法例、法規或法庭命令(不論在香港或境外)遵守任何政府、法定、監管或執法機關的要求、有效法律程序及條例規定義務;

·        進行質素核證、調查、檢討工作、統計分析、教學活動及研究;及

·        其他與上列任何一項有直接關係的用途。

除列明非必要的資料外,使用人士必須向理大提供所需的個人資料。如未能提供全部所需資料,使用人士可能無法得到JCDISI提供有關服務。

The personal data provided by you to Jockey Club Design Institute for Social Innovation ("JCDISI") of The Hong Kong Polytechnic University will be collected, retained, processed, used and transferred (within or outside of Hong Kong) for the following purposes:

·        Processing your inquiries, application, registration or request for services, activities and facilities;

·        Facilitating communications with you;

·        Facilitating implementation of PolyU’s policies and procedures, and monitoring compliance with the same;

·        Enabling PolyU to comply with any applicable procedures, laws, regulations or court orders (in each case whether in Hong Kong or overseas), any request by government, statutory, regulatory or law enforcement authority, and valid legal processes, ordinances obligations;

·        Conducting quality assurance, surveys and review, statistical analysis, research; and

·        Other purposes directly relating to any of the above.

You are required to provide your personal data, other than those items indicated as optional. In the absence of your personal data, we may not be able to process the activities, services or facilities you requested or maintain contact with you.

使用個人資料作直接促銷 Use of Personal Data in Direct Marketing

香港理工大學賽馬會社會創新設計院(JCDISI)擬不定時使用你的姓名、通訊地址、電話號碼、傳真號碼及電郵地址,通知你有關以下活動/服務/宣傳:

·        我們舉辦/合辦或其他相關機構舉辦的活動或講座;

·        我們或其他相關機構提供的優惠/折扣/推廣活動;及

·        為慈善/公益/教育/社區或其他目的邀請捐贈/貢獻/參與。

除非得到你的同意,我們不會使用你的個人資料作直接促銷。如閣下同意我們在直接促銷中使用你的個人資料,請你在下列方格內加上剔號。你可隨時透過電郵至 disi.enquiry@polyu.edu.hk 向部門個人資料主任要求我們停止使用您的個人資料作以上推廣之用。

附註: 本中文譯本僅供參考。如有歧義,須以英文版本為準。

The Jockey Club Design Institute for Social Innovation (JCDISI) of The Hong Kong Polytechnic University would like to use your name, address, telephone number and email address to inform you of the following activities, services and facilities (collectively, “the marketing subjects”):

·        Activities, seminars or workshops organized by us alone, jointly with our parties or by other parties;

·        privileges, discounts and offers for services provided by us alone or jointly with other parties; and

·        charitable, educational, social and other activities that solicit contributions, donations or participation.

We cannot use your personal data for sending information on the above marketing subjects to you unless we have received your consent. Please tick the box below to indicate your agreement for us to use your personal data to send you information on the above marketing subjects. You may withdraw from receiving information on the marketing subjects indicated above at any time by sending an email to the Departmental Personal Data Officer at disi.enquiry@polyu.edu.hk .

Remark: If there is any inconsistency between the English version and the Chinese version, the English version shall prevail.

我同意JCDISI使用我的個人資料發出以上所述推廣資訊。

I agree JCDISI to use my personal data to send me information on the marketing subjects indicated above.
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