Course Enrollment Form 課程申請表
Personal Data Collection Statement  個人資料收集聲明
The personal data provided on this form is used by SSI for purposes related to the processing of enrollment and course administration. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have rights to request access to and make correction of their personal data. 申請人於此表格提供的個人資料,本會只會用作處理報名及課程行政的有關事宜。根據個人資料(私隱)條例,申請人有權查詢及更改其個人資料。
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Course Code 課程編號 *
Please refer to course schedule for course code 請參照課程時間表
Title 稱謂 *
Surname 姓氏 *
E.g. "Mr. Chan Tai Man": Please fill in "Chan" 如 "陳大文先生": 請填上 "陳"
First Name 名字 *
E.g. "Mr. Chan Tai Man": Please fill in "Tai Man" 如 "陳大文先生": 請填上 "大文"
Alias 別名
E.g. "Peter" 如: "Peter"
Age 年齡 *
Highest Achieved Education Level 最高教育程度 *
 Contact Number 聯絡電話 *
May deliver message via WhatsApp 可能會以WhatsApp形式傳遞資訊
E-mail Address 個人/聯絡郵箱 *
Please ensure correct email address is filled, otherwise application will be lost. 請確保填寫正確的電子郵箱,否則將不能處理申請。
Correspondence Address 通訊地址
The certificate will be sent to this address 課程證書將發送到這個地址
Company Name 公司名稱 *
Industry 行業 *
Required
Office Tel. 辦事處電話
Department 部門 *
Position 職位 *
Job Nature 工作性質 *
Years of experience 年資 *
1-5years年
6-10years年
11-20years年
20+
Years 年
Company Address 公司地址
How do you know this course? 您如何得悉本課程資料? *
Required
我希望接收 I would like to receive:
Course Fee Payment (for specific programme) 繳付學費 (特定課程)
Method of Payment 繳費方法 *
Please refer to http://www.sixsigmainstitute.org/payment-methods for details. 有關繳費方法詳情,請瀏覽網頁http://www.sixsigmainstitute.org/payment-methods 。
General students are required to settle course fees no less than 2 weeks before the course commencement date.
一般學員必須在不少於開課前2個星期繳付所有費用。

Fail to settle payment before deadline results in cancellation of application or suspension from taking subsequent courses.
未能如期付款的申請將不獲保留或導致申請者被取消上課資格。
Professional Registration Service 專業註冊服務
The SSI provides professional registration service for those who have successfully completed relevant training programs. For more details, please refer to related program pamphlets or contact us.
本會為成功完成相關培訓課程的學員提供專業資格註冊服務,請參閱相關課程單張或向我們查詢詳情。
IMPORTANT NOTE 重要通知
1. Receipt of this application form by SSI constitutes an official booking. Payment of fees must be received before the deadline of payment. 本會收到已填妥的申請表後會為申請人保留學位。學費必須在限期前繳付。
2. SSI reserves the right to reject any application in any circumstances and for whatever reasons. Payment of fees should only be construed as conditional acceptance of application. 本會保留在任何情況下及以任何原因拒絕任何入學申請的權利。申請者繳付學費後,仍須符合所有入學條件,其申請方可獲得接納。
3. Refund Policy of course fees paid 已繳費用的退還情況:
- After course enrollment and with notice of more than 1 week prior courses starts - refund 80% 已報讀課程並於開課前1個星期或以上通知退學 – 可退還80%
- Notice less than 1 week before courses starts - refund 70% 少於開課前1個星期通知退學 – 可退還70%
- Once course has begun - NO REFUND 開課後通知退學 – 不獲退還
4. The course fee includes two examination opportunities, fee will be charged for joining extra examinations. Please contact us for the details. 本會所有課程費用已包括兩次考試機會,額外考試機會需另行收費。請向本會查詢有關詳情。
5. SSI reserves the right to revise the subject without prior notice. Please see our website for the latest changes. 本會保留在無需事前通知的情況下對課程作出任何變動的權利。請留意本會網頁的最新情況。
6. All SSI students enjoy the special privileges of buddies of Six Sigma Community. 所有本會學員可享有與六式碼社區之友同等優待。
Declaration 聲明
1. I declare that all information provided in this application and the attached documents are, to the best of my knowledge, accurate and complete. 本人聲明在此申請表格及隨附文件所載的資料,依本人所知均屬完整真確。
2. I consent that if admitted, I will comply with all the Rules and Regulations stipulated by the Six Sigma Institute 本人同意如所報讀課程獲取錄,本人定當遵守六式碼學會所定的規則及章程。
3. I have read the IMPORTANT NOTE in this application form and understood that the details of enrolment are subject to revisions in the course pamphlets and the latest changes in SSI website. 本人已細閱申請表格內的重要通知,並明白所有報名詳情均以本會課程單張及網頁的最新修訂為依歸。
4. I understand that Personal Data collected will be used for processing application for admission, registration, academic, administrative, research and statistical purposes and will also be used for marketing purposes, specifically for the purpose of sending you information relating to SSI’s latest developments, job matching support services, events and training courses. Personal Data will be treated in strict confidence. Unless otherwise agreed by me, Personal Data will not be transferred to any third parties. 本人明白所收集的個人資料將會作入學申請、登記、學術、行政、研究、統計及市場分析及用於推介本會最新發展、就業支援服務、活動和培訓課程的用途。個人資料會嚴格保密處理。除非獲得本人的同意,個人資料不會轉移予第三者。
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