Adult Lesson - Application Form
Address : 4/F., Weswick Comm., Building, 147-151 Queen's Road East, Wanchai, Hong Kong
Tel. no.: 3427 0724 Fax no. : 3014 8188 email / iMessage : Website :
Name in English *
Your answer
Sex 性別 *
Date of Birth 出生日期 *
08-06-1988 (e.g. 8-June-1988)
Your answer
Mobile no. 手提號碼 / WhatsApp *
Your answer
Email Address 電子郵件 *
Your answer
Level 程度 *
L 2
L 3
L 4
1st Priority
2nd Priority
3rd Priority
Start Date 開始日期 *
08-06-2018 (e.g. 8-June-2018)
1st Priority 第一選擇 *
Please select training courses by specifying their date. Applicants are encouraged to indicate two to four preferences. 為增加獲取錄的機會,請盡量填寫兩至四個選擇
2nd Priority 第二選擇
3rd Priority 第三選擇
4th Priority 第四選擇
Payment Method 付款方式 *
Emergency Contact Person 緊急聯絡人姓名(英文) *
Your answer
Relationship 與參加者關係(英文) *
Your answer
Emergency Contact no. 緊急聯絡電話 *
Your answer
Remarks 備註
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service