XEE Facilitator's Training (Mandarin)XEE 导师培训班 - Registration 报名表格
13th -17th June 2018 (Wed - Sun)
2018年6月13至 6月17日(星期三至星期日)

Wed 星期三: 7:00 pm - 9:30pm
Thurs to Sat 星期四- 星期六: 8:30am - 9:30pm
Sun 星期日: 9:30 am - 11:00 am

CONTACT PERSONS 联络人
Rev Mercy Ling (林汉琪牧师) – 019 8689424
Email: mmercydn@gmail.com
阮振雄– 013 8162905
Email: ngua1112@gmail.com

Xin Fu Yuan Methodist Church @ Sibu 卫理公会新福源堂 @ 诗巫
Brooke Drive Lane 4,
96000 SIBU.

TEL : 084-332732 FAX: 084-342675

Course Fee 学费
RM300/人 = ( 包括材料和膳食 )
请将奉献与报名表格于截止日期前交上

​(Please email bank-in slip to ytinlaw@gmail.com once payment made)
(请电邮有关银行进账单至 ytinlaw@gmail.com)
或 Fax 084-323487 注明 Attn: Wong Siew Lang

All cheques are to be made payable to 所有支票抬头,请注明
"SARAWAK CHINESE ANNUAL CONFERENCE"

户口: PUBLIC BANK A/C NO. 3113105721

*Closing Date: 31st March 2018
截止日期: 2018 年 3 月 31 日

Name 姓名(中文和英文) *
Your answer
Title 称呼 *
Marital Status 婚姻状况
Gender 性别 *
Age 年龄 *
Your answer
Mailing address 邮寄地址 *
Your answer
Postcode 邮政编号 *
Your answer
Telephone number 电话号码 *
Your answer
Email 电邮 *
Your answer
Church name 教会名字(中文和英文) *
Your answer
Senior Pastor / Elder's name 主任牧师姓名 *
Your answer
Your EE background 你的EE背景
Is your church currently running EE Semester? 你的教会目前正在进行EE学期吗? *
Have you ever been trained in any EE Semester or Clinic before? 你是否曾经在任何EE学期或培训班接受过培训? *
If yes, please indicate which type of EE training. 如果是的话,是哪一些? *
Required
Accommodation 住宿
Accommodation is not included in the fee. 报名费不包括住宿
We will arrange accommodation as per your request, please make your payment to the hotel.
主办当局会帮忙预订,参加者抵达后请自理住宿费

Dates of accommodation from _____ to _____. Single Room (RM68 per night), Twin Sharing Room (RM88 per night)
需要住宿从_ __ 日至_ __ 日 □ 单人房( RM 68 / 晚), 双人房( RM 88 / 晚)

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Check-in 登记
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Check-out 退房手序
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Remarks 注意
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