亞洲週刊 x 世紀21 – 華記與你有個約會

1.* 英文姓名 Name in English

2.* 中文姓名 Name in Chinese

3.* 手提電話號碼 Mobile Phone No.

4.* 電郵地址 Email Address

5.* 你比較偏好那一個時段? Which timeslot do you prefer?

若所選時段滿額，大會將安排另一時段 If the preferred slot is full, we will assign you to the next available session

6. 性別 Gender MF

7. 年齡 Age Range
20或以下; 20 or below21-3031-4041-5051-6061-7071以上; 71 or above

8. 職業 Occupation 學術/教育Academic/Education金融/保險 Finance/Insurance品管/製造 Product Control/ Manufacturing會計/顧問/法務 Account/Consultant/Law餐飲/旅遊 Food & Beverage/ Tourism地產/貿易 Property/ Trading行政/總務/人資 Administration/Office/HR公務/社政 Government/Social Work學生 Students建築/工程 Architecture/Engineering資訊/科技 Information/I.T技術/維修 Technique/Maintenance物流/運輸 Logistic/Transportation藝術/設計 Art/Design營銷/公關 Marketing/PR醫療/美容 Beauty/Medical媒體/娛樂/出版 Media/Entrainment零售/客服 Customer Service/Retail主婦/退休 Housewife/Retirement自顧人士 Self-employed其他Others

9. 工作公司名稱與職位 (Name of the working company and position)

10. 最高教育程度 Education level 沒有學歷 Uneducated小學 Primary level中學 Secondary level文憑至副學位 Diploma or Associate degree level學位 Bachelor Degree level碩士或以上 Master or above level

11. 每月收入 Monthly Income Range HK$20,000或以下 or belowHK$20,001-HK$30,000HK$30,001-HK$40,000HK$40,001-HK$50,000HK$50,001-HK$60,000HK$60,001-HK$70,000HK$70,001-HK$80,000HK$80,001或以上 or above

12. 你如何得悉本課程資料? How do you get information about this programme? 明報廣告 Ming Pao newspaper advertisement明報網頁 Ming Pao website亞洲週刊 Yazhou Zhoukan亞洲週刊網頁 Yazhou Zhoukan Website亞洲週刊社交網站Yazhou Zhoukan Facebook電郵 Email老師/家長/朋友 Teacher/Parent/Friend搜尋器 Search engine其他 Others

13. 請問閣下是亞洲週刊的訂戶嗎? Are you the subscriber of Yazhou Zhoukan? 是 Yes不是 No

14. 報名指引 Application Guidea) 本課程的詳細資料已註明於亞洲週刊的相關網頁。 Programme details are specified in the respective sections on Yazhou Zhoukan website.

b) 報名者須於遞交報名表格時一併繳付費用。Application fee should be paid upon submission of enrolment form.

c) 參加者不論参與與否，已繳之學費恕不退還。Fee paid are not refundable regardless of whether attendees have attended event or not.

d) 參加者名額不可轉讓他人。Fees paid and places enrolled are not transferable.

e) 主辦單位有權取消活動，或對活動內容、講者、日期、時間及地點作出更改。Organiser reserves the right to cancel any event, alter the event content, speaker, date and/or time and venue.

f) 報名表格內提供的個人資料，將用作處理申請參加活動行政之用。The personal data collected will be used for processing the application for enrollment and all administrative purposes.

g) 如天文台發出八號或以上熱帶氣旋警告信號或黑色暴雨警告信號，活動或會作出特別安排，請留意主辦單位的通知。If Tropical Cyclone Warning Signal No. 8 or above or the Black Rainstorm Warning Signal is issued, the event may be rescheduled. Please pay attention to the announcement made by the Organiser.

15.* 您有興趣索取有關亞洲週刊有限公司或世纪21中華物業有限公司的活動資訊、通告及其他信息，並成為「亞週之友」的會員嗎? Are you interested to become Friends of Asia Weekly? Are you interested to receive further information on activities organised by Yazhou Zhoukan Limited and/or Century21 Culture Center Property Ltd.?

*個人資料收集 Personal Information Collection

亞洲週刊有限公司或世纪21中華物業有限公司擬使用閣下的姓名及聯絡資料 (例如電話號碼、電郵地址及 / 或通訊地址) 作為市場調查及宣傳活動的用途。若未得到閣下同意的情況下，亞洲週刊有限公司或世纪21中華物業有限公司則不會使用閣下的個人資料。

Yazhou Zhoukan Limited and/or Century21 Culture Center Property Ltd. intend to use your name and contact details (such as telephone number, email address and/or correspondence address) for better understanding the demographics of our Members and providing you with news, notices and other communications from Yazhou Zhoukan Limited and/or Century21 Culture Center Property Ltd.as set out in the personal information collection statement. However, Yazhou Zhoukan Limited and/Century21 Culture Center Property Ltd.shall not use your personal information without your permission.

本人 有興趣 索取有關亞洲週刊有限公司或世纪21中華物業有限公司的活動資訊、通告及其他信息; 並同意 遞交以上個人資料及成為「亞週之友」的會員。 I am interested in receiving the event updates, news, notices and other information of Yazhou Zhoukan Limited and/or Century21 Culture Center Property Ltd. and agree to submit my personal information, and agree to become Friends of Asia Weekly.

16.* 本人謹此聲明，在遞交報名表格前，已細讀活動之詳細資料及報名指引。I hereby declare that I have read the programme details and application guide before submitting the application.

( *為必填項目)

我們將以PayPal進行收費