8/F, CHINA HONG KONG CENTRE, 122-126 CANTON ROAD, TSIM SHA TSUI, KOWLOON, HONG KONG. TEL: (852) 2796 3121 FAX: (852) 2796 3719, (852) 2754 8926 INTERNET: http://www.haffa.com.hk DGARAR20100324 HAFFA DGA Self Study Examination 危險品認知自學課程考試 ENROLLMENT FORM (For HAFFA RAR Training Course) 報名表格 報名表格(HAFFA管制代理人 - 航空保安訓練課程“ 航空保安訓練課程“以下簡稱 以下簡稱管制代理人課程 簡稱管制代理人課程” 管制代理人課程”的學員適用 學員適用) 適用) (Please complete and type all the fields in English) 請以英文填寫以下所有欄位 考試班號 : EXAM Exam Date 考試日期 : RAR Course Code 管制代理人課程班號 : RAR Course Date 課程日期 : Name of Company 公司: : Name of Participant 參加者姓名 : Mr./Ms. 香港身分證上所列姓名 HKID No. 香港身份證號碼 : X X X X Telephone No. 電話 : Contact Person 聯絡人: 註二 Email Address 電郵地址 : Payment Details : Company Cheque made payable to “HAFFA” 付款詳情 : 公司支票抬頭請填寫 ”HAFFA”(並在支票背面註明參加者姓名及班號) (Apply for enrolling together for the RAR class and DGA Self-Study Exam on the same day Amount 金額 : HK$ 80* 適用於考試日期及管制代理人課程上課日期於同一天內進行) Exam Code (Name shown on the HKID Card ) Note 2 (mark the name of participant and exam code on the back) (Apply for enrolling together for the RAR class and DGA Self-Study Exam NOT on the same ) 適用於考試日期及管制代理人課程上課日期於不同日期內進行 (* Please circle as appropriate 請圈著適用者) HK$ 90* day. Cheque Details : Cheque No 支票號碼: Date 日期: Banker 銀行: I hereby declare that all information supplied above is true, complete and accurate. I understand the Exam session details and the policy/remarks being posted on the HAFFA Website. I agree to abide all Exam regulations set by HAFFA for the subject programme, failing to observe such rules shall result my application in default. HAFFA HAFFA 本人特此聲明以上所提供的一切資料均屬真實,完整和準確。本人瞭解在 網站上所列出的考試詳 為此課程所訂立的考試規則,且瞭解若不遵守這些規則,本人的 情和相關的政策或備註。本人同意並遵守 申請將會被取消資格。 Authorized Signature with Company Chop 授權人簽署及公司印章 姓名 : 職位 : Name Title 備註 Remark : Please send to HAFFA the completed enrolment form (in original signature and company chop) together with the cheque payment. Kindly use separate form or cheque for each application per exam session. Email, fax and phone registration is not acceptable. HAFFA reserves the right to accept your application or not. ( ) HAFFA 1. 2. 3. 請將填妥的報名表格 正本簽署及公司印章 和支票遞 交 秘書處。每位申請者必須分開填寫報名表格和遞交支票。本會不接受電子郵件、傳真和電話的報名申請。本會保留 接受或拒絕任何考試申請的權利。 Letter of Acceptance with session details will be sent out by EMAIL Only to your assigned email address within 3 working days after the enrolment deadline of the DGA Self Study Examination. Should you do not receive by then, please contact the HAFFA Secretariat immediately before the date of Exam. Otherwise, we assume you have received it and NO refund or re-exam will be made for any absentee in this case. 3 取錄通知書與考試詳情將於危險品認知自學課程考試報名截止日期後 個 工作日內以電子郵件形式發送至申請者所填寫的電郵地址。如果屆時仍未收到有關電子郵件通知,請儘快於考試日期前與 HAFFA秘書處聯絡。否則,我們會假定你已收妥通知,本會將不會為在這種情況下的缺席者作出退款或補考安排。 Name of Company and the Company Chop must be the same Company. “公司”及公司印章的名稱必須一致。
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