The Whisky Ambassador Certification Course Enrollment Form

威士忌大使證書課程網上申請表

Personal Information 個人資料:

Name 姓名:*
Gender 性別:*
Date of Birth 出生日期:*
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E-mail 電郵:*
Mobile Phone No. 手提電話:*
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HKID / Passport No. 身份證明文件號碼:*
Mailing Address 聯絡地址:

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Other Information 其他資料:

Work in Wine Industry 酒業工作:*
How did you find us? 透過下列途徑認識我們:*

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Please select the Type and Date of Course:

請選擇課程種類及上課日期:

Course Category 課程級別: *
Type of Class 課程類別:*
Please select the date 請選擇日期:
2. Please select the date 請選擇日期:*
Payment Method 付款方式:*

Please bank in / transfer payment to the following account:

請存入或轉帳至以下帳戶:

Bank 銀行: HSBC

Account Name 帳戶名稱:Cru Media Ltd.

Account No. 帳戶號碼:808-666796001

Please upload the payment record to us below.

然後在下方上傳遞交付款記錄。

Online Payment 網上付款:*
Upload Payment Record 上傳付款記錄:*

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Declaration and Authorization

授權及確認:

1. I declare that all information given in this application form and the attached documents are, to the best of my knowledge, accurate and complete and that any false information or misrepresentation will disqualify my application for admission and enrolment.

2. I authorize Cru Media Ltd. to use, check and process my data as required for my application to all courses which are organised by Cru Media Ltd.. I accept that all the data in this form and those the courses are authorized to obtain will be used for purposes related to the processing and administration of my application in Cru Media Ltd..

3. I authorize Cru Media Ltd. and the relevant bodies or academic institutions in elsewhere to extract, obtain, release and access any and all information about my examination results, records of studies or professional qualifications, I also authorize the School to use my data in this form for the purpose of obtaining information.

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5.

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