EMP- Training Programme for Ethic Minority Groups

EMP- Training Programme for Ethnic Minority Groups

青出於「南」- 少數族裔培訓計劃

Application form 報名表

Part 1 (Personal Particulars)
Full name in English: / Surname:
First/ Other name:
Name in Chinese:
HKID card / Passport No.:
Nationality: / Originated Country: / Religion:
Place of Birth:
Date of Birth(dd/mm/yy):
Duration of Residence in HK: / Year Month
Age: / Sex: / Marital Status:
Address for Correspondence (in English):
Joint Union / Agency:
Residential Telephone No.: / Mobile Phone No.:
E-mail Address:
Level of Education: (please tick  the appropriate boxes)
 CompletedF.5  CompletedF.4  Completed F.3  Completed F.2  Completed F.1  F.1 or below
School Name:
Working Experience( including full time and part time):
Post: Company:
Last Date of Work:
Referring Social Worker (if any)
Name: Agency:
Agency Telephone No.: Mobile Phone No.:
Applicant with Disability (If You have a disability, please enter tick  and give details)

Part 2 ( Course Choices)
*MaximumTwo courses can be chosen, please indicate your first and second priority by 1 and 2
Housekeeping Operations (房務事務課程) (Mid Oct., 07)
Business & Office Operations (辦公室實務課程) (Mid Oct., 07)
Elementary Programming Applications (初級電腦編程應用課程) (December, 07)
Electronic & Computer Assembly (電子及電腦製作組裝) (April, 08)
Fundamental Vehicle Servicing (汽車維修基礎課程) (July, 08)
Western Food Production (西式餐飲) (July, 08)
Part 3 (Particulars of parent / guardian / spouse)
Full Name in English: / Surname:
First/ Other name:
Name in Chinese:
RelationshiptoApplicant (in English):
Contact Phone No.:
Part 4 (Declaration of Applicant)
I understand that provision of any false or misleading information therein shall lead to Disqualificationof application without notice. Any fees paid are NOT refundable.
Applicant’s Signature: ______Date: ______
Part 5 (Declaration of parent / guardian) *For applicant under the age of 18
I declare I am the parent / guardian of the applicant. I agree the applicant to apply for the above training course.
Parent/ Guardian’s Name:
Parent/ Guardian’s Signature: ______
Relationship to Applicant:
Contact Phone No.:
Date: