Page 33 - 沙田區高中聯校課程

For office use only
Class Code
Course Code : V 6 7 P
1682 1683
1584
1579

6/2018 )

VOCATIONAL TRAINING COUNCIL
APPLICATION FORM FOR APPLIED LEARNING COURSES (2016/2018 Cohort)

必須用原子筆填寫。沒有簽署的入學申請表格將不獲處理
This form should be completed with ballpoint pen. Your application form will not be processed without your signature.

報讀課程 Course Applied For (請以””選一個課程 Please choose one course using ””)
1. 課程名稱 □ 西 Western Cuisine (Bakery and Pastry Stream) (V6712P)
Course Title : □ 西 Western Cuisine ( Culinary Arts Stream) (V6713P)

姓名 English Name on HKID Card / Passport

姓 Surname
16 35
名 Given Names
36 65
3. 姓名 4. 性別 請填寫
“M”(男) 或 “F” (女)
Sex Please fill in
HKID Card / Passport “M”(Male) or “F”(Female)
66 73 91
5. 證件類別 請填寫 “H”（香港身份證）或 “P”（護照） 日 月 年
Type of Identification Document Please fill in “H” (HKID Card) or “P” (Passport) 7. 出生日期 Day Month Year
90
6. 香港身份證號碼／護照號碼 Date of Birth 1 9
HKID Card No. / Passport No. （ ）
92 99 100 02 109
8. 通訊地址
Correspondence Address 110 139
140 169

2175 2204
2205 2234
9. 住宅電話號碼
Residential Tel. No.
172 179
10.手提電話號碼
Mobile Phone No.
180 187
11.電郵地址
Email Address
1641 1675

Application with Special Circumstance
申請人具特殊教育需要*，請在右方空格上填上 “Y”
Please put “Y” in the box if the applicant is with Special Educational Needs* 239
註*： 申請人具特殊教育需要指申請人有下列特殊情況：聽覺受損、視覺受損、肢體傷殘、言語障礙、智障、精神病患、自閉症、器官殘障／長期病患、
特殊學習障礙、專注力不足／過度活躍。
Note*: Applicants with Special Educational Needs refer to applicants with special circumstances, such as hearing impairment, visual impairment,
physical handicap, speech impairment, intellectual disabilities, mental illness, autism, visceral disability / chronic illness, specific learning
disability, attention deficit / hyperactivity disorder.
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