Caritas Francis HSU College
 
   


Application for Admission (2010-11)
入學申請表格 (2010-11)

IMPORTANT NOTES 注意事項
-This form should be completed in English BLOCK letters.
  請以英文正楷填寫申請表。
-Failure to provide the required information may cause delay or render the College unable to further process the application.
 申請人若未能提供所需資料，將導致延誤，或令本學院不能進一步處理是項申請。
-Fields with * must be filled in.
 有* 的項目，必須輸入資料。

PART A       PERSONAL PARTICULARS 個人資料
  Name in Chinese
  中文姓名 		HKID / Passport No.
香港身份證 / 護照號碼 *		 ( )
  Name in English (Must be identical with your HKID Card / Passport)   英文姓名 (必須與香港身份證 / 護照相同)
  Surname 姓 First/Other Names 名
  Date of Birth
  出生日期 		Sex 性別 * Male 男       Female 女
  Nationality
  國籍		 Religion (Optional 可選擇自由填報)
宗教
  Residential Tel. No.
  住宅電話號碼 		Daytime Contact Phone No.
日間聯絡電話號碼

  Correspondence Address 通訊地址
  Flat, Block, Floor Number, Name of Building   室、座、樓、大廈名稱
  Number and Name of Street   街道號數及名稱  
  District 區域

  Region  地區 *
Hong Kong   Kowloon   New Territories
              香港                   九龍                   新界
  E-mail Address *
  電郵地址

 Parent / Guardian / Contact Person 父母 / 監護人 / 聯絡人
  Name in Chinese
  中文姓名		  
  Name in English
  Surname 姓

First/Other Name 名
  Relationship
  與申請人關係		 Daytime Contact Phone No.
日間聯絡電話號碼
  Address (Please fill out if it is not the same as above)
  地址 (如與上述通訊地址不同才需填寫)
  
  
  

PART B       PROGRAMME APPLIED FOR 報讀課程
Please indicate your choice of programmes in the boxes below, "1" being your first choice.
請在以下空格按意願填寫你的課程選擇，“1”為首選。
Programme Choice 1 *  
Programme Choice 2  
Programme Choice 3  
Have you applied for / studied any of our programmes before?    Yes  是           No  否
你是否曾經申請報讀 / 修讀過本學院 / 學校課程?  
If yes, please state the Programme(s) and the date(s) of application / student no.
如有，請列出課程名稱及申請日期 / 學生編號。

PART C       PUBLIC EXAMINATION RESULTS 公開考試成績
                    (in reverse chronological order 倒序填寫)
Public Examination 公開考試
e.g. HKCEE / HKALE /
        GCSE / GCE		 Year
年份		 Subject
科目		 Level 程度#
(i.e. A or AS)
(高級程度或
高級補充程度)		 Grade/Level
等級		 HKCEE Score
會考分數@
#  Applicable to HKALE / GCE A Level Examination only 只適用於香港高級程度會考或英國普通教育文憑考試
@ Applicable to HKCEE Examination only 只適用於香港中學會考

PART D      EDUCATION (SECONDARY AND POST-SECONDARY EDUCATION)
                    教育程度(中學及大專教育) (in reverse chronological order  倒序填寫)
Period
修讀年份
From (mm / yy)
由 (月 / 年)		 Period
修讀年份
To (mm / yy)
至 (月 / 年)		 School / Institution
就讀學校/院校名稱		 District
(e.g. Sha Tin)
所屬區域
(例如: 沙田)		 Form / Grade
級別
From 由		 Form / Grade
級別
To 至		 Programme Studied
and Highest Qualifications Attained
供讀課程及考獲最高學歷名稱

PART E       OTHER ACADEMIC / PROFESSIONAL QUALIFICATIONS  其他學歷 / 專業資格
                    (in reverse chronological order  倒序填寫)
Qualification Obtained
學歷 / 專業資格		 Subjects Passed
(by examination or by exemption)
考試及格或獲豁免修讀的科目 		Name of Awarding Body
頒授機構名稱		 Date Obtained
取得日期

PART F       WORK EXPERIENCE  工作經驗
                    (in reverse chronological order  倒序填寫)
From
(mm / yy)
由 (月 / 年)		 To
(mm / yy)
至 (月 / 年)		 Name of Organisation
機構名稱		 Position Held
職位 		Full-time/Part-time
全職 / 兼職

PART G       OTHER INFORMATION IN SUPPORT OF YOUR APPLICATION (e.g. awards)
                    其他相關資料 (如獎項)
 

PART H       DISABILITY 傷健人士
Are you a person with disability/(ies)?
你是否傷健人士?		 No 否 Yes 是  
If yes, please indicate nature and degree of disability/(ies).
若是，請註明有關性質及程度。
All applicants will be considered on an equal basis. The collection of information about the nature and degree of any disability/(ies) will be used by the College to assess the provision of facilities to assist students in their studies.
本學院以劃一準則考慮所有入學申請。在此欄填報的資料，有助本學院衡量提供設施協助同學學習。

PART I       DECLARATION 聲明

1.

 

 I declare that all the information given in this form is true and complete to the best of my knowledge. I understand that provision of any false or misleading information shall lead to DISQUALIFICATION of application without notice and CANCELLATION of registration. Under such circumstances, all fees paid will not be refundable or transferable.
本人謹此聲明在申請表內填報的資料均屬正確及完備。本人明白若提供任何虛假或誤導性資料，本人的申請資格將被取消，雖經註冊，亦屬無效，所繳費用概不發還或轉讓他人。

2.

 I understand that the information contained in this form will be used for processing my application for admission to Caritas Francis Hsu College.
本人明白在本表格所填報之資料，會使用於入學遴選及一切有關申請就讀明愛徐誠斌學院課程的事宜。

3.

 I also understand that once being enrolled in a programme, the relevant information will become part of my student record and will be used for all purposes relating to my studies.
本人並明白有關資料於註冊後將轉作學生記錄， 明愛徐誠斌學院會使用該等記錄處理一切與本人在學有關事宜。

4.

 I acknowledge that the College reserves the right to cancel any programmes and revise the programme contents, if necessary, without prior notice.
本人明白明愛徐誠斌學院保留權利，可因應情況隨時更改所開辦的課程及修訂課程內容。