ctp1806 -

Name of the Student (in English) 學生英文姓名 *Surname 姓氏
*Given Name 名字
Name in Chinese (if applicable) 學生中文姓名
Name on Certificate 證書上的名字 *Please specify the name in English to be printed on the "Certificate of Course Completion" 請提供列印於'修畢課程證書'上的名字
Name Tag used in class 上課用之人名牌 *Please indicate the name you would like to be printed on Name Tag used in class 請提供印於課堂用的人名牌上的名字
Did you study any courses in our summer programme 2017? 學生曾否參與本中心2017年度之暑期課程? *
Yes 有No 沒有
If yes, please specify the course you attended in 2017 如有的話，請列出曾參與2017年度之課程名稱
Age 年齡 *
Grade completed before summer 將於暑假前完成之級別 *
K3P1P2P3
Sex 性別 *
Male 男Female 女
Name of your School 學校名稱 *
Student's Mobile (if applicable) 學生手機號碼 (如適用)
Student's Email Address (if applicable) 學生電郵 (如適用)
Correspondence Address 通訊地址 *
District 地區 *
Hong Kong Island 香港島Kowloon 九龍New Territories 新界Others 其他

Do you need applying financial aid for your child? 貴子女需要申請助學金嗎? *
No. I am NOT applying for HKU CAISE Summer Programme 2017 financial aid for my child. 本人不用申請助學金YES, I am applying for HKU CAISE Summer Programme 2017 financial aid for my child. 本人需要為敝子女申請助學金
What kind of financial assistance is your child/ family receiving during the year 2017-18? 你的子女或家人在2017 至 18 年度獲得下列哪些資助？
Please submit the financial aid application form with the supporting documents and send us by post. 另請填妥助學金申請表，連同有關證明文件，以郵遞方式寄給我們。Comprehensive Social Security Assistance (CSSA) 綜合社會保障援助（綜援）Full School Textbook Assistance Scheme 全額學校書簿津貼
CSSA received per month 每月獲得綜援金額

Does your child have any special needs? 貴子女可有特殊學習需要? *
Yes (please specify below) 有（請於下方列明）No　沒有
If yes, please specify　如有，請列明
Remarks / Suggestion 備註 / 意見
Where do you get informed of our programme? 你是從何得知本課程? *
Our Centre Website 本中心網頁HKU Summer Institute Website 香港大學暑期活動網頁School 學校Facebook 面書Other Parents 其他家長Friends 朋友