Registration Form: HKU CAISE Team Teach Training Programme June 2015 HKU CAISE Team Teach Training Programme 2015 (2) Date 13 June 2015 (Saturday) Time 10am - 5pm (1-2pm Lunch Hour)(1) Personal InformationTitle *Mr.Ms.Mrs.Dr.Prof.Name of the Applicant in English *Surname *Given NameName in Chinese (if applicable) Surname, Given NamePlease specify the name in English used on the Certificate of Course Completion *Name to be printed on Name Tag *Sex *MaleFemaleAffiliation *Position *Correspondance Address *Mobile *Email *Please re-enter your email again *(2) Course FeeCourse Fee : HK$1,700 Please prepare a crossed cheque payable to THE UNIVERSITY OF HONG KONG Please mark your name and contact number at the back of the cheque and send it to the following address: Centre for Advancement in Inclusive and Special Education Room 338, Hui Oi Chow Science Building, The University of Hong Kong Pokfulam Road, Hong KongBank Name *Cheque No. *Mobile *Would you like to receive updates from HKU CAISE? *YesNoRemarks / Suggestion 備註 / 意見 VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
