Enrolment Form
For Office Use
Please complete this form in BLOCK LETTERS. / Admitted Rejected Waiting List
Part I: Course Application Details
Course Code / Course Title / Course Fee
MCR5032016 / Accredited Mediation Course / $13,000
Part II: Personal Particulars
Title: / Mr. / Ms / Others ______
Family Name: / Name in Chinese:
Given Names: / Date of Birth (DD/MM/YY):
Mobile No.: / Fax No. (if any):
Profession/
Occupation: / Company/ Organization:
Email Address:
Correspondence
Address:
Highest Achieved Education Level: / Form 5 / Form 7 / Post-Secondary / University
Postgraduate or above / Others (Please specify) ______
Professional
Qualification:
.
Part III: Methods of Payment for Course fee(Please put a “”in your payment method)
Cheque No.: / Bank:
Please note:
The crossed cheque should be payable to “Hong Kong Shue Yan University”
(please write the applicant’s name, contact number, Course Name and Course Codeon the back of the cheque)
Part IV: Declaration
1. I declare that all information provided in this enrolment form and the attached documents are, to my best knowledge, accurate and complete.
2. I consent that if registered, I will conform to the Statutes and Regulations of the University.
Signature: / Date:
Part V
Where did you get the information about this programme? (You may choose more than one option)
Circular / Email / Shue Yan University Website Referrals / Others (Please specify) ______
I’m planning to seek to be an accredited mediator of the HKMAAL (Stage 2 Assessment) / Yes / No
I wish to receive HKSYU information by mail/email in the future. (if otherwise, please tick this box )
Notes for Application
Enrolment Procedures
Please complete the enrolment form and the cheque toThe Department of Law and Business, Hong Kong Shue Yan University,10 Wai Tsui Crescent, Braemar Hill Road, North Pointby mail (please mark “Mediation course enrolment” on the Envelope). Applicants may email the completed enrolment form to first before mailing it with the cheque. An application will be processed only upon receipt of the completed enrolment form and payment of the course fee.
Payment Methods
By Cheque
Crossed cheque should be made payable to “Hong Kong Shue Yan University” and return together with your enrolment form. Post-dated cheque will not be accepted. Please write the applicant’s name, contact number, Course Name and Course Code on the back of the cheque. Cheque will be returned if courses enrolled are full or cancelled. If a cheque is rejected by the bank, the applicant concern will be required to pay the course fee and administrative charge of HK$100 together by cash or cashier’s cheque within three (3) working days upon receipt of notification from the University. Failure to do so will result in cancellation of the enrolment.
Refund
Fees paid are not refundable regardless of whether applicants have attended classes or not. Fees paid are not refundable unless the enrolled course is full or cancelled.
Course Changes
The University reserves the rights to cancel a course if enrolment is insufficient and make alterations regarding speakers, class locations, class schedules and the content of courses if necessary.
Personal Data Collection Statement
The Personal data provided on enrolment forms will be used by the University for processing your application for enrolment, academic, administrative, research, statistical and marketing purposes. In all such circumstances, please be assured that any personal information you supply will be kept strictly confidential.
Under the provisions of the Personal Data (Privacy) Ordinance, applicants have rights to request access to, and to request the correction of, their personal data. Applicants wishing to access their data or to make amendments should submit written requests to the University. The personal data that applicants supply such as email addresses may be used for communication, promotion of new programmes and but applicants always have the right to provide express consent on their choice of receiving further marketing materials.
Department of Law and Business
Hong Kong Shue Yan University
10 Wai Tsui Crescent, Braemar Hill Road, North Point
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