Application Form for CALF Professional Advancement Programme

Section A COMPANY & NOMINEE/APPLICANT PARTICULARS (please write in BLOCK letters AND use separate application form for each nominee)

Part I Company Information

Name of Company:
Contact Person: / Email:
Telephone No.: / Fax No.:
Company Address:

Part II Nominee/Applicant Particulars

Title: / Mr / Mrs / Ms / Miss / Other:
Surname: / Other Names:
Name in Chinese (if any): / Year of Birth:
Mobile: / Email:
Current Position:
Is the Nominee a current or past member of the Chartered Institute of Logistics and Transport? (Please tick as appropriate) / No Note 1
Yes. / CILT / Membership No.: / Grade:

Section B NOMINEE’S/APPLICANT’S EDUCATION AND PROFESSIONAL QUALIFICATION(S) (in chronological order)

Part I Education Qualification(s)

Date (MM / YY) / Education / Training Institution / Qualification(s) Obtained
(please state subjects & grade) / Date of Award
From / To

Please use supplementary sheet if necessary.

For Office Use Only

Date Received: / Cheque Number:
Date Approved: / Receipts:

Part II Professional Qualification(s)

Name of Professional Body / Qualification(s) / Membership Obtained / Date of Award

Please use supplementary sheet if necessary.

Section C DECLARATION

The Company and the Nominee/Applicant hereby declare that all information supplied above is true, complete and accurate. We/I have read, understood and accepted all the conditions specified in the programme specification and outline which are subject to revisions by the Chartered Institute of Logistics and Transport in Hong Kong (CILTHK). We/I consent that if the application is accepted, we/I shall comply with all the Rules and Regulations stipulated by CILTHK.

We/I agree that the company and personal data provided herein be used for the purpose of administration and communication, assessment of qualifications and experience, and provision of services and benefits by the CILTHK.

Signature and Company Chop: / Date:
Name of Nominee/Applicant: / Title:
Signature of Nominee/Applicant / Date:

Notes for Applications:

1.  If the nominee/applicant is not a CILTHK member currently, he/she has to join as a member before he/she is qualified to attend the programme.

2.  Result of the application will be available within 4 weeks from the date of submission. The CILTHK shall reserve the rights to accept or reject any applications.

3.  Should there be any change or correction of particulars after submission of this application, please contact the Administration Office at (852) 2866 6336 or through email to .

4.  Programme Fee (HK$22,000.00) has to be paid in full and is non-refundable unless the programme is cancelled.

5.  Method of Payment: Payment cheque should be crossed and made payable to “The Chartered Institute of Logistics and Transport in Hong Kong” or "CILTHK”, and please mark the name of nominee/applicant on the back.

6.  The Application Form and Cheque should be sent to:

The Chartered Institute of Logistics and Transport in Hong Kong

7/F Yue Hing Building, 103 Hennessy Road, Wanchai, Hong Kong