AWSEC Application Form Question Title * 1. Course Course Name Course Code Couse Starting Date(DD/MMM/YYYY) Question Title * 2. I would like to apply this program: (Optional) ZERO to HERO program ZERO to MIDDLE program MIDDLE to THEO program SSA L1+2 Special Package The One Question Title * 3. Personal Information Gender First Name(s) * (as shown on HKID card / passport) Surname Preferred Name (in class) * Mobile Number * Email * Date of Birth * (DD/MMM/YYYY) Mailing Address Question Title * 4. Other infomation Company Name Position Question Title * 5. Group Discount (If applicable)Provide the name(s) and telephone numbers of all people in your group. Please note that all members of your group must provide a completed application. Name Tel Email Question Title * 6. Declaration and AuthorizationQ15.1I declare that all information given in this application form and the attached documents are, to the best of my knowledge, accurate and complete and that any false information or misrepresentation will disqualify my application for admission and enrolmentQ15.2I authorize AWSEC® to use, check and process my data as required for my application to all courses which are held in AWSEC. I accept that all the data in this form and those the courses are authorized to obtain will be used for purposes related to the processing and administration of my application in AWSEC.Q15.3I authorize AWSEC® and the relevant bodies or academic institution in elsewhere to extract, obtain, release and access any and all information about my examination results, records of studies or professional qualifications, I also authorize the School to use my data in this form for the purpose of obtaining information.I have noted, understood and agreed the contents of booking terms and conditions and AWSEC® policy on Personal Data(Privacy) Yes Question Title * 7. Remarks Done