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Ref. No. Course Issues Application Form (for Full-time and ...

Ref. No. _____. Course Issues Application form (for Full-time and Part-time programmes, except DYJ and Overseas Degree programmes). Please return this form with the supporting documents (if any) to our Admission Counter at Kwai Hing or OUHK-CITA Campus. Payment could be made by EPS/Credit Card/crossed cheque payable to "The Open University of Hong Kong". 1. Personal Particulars Name: Mr. / Ms. _____ (English) _____ (Chinese). HKID / Passport No.: _____ Student No.: _____ Teaching Venue: _____. If you would like to change your personal contact information in our student record, please tick as appropriate and complete the relevant information. Contact Phone No.: _____ (Home / Office) _____ (Mobile). Fax: _____ Email: _____.

FFT008E-J20180605 1 Ref. No. _____ Course Issues Application Form (for Full-time and Part-time programmes, except DYJ and Overseas Degree programmes)

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