1 對 1 英語課程報名表 One to One English Course Application Form Please enable JavaScript in your browser to complete this form.學生類別 Student Type *New Student 新學生Current Student 現時學生課程選擇 Course Name *通用英語 General English英語考試準備 Examination PreparationGCSE/IGCSE EnglishIELTSPearson Test of English Others姓名 Name *FirstLast出生日期 Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920性別 Gender *男女年齡 Age *家長 / 監護人姓名 Parent / Guardian Information *FirstLast現時學歷 Education Level *身份證號碼 ID Card No. *聯絡人電話 Phone *聯絡人電郵 Email *職業 Profession *地址 Address *課堂時數 Course Duration *10 小時/Hours20 小時/Hours40 小時/Hours80 小時/HoursOthers開課日期 Start Date完成日期 End Date你想透過課程改善哪項英語課程?Please list the objective(s) that you would like to achieve in this course. *導師會在第一堂課與你根據上述的内容制定課堂内容。At your first class, the teacher will determine with you the course outline based on the course objectives above.你想透過課程改善哪項英語課程?Please list the objective(s) that you would like to achieve in this course. 導師會在第一堂課與你根據上述的内容制定課堂内容。At your first class, the teacher will determine with you the course outline based on the course objectives above.請註明您對課程安排的偏好。以下內容僅供職員參考,課程時間表及老師在確認後將作另行通知。 Please Indicate your preference for class arrangement. The following is for our reference and you will be informed of the confirmed class schedule and teacher assigned upon confirmation.課堂數目 Class Per Week課堂長度 Hour Per Class老師 Teacher條款及細則 Terms and Conditions 1. 課程費用不設退款或轉讓。如學生因任何原因缺席課堂,補課將另不舉行。 Course fee paid is not refundable or transferable. There will not be any make up classes if students are absent for any reason. 2. 如有任何上課時間的更改,學生必須在48個工作小時前通知,學生將不會承受任何形式的懲罰。如學生未能在48個小時前通知,將不會另獲補堂和退款。另外如學生因病缺席,出示有效醫生證明後,將可安排補課,並不會受到任何形式的懲罰。 For any changes in class scheduled, 48 working hours notice must be given to the other party. Re-arrangement of the class will be made and there will be no course fee penalty. In the case of less than 48 working hours notice is given. there will not be any re-arrangement of class. The course fee paid for the class will be forfeited. If a valid medical certificate is provided, there will be no penalty on both sides and a make up class will be arranged. 3. 如課堂因惡劣天氣(8號風球和黑色暴雨警告)取消,學生將可另外安排補課。 If the class cannot be conducted due to adverse weather conditions, i.e. Tyhoon Signal No. 8 or Black Rainstorm signal is hoisted, the class we be re-scheduled. 4. Aston Institute 保留權利更改課程上課時間、地點及授課老師。因應未能預測事項,Aston Institute 保留最終決定權於任何爭議上。 Aston Institute reserves the right to make any amendments to the course schedule, location, teacher, etc. In the event of any dispute, Aston Institute will have the right to the final decision. 本人聲明以上提供的資料均為事實,或本人所確知的事實,並事實之全,並明白虛報或漏報資料會導致申請失敗或遭拒絕。我已細讀有關課程的學費及退款條約,並同意繳付有關課程的學費。 I declare that the information provided in this application is accurate. I understand any false information or misrepresentation will disqualify my application for admission into the course. I have read and understood the terms and conditions of this course and agree to the payment. 閣下所提供的個人資料只會被用作辦理有關課程申請的行政工作及院校發展等用途。 This information will only be used dor the course administration and Aston Institute's marketing development. 個人資料(私人)聲明 Personal Data ( Privacy ) Ordinance簽名 Signature *Clear Signature申請人/家長或監護人簽署(適用於18歲以下)Date / Time日期 DateEmailSubmit