HkICPA香港注册会计师申请表.pdf

Section 1 Personal Particular Title (Tick “?” as appropriate) ? Mr. ? Miss ? Mrs. ? Ms. Surname Forename 中文姓名 Name (Chinese) Date of Birth (dd/mm/yyyy) / / HK Identity Card No. ( ) Passport No. Nationality Place of Birth Home Tel. No. Daytime Contact Tel. No. Mobile Tel. No. E-Mail Address (Must be provided) Correspondence Address Hong Kong ? Kowloon / New Territories ? Overseas ? Residential Address (if different from above) Hong Kong ? Kowloon / New Territories ? Overseas ? Please indicate how you were introduced to the Programme (? ONE only): ? 1. Hong Kong Institute of CPAs Promotional Event/Literature ? 5. Lecturer ? 2. Career Service/Literature ? 6. News / Media ? 3. Colleague/Friend ? 7. The Internet ? 4. Employer ? 8. Other Have you previously registered as a student of the Qualification Programme? (?) No ? Yes ? (Previous reg. no. ___________________ ) Form: SR-A1a (Nov 2013) Please Affix Recent Photo For Office Use Only IR ? RR ? AN _______________ RN _______________ RD / / Section 2 Education / Professional Qualifications Educational Qualifications (? ONE only) P