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Enrolment Form for General / Distance Learning Courses Order Form for Self-learning Packages Please read the “Notes for Application” overleaf carefully before completing this form Please use separate enrolment form for each course to be enrolled This form can be photocopied for the purpose of enrolling in other courses Please complete this form in BLOCK LETTERS TKO IUH EOC Course Code Programme Title Full Programme / Individual Subjects Course Code Course Title Course Fee HK$ Name in Chinese: Title: ( Must be the same as shown on HKID card) Name in English: Surname First Name (Must be the same as shown on HKID card) HKID Card/Passport No.: Student ID/Registration No. (if any): ( For verification of the applicant’s identity) ( Applicable only for those who has enrolled in CUSCS course before) For Passport Holder: Cash Unit Scheme(CATS) – Categories Nationality: Issuing Country (if any): * * CUHK / CUSCS Full-time Staff