澳门四高校联合入学考试20172018.PDFVIP

Joint Admission Examination (JAE) for Macao Four Higher Education Institutions 澳門四高校聯合入學考試 2017/2018 Application Form 申請表 Special Examination Arrangement for Students with Disabilities 身心障礙學生特別考試安排 Applicant’s Information 申請人資料 Applicants Full Name 申請人姓名 ID / Passport No. 身份證/護照號碼 Mobile No. 流動電話號碼 E-mail Address 電郵地址 Remarks 註： 1. Deadline for application is: 31/12/2016 申請截止日期為：31/12/2016 2. The transmission of personal information over the internet may lack proper protection and security. There is a certain risk that your information may be accessed or used by an unauthorized third party. 個人資料於互聯網傳送期間有可能缺乏適當之保護和安全措施，因此，您的個人資料存在一定 風險被不當存取或被未經授權之第三方使用。 3. Applicants personal information will only be used by the Four Institutions for processing the application. 申請人的個人資料只會用於由四校共同進行的申請處理程序。 Brief Description of Disabilities Status 身心障礙狀況簡述 Contact 聯絡人(Optional 選填) e.g. high school or organization if further information is required 例如可提供更多資訊之中學或機構 Contact Name 聯絡人名稱 Contact No. 聯絡電話號碼 E-mail Address 電郵地址 Declaration I hereby agree / disagree the contact person above to release any additional information to the Four Institutions to evaluate my application. 聲明 ：本人 同意/ 不同意 以上聯絡人提供額外資料以供四校評估此申請。 Documents Submission 遞交文件 Please submit assessment report issued by registered medical practitioner in Macao and other relevant diagnostic document / certificate (e.g. Disability Assessment Registration Card issued by the Social Welfare Bureau of Macao SAR). Original document is needed for ve