- HKIIA 香港保險中介行業協會

課程報名表

(每個報名人士獨立填寫一份，不能共用)

請選擇課堂*

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Personal Information (個人資料)

Personal Data collected in application form will be used for membership offers only 會員申請表中
收集之個人資料只用於會員服務之用途

Mr./Ms.(性別) *

Mr. (先生) Ms. (女士)

Chinese Full Name (中文姓名)

Last name (姓氏)*

First Name (名字)*

HK ID No. (身份證號碼)* Please ensure that the Chinese and English names provided match exactly those on your ID card. The HKIA CPD certificate will be issued under this name.
請確保中英文姓名與身份證相同，HKIA CPD 持續進修證書將以此姓名發放。

Company Name (公司名稱)

Work Area (工作範疇) *

Life Insurance (壽險) General Insurance (一般保險) Financial Planner (財務策劃) In-house Staff / Management (內部 / 管理) Sales / Customer Service (銷售 / 客服) Other

Insurance Experience (保險年資) *

Phone Number (聯絡電話)

Mobile (手機電話) * with Whatsapp function (可提供Whatsapp使用)

Email Address (電郵地址) 注冊賬戶應用的Email

Must provide recent Photo & ID Copy. Re-registration is needed for any item(s) is missing (必需提供身份證副本及近期照，缺少其中一項也需重新登記) *

Browse Files (選取上載文件)

Drag and drop files here

You can take photo directly if using Mobile Phone (如使用手機，可直接拍照上傳)

Total Amount to Pay (總費用) You will redirect to payment page once the submit button has been clicked

會員/粉絲登入

課程報名表

Personal Information (個人資料)

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