DCW(Q)
2017v1
Enquiry 查詢 Fax 傳真
Course : Confined Space Safety Training Course for Certified Workers 2100 9000 2100 9576
Engaged in DSD’s Works If you submitted your application form for more
than 1 month and no class was arranged, please
報讀課程：密閉空間核准工人之從事渠務署工程安全訓練課程 make enquiry.如遞交申請表後一個月內仍未收到
編班安排，請致電查詢。
Class Arrangement 課程安排 (Please mark in the appropriate box 請在適當方格 )
Preference of Medium of Instruction Training Venue Preference of Training Hour
上課語言選擇 上課地點 上課時間選擇
Construction Industry Council □ 1 day course 一天課程
□ Cantonese 廣東話 Kowloon Bay Training Centre (08:45 - 16:45)
No. 44, Tai Yip Street, Kowloon Bay, Kowloon
□ English 英語 □ 2 consecutive evenings 連續兩晚
建造業議會 九龍灣訓練中心
九龍 九龍灣大業街 44 號 (18:30 - 22:00)
Applicant should possess a valid “Certificate of Confined Space Certified Worker”. 修讀本課程人士，必須持有有效之「密閉空間核准工人證明書」。
□ I have a valid “Certificate of Confined Space Certified Worker”. 本人已獲有效之「密閉空間核准工人證明書」。
Certificate Issued by Certificate No. Valid Until
發證機構 編號 有效期至
Please enclose a copy of the Certificate if it was not issued by CIC. 如證書並非本議會頒發，請附影印本。
Personal Particulars 個人資料 (Please write in capital letters and *cross out inappropriate items 請用正楷填寫及*刪去不適用的選項)
Name (Chinese) Name (English)
姓名(中文): 姓名(英文):
(As shown on HKID or Passport 按香港身份證或護照所示)
If your age is above 70, please ‘’ the box for appropriate administrative arrangement. 如 閣下年齡逾７０歲，請在方格內加 ‘’，以便本議會作出適當的行政安排。
Date of Birth Y M D Age Sex HKID Card No.
出生日期: 年 月 日 年齡: 性別: 身份證號碼: ( )
Tel. No.(Day) Mobile Fax No.
電話(日) : 手提電話: 傳真號碼:
Mailing Address
通訊地址:
Email Address
電郵地址：
Course Fee 學費 HK$450 (Cheque for fee payment should be sent together with this application form. 申請表格需連同學費繳交)
Payment method 付款方式
Cheque No. Bank
□ Cash 現金
□ 支 票 /本 票 號 碼 銀行
(Application in
Cheque should be made payable to ‘Construction Industry Council’ and submitted with the application form to ‘Construction
person only 只限
Industry Council, Management and Safety Training Centre, 4/F., Kowloon Bay Training Centre, 44 Tai Yip Street, Kowloon Bay,
親身到本議會辦 Kowloon’. Please put the applicant’s name, contact phone number and the course code ‘DCW(Q)’ on the back of the cheque. 請
理) 將 支 票 或 銀 行 本 票 郵 寄 往 「 九龍 九龍灣大業街 44 號 九龍灣訓練中心 4 樓 建造業議會管理及安全訓練中心」 收 ， 抬 頭 請 註 明
「建造業議會」收，抬頭請註明「建造業議會」，並於支票或銀行本票背面寫上姓名、聯絡電話號碼及課程參考編號
「 DCW(Q)」 。
《 Personal Data Collection Statement》 《 收集個人資料聲明》 Declaration 聲明
1. The information you provide to the Construction Industry Council (the CIC), including any personal data as defined in I declare that all information given in this application
the Personal Data (Privacy) Ordinance (the Ordinance), will be used solely for purposes related to the activities of the form is, to the best of my knowledge, accurate and
CIC. complete. If any false information is given, the
你向建造業議會〔「議會」〕所提供的資料，包括《個人資料〔私隱〕條例》所指的個人資料，只會用於相關議會之活動。 application is deemed to be invalid and I shall forfeit
2. To keep you informed of CIC activities and industry developments which may be of interest, the CIC would like to use my right to apply for this course. I consent that if
your personal data, including your name, phone number and correspondence and email addresses, to update you in
registered, I will conform to the regulations of CIC.
relation to training courses, trade testing, registration, events and other aspects of its work and the construction industry.
本人聲明本報名表內所載一切資料，依本人所知均屬
為讓你得知最新的議會活動和行業內發展情況，議會將使用你的個人資料，包括你的姓名、電話號碼、郵寄和電郵地址，
將有關訓練課程、測試、註冊、活動項目、議會工作和建造業其他方面的最新資訊提供給你。 真確，並無遺漏，並知道倘若虛報資料，申請即屬無
3. You are free to decide whether you wish to receive such information. If you choose not to do so, please put a tick in the 效，且喪失其後報讀本課程的資格。本人同意如本人
box below.你可選擇是否同意接收上述資訊。若不同意的話，請於下列有關拒收資訊一欄之空格內加上「」號。 註冊入學，當遵守建造業議會之學員守則。
4. You are also entitled to request access to and correction of any errors in your personal data. If you wish to do so please
write to the CIC at 38/F, COS Centre, 56 Tsun Yip Street Kwun Tong, Kowloon. Signature of Applicant
你有權要求查閱及修正你的個人資料。有關申請須以書面向建造業議會提出，地址為九龍觀塘駿業街56號中海日升中心38
申請人簽署
樓。
Date
I do not wish to receive any information from the CIC in relation to its activities or developments in the construction
industry 本人不同意日後接收由建造業議會發出有關議會活動和與建造業相關的資訊。 日期
To be completed by the applicant for sending admittance notice. To be completed by the applicant for sending admittance notice.
此聯由申請人填寫，用作寄發入學通知信。 此聯由申請人填寫，用作寄發入學通知信。
姓名 姓名
Name： Name：
Mailing Address Mailing Address
通訊地址： 通訊地址：
DCP/DCW(Q)
CONSTRUCTION INDUSTRY COUNCIL
建 造 業 議 會
2017v1
Notes to Applicants 報名須知
1. Applicant should be lawfully employable in 申請人必須為可在香港合法受僱人士，即
Hong Kong, i.e. i. 持 有 香 港 永 久 性 居 民 身 份 證 ； 或
i. Holder of Hong Kong Permanent Identity
Card; or ii. 並 無 受 制 於 任 何 禁 止 他 在 香 港 從 事 有 薪 或
無薪僱傭工作的逗留條件的人士。
ii. Person who is not subject to any conditions of
stay in Hong Kong that he shall not take up
any paid or unpaid employment in Hong Kong.
2. To enroll, you can go to the following office 報讀課程，可於辦公時間內，帶同身份證明
during office hours. You have to complete this 文件，包括有效旅行證件，親往本議會下列
application form; produce identity documents 報名地點，呈交填妥的報名表格及所需學
that include valid travel documents; and pay the 費。親身報讀人士可以現金繳費。
course fee. Those who apply in person can
settle the course fee by cash. 報名地點及辦公時間：
建造業議會 九龍灣訓練中心
Enrolment Office and Office Hours: 管理及安全訓練中心
CIC, Kowloon Bay Training Centre 九 龍 九 龍 灣 大 業 街 44 號 4 樓
Management and Safety Training Centre 星期一至五：
4/F., 44 Tai Yip Street, Kowloon Bay, Kowloon 上午八時三十分至下午一時
Monday to Friday: 8:30am to 1:00pm 下午二時至下午五時
2:00pm to 5:00pm 星期六、星期日及公眾假期休息
Closed on Saturday, Sunday and Public
Holidays
3. You can mail your application form together with 若以郵遞方式報名，請將填妥的報名表格，
the course fee (a crossed cheque or bank draft) 連同支付學費的劃線支票或銀行本票寄「九
to CIC, Management and Safety Training 龍 九 龍 灣 大 業 街 44 號 九 龍 灣 訓 練 中 心 4
Centre, 4/F., Kowloon Bay Training Centre, 44 樓 建造業議會管理及安全訓練中心」，信
Tai Yip Street, Kowloon Bay, Kowloon. 封上請註明「密閉空間課程」。請勿郵寄現
Please mark “Confined Space Course” on the 金。
envelope and DO NOT send in cash.
4. A single crossed cheque / bank draft should be 每報讀一項課程，請獨立遞交一張抬頭為
made payable to “Construction Industry 「建 造 業 議 會 」之劃線支票或銀行本票，並
Council” for each course applied. Your name, 於 支 票 / 銀 行 本 票 背 面 寫 上 姓 名、聯 絡 電 話
contact telephone number and course name 號碼及課程名稱。
should be written on the back of the cheque /
bank draft.
5. Course fees paid are not refundable except 除特殊情況或申請不被接納外，已繳學費概
under exceptional circumstances or when the 不退還。
application is not accepted.
6. The Council will issue the Certificate according 請清楚及正確地填寫報名表。本議會將按所
to the information provided in the application 填寫之資料發出證明書，如因所填資料錯漏
form. Request for re-issuing the Certificate due 而導致證明書需要重發，本議會將酌收手續
to inaccurate or insufficient information provided 費每張伍拾圓正。
will only be entertained at a charge of HK$50.
