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Form 1 Rev. 0 (20040628) Page 1 of 2
(For Office use)
Membership No.
Results through KM知識管理 成功之道
知 識 管 理 發 展 中 心 有 限 公 司 Knowledge Management Development Centre Limited
Room 505, 5/F, Far East Consortium Building 121 Des Voeux Road Central, HONG KONG SAR
Tel: 852-8101-KMDC (852-8101-5632) Fax: 852-8102-KMDC (852-8102-5632)
Email address: [email protected]
Application Form for Membership for Ordinary Member (Please read the notes carefully before completing the form)
PERSONAL DETAILS (IN BLOCK LETTERS)
Name (Same as printed on HKID) Title Surname Given names in full Name in Chinese
(if applicable) Hon. / Prof. / Dr. /
Mr. / Mrs. / Miss / Ms. (Delete as appropriate)
Name of Company/Organization: ___________________________________________________ Address: (Business)_______________________________________________________________
__________________________________________________________________ (Home)_________________________________________________________________
__________________________________________________________________ (Correspondence to Business / Home / Others (Please select the applicable)
__________________________________________________________________ Contact Business Personal E-mail
Telephone
Mobile
Pager
Fax