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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

Knowledge Management Development - KMDC · Knowledge Management Development Centre Limited ... to the best of my knowledge and belief, the information submitted hereto in support

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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