Hong Kong Red Cross - Corporate & Organization Application

Corporate & Organization Application

FAQ

Step 1

Course Description
Step 2

Group Info
Step 3

Course Info
Step 4

Equipment
Step 5

Material Order

Re-Exam of Automated External Defibrillation Certificate Course (REA)

Re-examination: Candidates who failed the written examination can apply for Re-Exam of Automated External Defibrillation Certificate Course (REA) once. HK$200 will be charged. All re-examination should be taken within 6 months from the date of first examination.

*Remarks - Hong Kong Red Cross reserves all rights to make alternation on the above terms and acceptance of student enrollment.

Identity

New Join New Join

Joined Before(Please fill in Corporate ID) Joined Before(Please fill in Corporate ID)

Particulars of Corporate/Organization

Corporate or Organization ID

Corporate/Organization Name(English)(*)

Corporate/Organization Name(English)

Corporate/Organization Name(Chinese)

Phone No.(*)

Area Code

Phone No.

Class Address

Particulars of Corporate/Organization

Corporate/Organization Name(English)(*)

Corporate/Organization Name(English)

Corporate/Organization Name(Chinese)

Industry(*)

Industry

Phone No.(*)

Area Code

Phone No.

Class Address

Class Coordinator

Information of Contact Person

1st Contact Person*

Salutation(*)

Salutation

Name in Chinese

Surname(*)

Surname

First Name(*)

First Name

Department

Post/Title

Contact Phone No.(*)

AreaCode

Contact Phone No.

Other Telephone No.

Corporate/Organization Telephone No.

Area Code

Corporate/Organization Telephone No.

Fax No.

Other Telephone No.

Fax No.

Address(*)

Address

Address (Chinese)

District

Area

E-mail Address(*)

E-mail Address

(A copy of your submitted form will be sent instantly to your email address by system automatically after successful submission.)

Area Code

2st Contact Person(if applicable)

Salutation

Name in Chinese

Surname

First Name

Department

Post/Title

Contact Phone No.

AreaCode

Contact Phone No.

Billing Address

E-mail Address

Area Code

How do you know about related training?

X	How do you know about related training?

HKRC Website

X	How do you know about related training?

Poster & Leaflet

X	How do you know about related training?

Social Media

X	How do you know about related training?

Schools

X	How do you know about related training?

Newspaper & Magazines

X	How do you know about related training?

Friends & Relatives

X	How do you know about related training?

Outdoor Advertisement

X	How do you know about related training?

Electronic Newsletter

X	How do you know about related training?

Employee Retraining Board

X	How do you know about related training?

Hospital Authority

X	How do you know about related training?

Elderly Home

X	How do you know about related training?

Others

Opt-in for Marketing: Opt-in for Marketing:

Billing Contact Person

Same as Class Coordinator Same as Class Coordinator

Current Contact Current Contact

Current Contact

New Contact New Contact

Salutation(*)

Salutation

Name in Chinese

Surname(*)

Surname

First Name(*)

First Name

Department

Post/Title

Contact Phone No.(*)

AreaCode

Contact Phone No.

Other Telephone No.

Corporate/Organization Telephone No.

Area Code

Corporate/Organization Telephone No.

Fax No.

Other Telephone No.

Fax No.

Billing Address

Billing Address(Chinese)

District

Area

E-mail Address(*)

E-mail Address

Course Detail

Course Type(*)

HT HT

Health Training

FAT FAT

First Aid Training

Course(*)

Course

Recommend Training Category

Medium of Instruction(*)

Medium of Instruction

No. of Attendants(*)

No. of Attendants

For Health Worker Training

X	For Health Worker Training

Require ERB Registered Trainer

X	Require ERB Registered Trainer

Equipped with AED

X	Equipped with AED

AED Model

Certificate

X	CertificateSelf pick-up Mailing Service

[Additional Charge]

No. of Days for Class Session

day

Schedule

Schedule Instruction

Class / Exam Venue

Same as Mailing Address

Address

Rent HKRC Venue

[Additional Charge]

Class Date

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

X	Session Date

From

Session Date

From

Class Date

Apply for 1 class Apply for 1 class

Apply for more than 1 class Apply for more than 1 class

Choice

Address

Class Date

TimeFrom

TimeTo

No.of Participants*

Choice

Address

X	Session Date

From

No.of Participants*

Exam Date

X	Session Date

From

Session Date

From

Delivery Contact Person

Delivery Service Delivery Service [Additional Charge]

Self pick-up Self pick-up

Delivery Contact

Same as Class Coordinator Same as Class Coordinator

Current Contact Current Contact

Current Contact

New Contact New Contact

Salutation(*)

Salutation

Name in Chinese

Surname(*)

Surname

First Name(*)

First Name

Department

Post/Title

Contact Phone No.(*)

AreaCode

Contact Phone No.

Other Telephone No.

Corporate/Organization Telephone No.

Area Code

Corporate/Organization Telephone No.

Fax No.

Other Telephone No.

Fax No.

Delivery Address

Delivery Address(Chinese)

District

Area

E-mail Address

Special requirement

Staircase

No No

Yes Yes

[Additional Charge]

Pre-registration is required

No No

Yes Yes

Parking Advice

Training Materials/Equipment can be provided by Corporate/Organization

(Applicable to self-provided training venue by corporate / organization)

Label

Computer with CD Rom

Label

White Board*

Label

VCD Player

Label

Projector*

Label

Audio Equipment*

Label

No. of Free Car Park

Quantity

Label

Screen

Label

Towel

Quantity

Label

Transportation Allowance / Shuttle Bus

Label

Mat

Quantity

Order Training Material

(Optional, ordered material will be distributed in the class)

Item	Price(HK$)	Qty	Total(HK$)	Action

Special Requirement

Enter Security Code

If you fail to read the security code, you may press the Refresh button next to it or listen to the security code, or call 39710288 or send email to hcs@redcross.org.hk.
Please confirm that your physical condition is suitable for participation in the relevant course before registering. If necessary, you may consult a doctor for advice.

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