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Please complete the following form:

Application Form (PDF)

Member Application Form    
Personal Particulars
*Required
Name in English* : Name in Chinese* :
Date of Birth
(mm/dd/yyyy)
: Office Telephone No* :
HK Mobile : China Mobile :
Fax* : Email* :
Contact Person : Email of Contact Person :
Facebook Account :      
Company Information
Company Name (Eng)* : Company Name (Chi)* :
Position (Eng)* : Position (Chi)* :
Company Address (Eng)* :
Company Address (Chi)* :
Factories in China (if app)
Province : City :
Company Website :
No. of Employees
(HK Office)
: (China Factory)
Industry* : Manufacturing Industry
Machinery & Metal Watch Jewelry Plastic
Toy Electronic / Electrical Appliances Textile & Clothing Electroplating / Metal Finishing
Mould Auto Parts Printing    
Others

Service Industry
Wholesale / Retail Account Finance Business Management & Consultancy Service
Law Infrastructure & Property Education & Training Trading
Logistic Communication & Media Hotel & Tourism    
Others
Business Nature* (Max. 50 words) :
Average Annual Revenue of Current Company in the Past 3 Years* :
 
Name of Referee :     
Type the words shown :
 

Important Note
  • Your membership application is subject to the approval of the CEO Club’s Membership Sub-committee.
  • Once your application for membership is accepted by the committee, you will receive a notification and details of membership fees and payment method.

Personal information collection statement:
The above information collected is only for the Club's internal use. CEO Club will deliver PolyU and the Club's latest news and activities through various communication channels by using your contact information (including email address, correspondence address, business address, fax number, mobile phone number and telephone number, if any).  CEO Club will not disclose any personal information provided by you to external bodies unless you have been notified.  You have the right to request access to and correction of information about you held by us. If you wish to access or correct your personal data held by us, please send a message to the webmaster at e-mail address: ceo.club@polyu.edu.hk