ffi$HEEE#Hffi*f6

Continuing Education F und

Application Form

[sF.o302(20lg)]fu_l'1effi*4&'*****ffiEfi!Fffi"H2019+4HtEE,tr.4Fffiffi^*,
*t6' Mffitfr'E6fiffi ryI{+' EEJ|E]B Fffi ffi FX.&trffiH . ftAffirrBH}rz
ZHffiA , Bffi&€trEffiff$filFffi .
is form [SFO 302 (2019)l is a combined application form for account opening and fee reimbursement under the Continuing Education tr'u
Ef). With effect from I April 2019, rpplicants who apply for CEF for the first time are only required to complete this combined form a
all supporting documents upon successful completion ofCEf,'course(s) for applying for both account opening and fee reimbursement at
time. This form is also applicable to applicants who have already opened a CEF account to apply for fee reimbursement only.
j
ft4ffi rffiffiGtrE#HffiffiEl tsFo 301c (201e)] " ffiHffie*yF#&Hr€, rxE&EH+*E .
refer to the'oContinuing Education Fund Guidance Notes for Application" [SFO 301 (2019)] before frlling in the form. Please complete
tems in block with a blue or black ball

&F.ilE" * P!ffi&EiEffiEEHHrt' F#/ld.A€HffiEHtUffiN..

Except the fields marked with * which are optional ones, applicants are required to complete all other fields.

+x&a(flriEffi) *fE# l-J

Name in Chinese: Title: rrl l_.1 rEEMr = I tt Ms. - 2 zir{H r\.{iss = 3
(ifapplicable)

xx{r$
Name in English:
Left-justified - Swmme fust, then Other Name)
6#trhEfuI,I;Hffiffi fl4.EXff
Hong Kong Smart Date of Birth:
Identity Card No.: (#i#ErHH Right-justifi ed) M

i6iflru!t
Correspondence
Address:
(#,HCtglEH'l!{Enl
qiBifltrftTla'ffi&
ESf +#,AtrfxrHf,lr |ffififfi Nme of Building
,E+E.iiit
Please cornplete in
7 L k E L I 2 110 u s E
English block letters.
Ifyour residential
address is not the same
as your correspondence & Nam€ of Sf,Eel
address, please indicate
your residential address
in Part C 'Additional
Information
Applicant")
of
*n $)$ Hong Kong: I /LFE Kowloon = 2 frflf New Teritories : 3

,l+€€i6 4rlbftq€#E
Residential Telephone: Local Mobile Phone
(y*strffi rx Eifr fii ifl *
I ri @i{'& F #i }m * tr
$R?TFFffi*- Acknowledgement of receipt of application will be
1:
BankAccount No.Nut" issued by SMS message)

Bank Code Brmch Code & Account No

*,lfiE6P,fti+E-1? fl Yes: Y *trf,60' SA Chinese: I g$ffirr Pakistani :2

Are you 2 6.ar.. },o,0.., 21X 6No =w EthnicibI"t"': ,,,8 IE)HH{ Nepalese:3 S,fS Others = 4

*H,l&&6ffiilq8
Please specifli for
other ethnicity:
*******+*****************************************************************+******************ri*x****************+******************ri***

currency acmunt or a lom acaoBt.

processing and msessment ofrhe CEF application.

-l-
302 (2019)
iHmHEEffS / Please sign a1 ,^f FBf&E
P.T,O
#EEF Course 1

! #FiB,lr€H To be completed bv the anplicant

ffi& / jgilrl&ffiafB
/
Name of Institution
Course Provider:
r4rr€ffite{EERffiffiH$E1AA
{+k+trAr*+{fr&. t
,B".JiIffit#*ffiffi .,,l7rltl
t+6HEWH##&4ffiffi,
CEF Course Code. I I C 1 2 5 6 o 5
CEF lnstitution i
Course Provider Code:

#6FrtLllr&+#&&1fi'
CEF Course Title: aEetlhH;H =r
E

iF{Effi'#Effi *fi#EEffi 1 2 0 B 2 0 2 0
Course Commencement 1 1 0 B 2 0 2 0 Date of Course ComPletion:
NT'AMYYYY
Date: nltr,tUYYYY
€RA-J/+,419^
Er,BUrf fE
ffitffi r ffieH=ffi Actual Amount of
HKS 418lo
Date of 1't lnstalment
Tuition Fees Paid:
ofTuition Fees Paid: Please romd down to the n€arest dollar and right-justified
^ #HHgryeaF'ir#EiqH"

&#i*€ffiefB
Name of Benchmark Test /
Examination:

s#il€ilEH ffiT$+ffi€ffiHEffi
/ Date ofTest /
Date ofBenchmark Test 37o
Examination Fee Paid:
Examination:

-l'{.J'E#i*€-i{Hffi HKS
Benchmark Test /
Examination Fee Paid:

m) H*;B \t?Hts / f*f,fl#ffi€HE#H ^ -^'*n,ali

^-r comDletion
--_.r4-^4:^- and
provider concerned for tcrtification
ADplicants should submit the form to the institution / course

erffiryE / This is to ceftiry that :

1. +H,,\EUffi6rlA'-ER{s6BtAXESffff!tr'}Zr+4'"F&rfilEEE!&€&ffiEA(l]&HAB4)'fr&FftH&.X
:r.&.iEfllEEEJtrt4B!iRfs#A;,.x(E{fi{*{4atg+kt;i+H-WffiFtffitLEH5-&;fr&'riREX)+Et'Esffi,}trH'!
E,r>ii+#a{imnEs!#H#&+*a,leruu&umeaap " ErHH,\&rLh&}s##.t6}FFrE*EE'!H{ul '
arJixElrAni'nXrle4c'eHAzFf lrffi }ePEffi $l?hF-E'E'ffiFiie*; such higher attendance requirement (,)
The applicant has attended noi*r tf,- iTo/o ofthe contactable hours ofthe
course or o
as prescribed for the course (*h,;";;r is higher) and attained
the overall mark of either 50% or such higher percentage of
is higher) as assessed by whichever method approved by the
o
assessment(s) as prescribed 1'--ii;;;;i*hi"h"r". o
secretary for Labour ana werare iincirJing *v examination ind assignment requirements with approved weighting) The
information provided UV tf-r. .ppfii"tii, ttiis appticatlon form including the course commencement and completion date'
3z) x
ifr" rrr"rrt oftuition fee paid, date ofpayment, €tc are true, conect and complete;
'EiAZEtrH I
2. +ffi inTE)r4*HHE74:,E€,(*E€.)HrriFfcalgE; &+iF,^.E*Agtr5r;R{5H'!ee' #EJffiH&qTH
e'flFfi s"+E #{Eeem+mn$fu'itaeft'Aw#ltileas!-*13{t}(
F.:Effi }tg#He HEnE![fi&) ; &
(UGC)-funded programme(s); or the applicant is a student Authorized StamP ChoP of
The applicant is not a student orurir"i.itv cr"nts-committee
Institution / Course
ofUGC-funded progrun]rr"(r) b.rith" tu,tion fees for the * stated in Part B(I) is not part ofthe tuition fees for the Provider
"orrr" institutions); and
Ucc-furd"d p;"gainrne(s) the applicant enrolled (only applicable to UGC-funded

sFo 302 (2019)

 B[ PART C ADDITTONAL INFORMATION OF APPLICANT

$Uh'#V' El'gr]$tiHrt Use separate sheet if

Tg[ PARr D #ryEB DECLARATTON

lj+iN.EElE .

A,{EAEh! (l+.&ei'r*efiiH+E=EI) (rXTffifE " (+E=6[) ") tsFo 301c (201e)] ,ifieqEgFn6.IEffithHsE: AA
E:Eln'4ifr*.f&nFfiiE*EH!&rFHf'+,#4,\Ffiff,tt,Eif#mHHE!-Afrt.A,i'AiHryE,Fttr,tA,\E8f+,€E{46€*iEf

E!trffi , J-X&-6+'fE'AI'.EI€#1EE!+6F " X illBE

=
, ATtXHt,EE+FAryB#$EfUHm)ffiffiH)f+4{f HftEFHd , FFE{E9E , ry
rEtrsA E lE *l*tiltr EX)*I+H l+ .

4,\fftH+r++ffifn1,e- (+Ed l) ffi 6.1 4.6.s FIE!nA , lErgtrif +;EttgP 6'!'fE -Ai'+&H'ft[H)f+ . 4,\ZilE.e.*4.\F,[,EFiti,z
ig-alllf#tffitE+r+Strffii+61'.6!{E,\-A;f:t , ,x'fF}],+FtrffiIE4,l.fi!+riEfi{ZHA,\*dtrEFi€ffifEtrtE!'4,1s+ "

A ryE E ' vPFffiHifftrtft6A6!+-# , U.k&HffiEE+;ES84 E)E&1EE!#BE " 4l''zsi{{r}r+-$ffifE$q*r+ ,fl1AJ'.e*

Llt fi I :-f, rEEfr rE 6 )E+t E :J flft tr ft [T "

i+{4#,tE6g}rtS,64SFReAtm F EBFf fEE'itry+f, IEHIIF F p!€lF,h 4 .

^Fnqf.*W*,trvR
[hri' , 6,\lEiBff+SE€H44*iEs!+,(E,HiF{HiEA/.E4, .eBHH*tH+E(T'l€HffirXq{.JlE-iFfEeHHlHf,t "

I have the right of abode in the Hong Kong Special Adrninistrative Region (Hong Kong) / right to land in Hong Kong / perrlission
to stay in Hong Kong u,ithout restriction / came to Hong Kong on one-wa,v permit fron.r Mainland China.

I have read and fully understood the "Guidance Notes on the Continuing Education Fund" (the Notes) [SFO 301 (2019)]. I declale
that the inforrnation provided by me in this application fom is complete and true to the best of my knou,ledge. I also declare that I
have not obtained any other public f'unds or assistance under any other publicly-funded financial assistance schemes for the fees to be
reimbulsed for the same course(s), modules or units of study credits from CEF under this application.

I atr aware that the Office of the Continuing Education Fund (OCEF) will rely on the information provided by rne to determine my'
eligibility for receipt of reitnbursement of fees fiom CIEF and to assess the amount of reimbursement to be oflered. I also understand
that any ornission / misrepresentation of information with a view to obtaining pecuniary advantage b), deception is an offence and is
liable to legal proceedings.

I authorize OCEF to handle the personal data / information provided in this application tbrm in accordance with sections 6.1 to 6.5
of the Notes. I also give nly consent to the institutions / course providers concerned to release rnl personal data 1o OCEF lor the
purpose of processing my application or verifuing the information provided in this application.

I undelstand that OCEF has the right to revieu, my application and adjust my entitlements fol leimburserrent if necessary. I ur.rdertake
to refund to the Govermrent of the Hong Kong Special Administrative Region any overpayment made to me upon demand.

Any motrey transfelred to the account nominated fol receipt of reimbursement from OCEF in Part A of this fonl is deenred to be
received b1,me.

Moreor,er. I give my consent that OCEF can use the reimbursement to offset any Non-rneans-tested Loan Scheme loans rvhich l
have borrou'ed for payment of the tuition fee in respect of the same course.

:/
g
--: t:'?r
l---'
iir ,ra
) &u,n ] n
&.L_l

+H ffiB flffi Date

Signature
EYFFETHH For Office [Tse 0nl-v

stGN [lL____.1
sr?
Noc I-l
| s7E |
Processed br Checked by

sFo 302 (2019) -5-

 S PART C FH ff{'*{F[ ADDTTIONAL INFORMATION OF APPLICANT

(rUE'#Ei , EjEr[ffir,fi/d Use separate sheet if necessarv

Tffi PART D HryB DBCLAR{TION

4)'.{*H6,&+n.E[?T&tr (6)#) Egffi ,/A)*^*ffi,/re',E.trW6)8F!E-+4mTq{:i"]tr8{r+t+A\FflfriJ,/++HfEi"dff +Et
l,E)it)6/€,8 "

A,\EAHffi (f+,ffielirEefii6fE=51) (D/TffifE " (+EE1) '') [sFo 301c (201e)]'ffneqEEHru6"tE'fSftHEE: AA

&E{h'+ifr+.ffirtF,trE+EH!6rF"A}lt+,#A F,fff,ttE;f#InEHE!-€#+.A/''/-'HEE,frttr,tAAE8++tH&f#+€+tr7
Al'.slH,HffiH ' 6,i.{fttrEX'f&a\+641i-E-irfr ?#AEn;lBIITF.tlE*rE*#fs ' eEH7r4€i}\81+lII4AFlr .
AArutr ,t+tHiC1i28#l)frFffi (|,lTFgfE "+/,+$ffi") f,4&ffi6^FfrtE{*H!-Aist ,XEA EAf+4rcffi*HG{t H'e#-ffiHfr
fr\Ft4, tX&i+{EA/lE{e4*,En!#68. 4 alnAA , tuTUffiEE+Fqryf++fifl6m)EW'A)Frl4{f,g*EIHm , a[ErE# , Yi
la4ganS',rg*&tztrfrX)*1+Hlr.
4A&tByr+SffiqF,( (fEE I) 'fr 6.1 e 6.5 fA[!] A , ffirstr'fA+;6*t&p-!B!{EA-A++&^a,ft-ArFl .
4AmtrB4LFfiWlfrtilt,/
,g--JIIffilHrE+/SEtrfEi++,\H!iE,^.€;f4 , L\lHYfrHffiffi,E+ E!fi;H*t^H#LifrtrEFiBmtEi+H!-Af+ "
AAryE E , ylY+tr8{BE{AA ElFiE , t\k41Hffi+E+eEB4/.qle*1EH!#AE " 4/.Bifie},r+FffifE$E*s+ ,fr46\&

{I'f4firE6s},r+8tr+$Fft a4*& F E[Ffi tEEq(ry+iE fi!ilFF p!]5]Eh4,,\Ffir&*s!+f, rF "

Iltrl. , 4,\E,Bli+Str€f44FiEE'!+f,E,HiF'{H,8A,\tr4,,\.H.BAH;ii+E{T'fHHffiJ-Xi'f-'Jltr-iF{sE€fi!HFf, .

I have the light of abode in the Hong Kong Special Adrninistrative Region (Hong Kong) / right to land in Hong Kong / perrnission
to in Hong Kong u ithout restriction / came to Hong Kong on one-way permit from Mainland Cl.rina.
sta,v

I have read and fully understood the "Guidance Notes on the Continuing Education Fund" (the Notes) [SFO 301 (2019)]. I declale
that the inforrnation plovided by me in this applicalion form is complete and true to the best of m1, knou,ledge. I also declare that I
have not obtained any other public funds or assistance under any other publicly-funded financial assistance schemes for the fees to be
reimbulsed for the same course(s), modules ol units of study credits from CEF under this application.

I am aware that the Office of the Continuing Education Fund (OCEF) will rely on the information provided by me to determine nry
eligibility for receipt of reimbursement of fees from CEF and to assess the amount of reimbursement to be offered. I also understand
that an1,'ornission / misrepresentation of informaiinn.with a vierv to obtaining pecuniarl, advantage by deception is an off'ence and is
tiable to legal proceedings.

I authorize OCEF to handle the personal data / inlbrmation provided in this application tbrm in accordance with sections 6.1 to 6.5
of the Notes. I also give ulv consent to the institr,rtions / course providers concerned to release nry personal data to OCEF for the
purpose ofprocessing niy application or verifl,ing the information provided in this application.

I understand that OCEF has the right to revieu' m1' application and adjust my entitlements for reimbursement if necessaly. I undertake
to refund to the Government of the Hong Kong Special Adrninistrative Region any overpayment rnade to me upon demand.

Any mone.v transf'emed to the account nominated fol receipt of reimbursement from OCEF in Part A of this forrn is deemed to be
received b,v me.

Moreover. I give m1, consent that OCEF can use the reimbursement to offset any Non-means-tested Loan Scheme loans which I
have borrou,'ed for payment of the tuition fee in respect of the same course.

.-: ,/
-,* --
\ --F ,t:*/'

ll ,f ,Jo)e
+ffi/\ffiE E ffJ Date
Signature
For Office Use

srcNs,7l[l I
Nocs78l
t-l I
Processed by Checked bi

sFo 302 (2019) -5-

 + Erf € ffi # ?sE EE ffi ffi€' FE A El
FTU Employment Developmen[ S"rrii" t-imiteo

Certificate
.\-v\}
sl-_
+-
tr \-7 EI

This is to certi.fy that

HON LIT WAH (LD.Card No.: D595459(3) )
has successfully completed andpassed the assessment of the
Certfficate in Security Guard Training
(The SGSIA Recognized Training Programme-Qualiry
Assurance System Compliance)
during the period of 11 August 2020 and 12 Augus 2020 t
aa>"HW
++YIJ€F @fn?d+ffiEE.: p5e545e(3)
KzozoryJg 11 g
3-z0z0+BE tz E
)

Fxr)r 16 W {R? tr i/ t,ffi :H B & tr E -EyfZ

r

( {ft ? & ;e f+i * H rE 4 E g ts q i/r ffi ix fE - a * H H {f; iH a

I 6fr ffi 4 )

4 ix fE as 6 )& H l,ti & q*

x H m i+ E E iy B h H ffi# +ffi.* -ae ;fl fE
This program has been accredited by HKCAAVe as
eF Level I Course

/'

/
,t
Course Trainer
/ ---d
/\g** ffiA
Course Coordinator
iRfs€tm +{HX FTU Employment Development Service Limited
r 4af
g ffi H €* F.HVffi ffitr. FR A\ E ;FfE $,H ffi

Date of Issue 1210812020

ffi#EHE :2020 + 08 E 12 A

For a period of 5 years from the date of this certificate, the holder of this
certificate may be exempt from the basic
haining on being employed by a security company

F ry 4P [E ,i1.1[,;tjil"T"o.,
te/00tt7ttLt
Reg.No. 2002642
LJUatrfrcatrons
Framework 6;d H {t Sq
ilelistiiiio,ivariaitvperioa 3010912019 5- ZSTOSTZOZS
 :rffi@ffi##ffiff,effiffiffireA8
FTU Employment Development Service LTD
./tn"Ei.Et@,trFF;mtr 50 ifr 6 trF
Eitr : 27156671 lgH : 27619423

This is to certifu that HQN-LIT rUAH of HKID Card No. D595459GL

has successfully completed the following course(s) / modules(s) under
Certificate in Security Guard Training (88C125695):

Name of Course / Module Commencement Completion Date Tuition Fee (HK$) Tuition fee
Date paid payment date
Certificate in Security Guard 1 1-08-2020 12-08-2020 495 0310712020
Iraining

fulfill the attendance requirements and course assessments of the course(s) as approved by the Labour
and Welfare Bureau, with the attendance rate and overall mark of course assessments not less than
100% and 62Yo respectively or such higher requirements as prescribed for the course (whichever is
higher) conducted by FTUEDS is hereby awarded this Proof of Completion of Course

Zo9qq,"
'"t/ -a{,it#
\o'
S/ ax*p \i
A\ ,\kr*R /B
?\d-r,pa.a,/r.
\dh.'<Y
FTU Employment Development Service LTD

Date : 12th August2020

 PnntedbvTerAer HolditrslHmql@g)LinitedTel:2bllsloi l00Ol8'9
l

I=
*,H +H l-r IJ
o
s[]
G
Erilr
+t
In )fi t\)
@o b,J
E[lr - )Ef' F
JIII+ LT.] Ft+ N
*ffi zlrB
IFr
;ffiW
l] E
$i *
+ s
Hi, t;ilffi
H
N)
mlm
H HIi
-{illh
-X,[F
\d ,m
Ei
M
g
:-Dt
Es
Al r..
H:
F-@
r# B xl
Errl
E-
Egl
* orrr
H
ffi ru
H{
=m
H
ffit
)i8
Hr
@x
.Eltl
i{E Ef,w
!il Fl
5{
Eil c,'
*r
t\)
w IHTI
utu
{ -
E,u,lt
ffiru
.UIE I aF
J Dill
h- ill
9$ \ts
FE t\J
lJ)
oto
(r)
fr EE
..
il.+ ilt
lik 4
a
D..J
s -+1,
CN trh
-ts

ilt El
El '
o\
.E
(n s
Eol
=xl
#ffi
t \o x
M}
]>lL tJ)
+ -lr 1.
-t
Xil
ffi h
oo
IU
''l I
Etl
grll
It.I
$tr E] @
T N)
L'T
o)
o\ 99
ioo
(o im (.r)
O tv
li\o
l :l't
r
-)
l,.J
L'I

t-