Application for Platform Revolution & Breakthrough Programme

Programme Dates: 9 & 10 June 2021
Time: 9:30am - 5:00pm
Venue: CUHK Business School Town Centre (Central) or Live virtual class (Zoom)

You will receive notification from APIB once your application together with payment is received. APIB reserves the final right to decide the appropriate mix of participants to ensure the programme quality.

Important Notes
1. APIB of CUHK Business School reserves the right to make any amendments to the programme without prior notice.
2. For cancellation received in writing at least 4 weeks prior to the programme commencement date, a refund of 50% of the program fee is available.
3. All information collected will be kept confidential, and treated strictly in accordance with the University’s Policy on protection of personal data. Personal data will be used for the purpose of programme development, market research and direct mailing only.

Participant information

Title

Participant information Title Dr. Mr. Mrs. Miss Ms
Full name Full name First Last
Contact Phone Number
Email
Please indicate your preference of learning mode

Please indicate your preference of learning mode Face-to-face class (CUHK Shatin campus) Live virtual class (Zoom)
CUHK Alumni?

CUHK Alumni? Yes No
If yes, please specify the program and graduation year
Highest Academic Degree Obtained:
Job title
Company & Department / Unit:
Managerial Experience: (No of Years)
Area, scope and level of job responsibility:

Language Proficiency
Language Proficiency	Native or Bilingual proficiency	Professional working proficiency	Limited working proficiency	No proficiency
English	EnglishNative or Bilingual proficiency	EnglishProfessional working proficiency	EnglishLimited working proficiency	EnglishNo proficiency
Cantonese	CantoneseNative or Bilingual proficiency	CantoneseProfessional working proficiency	CantoneseLimited working proficiency	CantoneseNo proficiency

Other programs of Digital Leadership Series for Executives that I attended before

Other programs of Digital Leadership Series for Executives that I attended before Platform Revolution & Breakthrough The Power Duo of AI & Big Data Corporate Innovation & Intrapreneurship AI & Big Data Experiential Workshop for Executives From Design Thinking to Agile Product Development Digital Marketing & Customer Engagement Leadership and Workforce Transformation in the Digital Era Blockchain for Business Executives Other Other
Corporate Applicant Information (for corporate applicant only)

To enjoy corporate rate, please provide corporate information
Company / Organization:
Industry / Nature of Business:
Contact person information

Title

Contact person information Title Dr. Mr. Mrs. Miss Ms
Full name Full name First Last
Job title
Department / Unit:
Contact Phone Number
Email
Correspondence Address:
Payment method
Promotional code (if any)
Make a cheque payable to "The Chinese University of Hong Kong" and mail to:
The Asia-Pacific Institute of Business (APIB)
The Chinese University of Hong Kong
Rm 846, 8/F, Cheng Yu Tung Building
No 12 Chak Cheung Street, Shatin, Hong Kong

Or

By credit card

Make a cheque payable to "The Chinese University of Hong Kong" and mail to: The Asia-Pacific Institute of Business (APIB) The Chinese University of Hong Kong Rm 846, 8/F, Cheng Yu Tung Building No 12 Chak Cheung Street, Shatin, Hong Kong Or By credit card I hereby authorize The Chinese University of Hong Kong (CUHK) to debit from my credit card account with the following details for the payment of program fee
Credit card type

Credit card type Visa Master
Total Amount to be debited (in Hong Kong Dollar)
Credit Card No.
Name Printed on Credit Card
Expiry Date (MM / YY)
Issuing bank
Disclaimer The personal data collected will be used by The Asia-Pacific Institute of Business (API) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

Application for Platform Revolution & Breakthrough Programme

Corporate Applicant Information (for corporate applicant only)

Payment method