RENEW MEMBERSHIP FORM
Membership Application:
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Renewal
Membership No.
Name (English) (The name should be identical to that appeared on the identity document) (To be completed in BLOCK letters)
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Name (Chinese)
First 4 Characters of Identity Document No.(e.g. A123 for A123456(7))
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Telephone No. (Mobile)
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Email address
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Name of Company
Occupation
Position
Office Address
Telephone No. (Office)
Fax No.
Residential/Corresponding Address
Telephone No. (Residential)
Type of membership
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1-year Ordinary membership of ISI - HK$50
5-year Ordinary membership of ISI - HK$200
Life membership of ISI - HKD 500
Attachment
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I confirm that the information given above is true and complete and I understand that the information will be kept in strict confidence and used only for administration and communication proposes by the Institute of Systematic Innovation, Hong Kong.
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Yes
No