ApplicationForm

1、Application Form職位申請(qǐng)表Reference Number: Notes for Applicants1. This application form should be completed in block letters and submitted via e-mail at .hk or by post to the Human Resources Office, City University of Hong Kong, Tat Chee Avenue, Kowloon Tong, Hong Kong. Please use a separ

2、ate sheet for further details and explanations where necessary.2. Please ensure that all parts in the form are completed accurately.3. Do not send any copies of academic certificates/qualifications. Successful applicants will be required to produce originals for photocopying/verification by the Univ

3、ersity in due course.4. All information provided will be treated in STRICT CONFIDENCE and used for appointment and other employment-related purposes by the University. It may be disclosed to personnel, departments or agencies authorised to process the information for purposes relating to appointment

4、. Information of unsuccessful applicants will be destroyed one year after the recruitment exercise.5. Your application will not be considered if you fail to provide all information as requested.6. For correction of or access to personal data after submission of this application, please address your

5、request to Data Protection Officer at .hk.7. In the event of any inconsistency between the English version and the translated version of this Form, the English version shall prevail.申請(qǐng)者需知1. 請(qǐng)將填妥的申請(qǐng)表格，透過(guò)電郵郵寄到.hk或郵寄九龍?zhí)吝_(dá)之路香港城市大學(xué)人力資源處收。如空位不敷填寫(xiě)時(shí)，可另行寫(xiě)在白紙上，連同表格一併交回。2.

6、 請(qǐng)確實(shí)本表格所填寫(xiě)資料正確無(wú)訛。3. 請(qǐng)勿郵寄學(xué)歷證書(shū)副本。大學(xué)將於選聘期間要求成功的申請(qǐng)者出示學(xué)歷證書(shū)正本以供複印核對(duì)。4. 所提供的資料將絕對(duì)保密，並將用作大學(xué)聘選及其他與僱傭有關(guān)事宜。所提供資料或會(huì)發(fā)放給處理聘選事宜之職員、部門(mén)或大學(xué)特許之代理人。未被取錄的申請(qǐng)者資料將於聘選過(guò)程完結(jié)一年後被銷(xiāo)毀。5. 如未能提供所需資料，申請(qǐng)者所申請(qǐng)之職位將不獲考慮。6. 申請(qǐng)者如欲更改或查閱填報(bào)在申請(qǐng)表格上的個(gè)人資料，請(qǐng)透過(guò)電郵.hk向資料保護(hù)主任提出要求。7. 本表格的英文版本與翻譯版本之間若有任何不符之處，應(yīng)以英文版本為準(zhǔn)。I.Job Inform

7、ation 職位資料Job Reference Number職位編號(hào)How did you learn of this vacancy你從甚麼途徑知悉此空缺P(pán)osition Applied for 申請(qǐng)職位Department 部門(mén)II.Personal Particulars 個(gè)人資料Name in Chinese 中文姓名Name in English英文姓名Date of Birth (dd/mm/yyyy) 出生日期 (日/月/年) Title稱(chēng)號(hào) Mr. 先生 Mrs. 太太 Ms. 女士 Miss 小姐Passport Number or H.K. Identity Card Nu

8、mber 護(hù)照號(hào)碼或香港身份證號(hào)碼 Nationality 國(guó)籍Phone Numbers 電話(huà)號(hào)碼Home住所: Office辦公室: Mobile手提: Email Address電郵地址Correspondence Address通訊地址Residential Address (if different from the above address) 住址(如與上址不同)Please put “x” in the box £ whichever is applicable. 請(qǐng)?jiān)谶m當(dāng)空格內(nèi)劃上”x” (June 2018)III.Education Background 學(xué)歷背

9、景Highest Education Level最高學(xué)歷Institution 機(jī)構(gòu)Year of Award (yyyy) 頒發(fā)年份 (年)IV.Education History (in reverse chronological order) 學(xué)歷 (請(qǐng)倒序列出)Period 受學(xué)期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)School/College/University Attended就讀學(xué)校名稱(chēng)Degree/Level Achieved所獲資格Major 主修Full-time or Part-time全日制或部份時(shí)間就讀Date of Awar

10、d (mm/yyyy) 頒發(fā)日期 (月/年)Period 受學(xué)期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)School/College/University Attended就讀學(xué)校名稱(chēng)Degree/Level Achieved所獲資格Major 主修Full-time or Part-time全日制或部份時(shí)間就讀Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)Period 受學(xué)期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)School/College/University Attended就讀學(xué)校名稱(chēng)Deg

11、ree/Level Achieved所獲資格Major 主修Full-time or Part-time全日制或部份時(shí)間就讀Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)V.Public Examination Results 公開(kāi)考試成績(jī)Date of Award (mm/yyyy)頒發(fā)日期 (月/年) Public Examination 公開(kāi)考試 Subject & Grade科目及成績(jī)等級(jí)VI.Technical or Occupational Training (in reverse chronological order) 職業(yè)或?qū)ｉT(mén)技能訓(xùn)練 (請(qǐng)倒序

12、列出)Title and Description of Course/Training訓(xùn)練/課程名稱(chēng)及性質(zhì)Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)Name of Training Organization 受訓(xùn)機(jī)構(gòu)名稱(chēng)Period受訓(xùn)期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)Title and Description of Course/Training訓(xùn)練/課程名稱(chēng)及性質(zhì)Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)Name of Training Organization受訓(xùn)機(jī)構(gòu)名稱(chēng)Period受訓(xùn)期Fr

13、om (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)VII.Other Relevant Skills/Pertinent Information (in reverse chronological order) 其他有關(guān)工作技能及相關(guān)資料 (請(qǐng)倒序列出)Title and Description of License/ Certificate/Activity牌照/證書(shū)/活動(dòng)名稱(chēng)及性質(zhì)Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)Name of Organization 機(jī)構(gòu)名稱(chēng)Period時(shí)期From (mm/yyyy)由(月/年)To (mm/y

14、yyy)至(月/年)Title and Description of License/ Certificate/Activity牌照/證書(shū)/活動(dòng)名稱(chēng)及性質(zhì)Date of Award (mm/yyyy) 頒發(fā)日期 (月/年)Name of Organization機(jī)構(gòu)名稱(chēng)Period時(shí)期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)VIII. Employment Record (in reverse chronological order) 工作經(jīng)驗(yàn) (請(qǐng)倒序列出)Employment Period聘用期From (mm/yyyy)由(月/年)To (mm/yyy

15、y)至(月/年)Title of Position Held職位Full-time or Part-time全職或兼職Name of Employer and Address工作機(jī)構(gòu)名稱(chēng)及地址Nature of Duties工作性質(zhì)Employment Period聘用期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)Title of Position Held職位Full-time or Part-time全職或兼職Name of Employer and Address工作機(jī)構(gòu)名稱(chēng)及地址Nature of Duties工作性質(zhì)Employment Period聘

16、用期From (mm/yyyy)由(月/年)To (mm/yyyy)至(月/年)Title of Position Held職位Full-time or Part-time全職或兼職Name of Employer and Address工作機(jī)構(gòu)名稱(chēng)及地址Nature of Duties工作性質(zhì)Total Full-time Employment Period總?cè)毠ぷ鹘?jīng)驗(yàn) years (年) months (月)IX.Details of Present/Most Recent Employment Package 現(xiàn)職或最近就業(yè)的薪酬待遇Basic Salary per month每月底薪

17、Incremental Date (dd/mm/yyyy) (if applicable)加薪日期 (日/月/年) (如適用)Gratuity 酬金Other Allowance (please specify)其他津貼 (請(qǐng)?jiān)敿?xì)列明)Earliest date available if appointed如被錄用可於何日上任Expected Salary要求薪金X.Other Information 其他資料Are you closely related to any employee of CityU (e.g. relative, close friend, former colleag

18、ue, etc.)? Yes 是 No 否你是否與任何現(xiàn)職於香港城巿大學(xué)之僱員有緊密關(guān)係 (例如親屬、好朋友、前工作同事等)？If yes, please state their names, positions and relationships to you:如與大學(xué)僱員有緊密關(guān)係，請(qǐng)列明其姓名、職位名稱(chēng)、部門(mén)及與申請(qǐng)者之關(guān)係Name 姓名Title of Position Held 職位名稱(chēng)Department 部門(mén)Relationship 與申請(qǐng)者關(guān)係Have you previously employed at CityU?你曾否受聘於香港城巿大學(xué)？ Yes 是 No 否please

19、 provide your CityU staff number請(qǐng)?zhí)峁┠愕南愀鄢菐埓髮W(xué)僱員號(hào)碼XI.Referee 諮詢(xún)?nèi)薖lease provide information of the referee. The referee must be your present or the most recent employer who is able to comment on your suitability for appointment.請(qǐng)?zhí)峁┲J詢(xún)?nèi)速Y料。 諮詢(xún)?nèi)隧殲楝F(xiàn)職或近期僱主，並可提供意見(jiàn)你是否適合此職位。Name 姓名Title of Position Held 職位Relati

20、onship 與申請(qǐng)者關(guān)係Telephone Number電話(huà)號(hào)碼Email Address 電郵地址Name and Address of Organization 機(jī)構(gòu)名稱(chēng)及地址City University of Hong Kong may write to your present and previous employers if you are invited for interview. If you wish us to give you prior notification before approaching your present employer, please pu

21、t “ x ” in the box . To facilitate the University to obtain the reference reports, where deemed necessary, please complete the authorization below:如香港城巿大學(xué)邀請(qǐng)閣下出席面試，大學(xué)或會(huì)通知你現(xiàn)職及過(guò)往僱主。如希望大學(xué)預(yù)先通知你才與你的現(xiàn)職僱主聯(lián)絡(luò)，請(qǐng)?jiān)诳崭?內(nèi)畫(huà)上 “ x ”。為方便大學(xué)能取得諮詢(xún)報(bào)告，請(qǐng)?zhí)钔滓韵碌氖跈?quán)書(shū)I hereby authorize City University of Hong Kong to obtain inform

22、ation relating to my work performance and employment record from my present and previous employers.本人授權(quán)香港城巿大學(xué)可向本人的現(xiàn)職及過(guò)往僱主索取有關(guān)本人的工作表現(xiàn)及僱傭任職紀(jì)錄。Date 日期Signature 簽署Passport Number 護(hù)照號(hào)碼 orH.K. Identity Card Number 香港身份證號(hào)碼Name 姓名XII.Data Collection in Other Position(s) 資料收集用作其他空缺考慮Are you willing to share

23、your application information to other CityU openings? Yes 是 No 否你是否願(yuàn)意讓大學(xué)轉(zhuǎn)介你的申請(qǐng)資料予其他的大學(xué)空缺？XIII.Declaration 聲明I declare that the information given in my application and in this form is correct and complete to the best of my knowledge. I understand that if I knowingly give false information or withhold

24、 any material information, City University of Hong Kong has every right to rescind any verbal/written offer of appointment and I will be liable to dismissal if I am eventually appointed by City University of Hong Kong.本人謹(jǐn)此聲明，在此申請(qǐng)及申請(qǐng)書(shū)上填報(bào)之資料全屬確實(shí)無(wú)訛。若本人故意提供虛假資料，或隱瞞任何重要資料，香港城巿大學(xué)可取消發(fā)出的口頭或書(shū)面聘約，或縱使已獲聘任仍可遭解僱

25、。I acknowledge that I have read and understood the Personal Information Collection Statement (PICS) in the Appendix and agree to the treatment of my personal data in accordance with the PICS. I understand and agree to the transfer of my personal data outside Hong Kong in accordance with the PICS. I

26、acknowledge and agree that some jurisdiction(s) where my personal data may be transferred to may not have in place data protection laws which are substantially similar to, or serve the same purposes as, the applicable privacy laws of Hong Kong. I agree that this means that my personal data may not b

27、e protected to the same or similar level as that in Hong Kong.本人確認(rèn)已閱讀和知悉附錄之收集個(gè)人資料聲明(英文版本)，並同意香港城市大學(xué)根據(jù)收集個(gè)人資料聲明使用本人的個(gè)人資料。本人知悉及同意就收集個(gè)人資料聲明轉(zhuǎn)讓本人的個(gè)人資料至香港境外。本人確認(rèn)及同意本人資料所轉(zhuǎn)移到香港以外之地方，該處可能沒(méi)有與個(gè)人資料（私隱）條例大體上相似或達(dá)致與此條例的目的相同的目的之法律，亦即是說(shuō)，本人的個(gè)人資料未必可以獲得與在香港相同或類(lèi)似程度的保障。Date 日期Signature 簽署Please put “x” in the box £ w

28、hichever is applicable. 請(qǐng)?jiān)谶m當(dāng)空格內(nèi)劃上”x” Appendix 附錄(只提供英文版本)City University of Hong Kong (the "University")Personal Information Collection Statement ("PICS") Job Applicants1. The personal data collected in this Application Form will be used by the University to assess your suitabili

29、ty for the position you have applied for within the University and to determine the remuneration and benefits package, if applicable. If you are successful in securing a job with the University, data collected during the recruitment process will be transferred and used for the purpose

30、s related to your employment with the University.2. The personal data collected may be transferred, within or outside Hong Kong, to the University's subsidiary and associate companies; or to any other third party, for the above mentioned purposes. Some jurisdiction(s) where your personal data may be transferred to may not have in place data protection laws which are substantially similar to, or serve the same purposes as, the applicable privacy laws of the jurisdiction which governs your employmen