THE SOCIETY OF
CHINESE SCHOLARS ON EXERCISE PHYSIOLOGY AND FITNESS
  
     
Membership Application Form
  
     
 
Mission of the Society: The Society of Chinese Scholars on Exercise Physiology and Fitness (SCSEPF) is a non-profit professional organization committed exclusively to the advancement and improvement of exercise physiology and fitness. SCSEPF provides a forum for exchange of information to stimulate discussion and collaboration among exercise physiologists and fitness professionals.
     
  Today Date: 05.19.12  
 
 I. PERSONAL PARTICULARS 個人資料
 
 
Surname*
英文姓氏*
Other Name*
英文名字* 		Name in Chinese
中文姓名
 
* Prof.
教授 		Dr.
博士 		Mr.
先生 		Mrs.
太太 		Ms.
女士		 Miss
小姐
   
Affiliation
工作單位
Department/Office
學系/部門		  
Position
職位
Correspondence Address*
通訊地址*
Department 學系/部門*
or/或 Rm./Floor 室/層
Affiliation 工作單位*
or/或 Bldg. 大廈
Street 街道
City 城市*
Province/State 省份
Country 國家*
Postal Code 郵政編碼
Tel/Fax/E-mail
電話/傳真/電郵
Country Code 國家編號*
Area Code 地區編號*
 
Off. Tel. No. 辦公室電話*
Mobile 手提號碼
Res. Tel. No. 住所電話
 
Off. Fax No. 傳真號碼
E-mail 電郵地址*
 
     
   
 II. THE HIGHEST DEGREE EARNED 最高學歷
 
 
Dates 日期
(MM/YY) (月/年)
Full Name & Location of Tertiary Institutions Attended*
就讀院校名稱及地址*
Field of Study*
修讀範圍*
Qualifications Obtained
所得資格/文憑/學位
From 由*
To 至*
/
/
 
     
   
 III. MAJOR RESEARCH AREA(S) 主要研究範圍*
 
 
 
     
 
 IV. MEMBERSHIP TYPES AND FEE 會員種類及會費
 
 

Membership Types*
Membership Fee 會費
US$30 / HK$240 per yr.
每年US$30 / HK$240
US$25 / HK$200 per yr.
每年US$25 / HK$200

 
     
 
I affirm that*
1) the statements made by me on this application are correct;
2) I understand that SCSEPF membership is on a calendar year basis: January-December; and
3) the accepted application are non-refundable.
  本人特此聲明上述資料正確無訛，並明白會費是按年度計算的（一月至十二月），並了解會費不可退還。
 
     
 
Preferred Language 語言*
 Eng
  中文(簡/繁)