Application for Mini-MBA in Innovative Leadership

Start Date: 9 Oct 2021
Venue: Executive Education Suite, 1/F, Cheng Yu Tung Building, The Chinese University of Hong Kong, Shatin, Hong Kong

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 programme 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 *
CUHK Alumni? *

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

Corporate Applicant Information (for corporate applicant only)

Payment method