马来西亚神学院

马来西亚神学院 马来西亚神学院 STM P.O.Box 175, 70720 Seremban, Negeri Sembilan Tel: 06-6322815 神学教育延伸课程 2016 Chinese TEE Fax: 06-6329766 Email: chintee@stm2.edu.my FOR OFFICIAL USE ONLY 学科报名格 Enrolment Form Applicant Particulars (请书写端正) 姓名Name :(中) (英) 性别Sex: 先生 Mr. / 女士Ms 身份证号码 I.C.No: Church: 教会/宗派 电话Tel (办事处Office): 电话Tel (住宅Home): 手机Hand phone: 传真Fax: 邮址Email: 地址Address: Program Status: ? Registered Student (CertCM / DipCM / BTh / GradDipCS/ MCS) ? Non-registered Student Date 日期 Subject 科目 Lecturer 讲师 公共神学的反思与实践 龚立人博士 3月1 - 4日，2016 Reflection and Practice of Public ,星期二至五, Prof. Kung Lap Yan Theology Taking Credit 修学分 Audit 旁听 , STM 2016 Budget: We need donations of RM3.1 million. Your kind donation of a minimum of RM300 to fund part of this course is much appreciated. 神学院在 2016 年预算的运作开支超过马币 3 百万。我们感激您奉献至少 RM300 以支持这个课程。 Accommodation (*以单人计算, 申请者有需要自寻同寝室友) RM114.00 Single bedded Air-conditioned dormitory room冷气单人房 @ RM38 x 3 nights RM78.00 Twin sharing Air-conditioned dormitory room 冷气双人房 @ RM26 x 3 nights Air-conditioned room with attached bathroom客房 (limited units) i) Single occupancy: RM70 x 3 nights RM210.00 ii) Double occupancy: RM90 x 3 nights RM270.00 Extra nights needed (please state number of nights and the date) ) 额外夜晚 ______ extra night(s) of stay from ________________ to ________________ RM 总共Total: Modes of Donation 现款Cash: RM_____________ 直接汇款至本院芙蓉大众银行户口(Public Bank Bhd, Seremban) 号码no.: 3-0647599-00 支票号码Cheque no.: _____________(划线支票抬头请写“Seminari Theoloji Malaysia”) 马来西亚神学院 STM P.O.Box 175, 70720 Seremban, Negeri Sembilan Tel: 06-6322815 神学教育延伸课程 2016 Chinese TEE Fax: 06-6329766 Email: chintee@stm2.edu.my 学生签名:__________________ 呈上表格日期:__________________