THEHONGKONGPOLYTECHNICUNIVERSITY香港理工大学.doc

《THEHONGKONGPOLYTECHNICUNIVERSITY香港理工大学.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、THEHONGKONGPOLYTECHNICUNIVERSITYDepartmentofBuildingServicesEngineeringOutstandingBSEAlumniAward2018香港理工大學屋宇設備工程學系屋宇設備工程學系「傑出校友」選舉2018NominationForm提名表格·ThisformshouldbecompletedbyproposerinBLOCKletters.本提名表格須由提名人以正楷填寫。·Ifthereisinsufficiencespace,pleaseuseseparatesheets(notmoret

2、han10pages).Allrelevantdocuments/informationwhichcansupportnominationshouldbelimitedto30pages.如有需要，請以另頁填寫(10頁以內)，所有與提名表格上資料有關的文件副本不得多於30頁，並須與表格一併遞交。·Pleasesubmitarecentcolourphotographofcandidatewithhis/hernameontheback.PleasealsosubmitphotocopiesofCertificatesofGraduationoftheca

3、ndidatewiththisform.請附上候選人彩色近照乙張，並於背面寫上其姓名。同時，請附上候選人之專業證書副本。·AllinformationsubmittedonthisnominationformwillbekeptstrictlyconfidentialandwillonlybeusedbyBSE,PolyUandtheselectionpanelforthepurposeoftheselectionprocess.本表格上提供所有資料將絕對保密，並僅供香港理工大學屋宇設備工程學系及選舉評審團於評選過程中使用。Part1:Candidate

4、’sPersonalParticulars候選人個人資料1.1Candidate’sFullName:候選人姓名Salutation:Prof./Dr/Mr/Mrs/Ms/Miss*稱謂:教授/博士/先生/女士/小姐(InEnglish英文)(InChinese中文)1.2MartialStatus:1.3Nationality:1.4DateofBirth:婚姻狀況國藉出生日期1.4ContactTelNo.:1.5EmailAddress:聯絡電話電郵地址1.6CorrespondenceAddress:通訊狀況Part2:Candidate’sEd

5、ucation&TrainingBackground候選人教育背景2.1HighestEducationAttended最高教育程度:2.2School/CollegeAttended曾就讀院校:(a)University/College大學/大專:(b)Post-graduateInstitute研究院:(c)Others其他:52.3AcademicqualificationsawardedbyBSE,PolyU由香港理工大學屋宇設備工程學系頒授之學歷資格:YearofAward頒授年份NameofAwardinfull獲頒學歷資格2.4Public

6、ations/paperswrittenand/orgiven著作:Part3:Candidate’sAffiliationswithOrganizations&Associations候選人附屬社團及學會NameofOrganization所屬社團或學會名稱Position職位Date:from/to日期:由/至Part4:Candidate’sCareerHistory候選人之職業資料4.1Presentpositionandbriefdescriptionofjobduties現任職位及職務簡介:NameandAddressofCompany/Or

7、ganization:公司/機構名稱及地址Datecommenced:任職日期NatureofBusiness:業務性質4.2PreviousPosition(s)曾任職位:NameofCompany/Organization公司/機構名稱:Datefrom/to日期由/至:Part5:Candidate’sSupporttoBSE,PolyUDevelopment候選人對理大屋宇設備工程學系發展之貢獻Pleasedescribethecandidate’saffiliationswithanyBSE,PolyUand/oralumnibodiesand

8、his/hersupporttoBSE’sdevelopment,includi