Social Workers Registration Board

Renewal Application Form

To: Registrar,
Social Workers Registration Board

Please fill in the following fields as appropriate:

1.	I	wish			to apply for renewal.
		do not wish

2.		I confirm that there is no change in my personal particulars as per the Verification of Personal Particulars Form enclosed with your letter/email inviting me to apply for renewal.
		I confirm that there are changes in my Personal Particulars as follows:

		A. Personal Particulars

		Home Tel No.:				Office Tel No.:
		Mobile Phone No.:				Pager No.:
		Fax No.:
		Email to be put on the Register:
		Address to be put on the Register:
		(This address will be used as the correspondence address)

		B. Employment

		Current Employer:
		Current Rank:
		Start Date (with current employer at current rank): (Month / Year)

		C. Academic Qualification (Please provide supporting document)

		Qualification:					Year of Award:
		Name of Institution:					Country:


3.	As requested, I send the following documents separately for your processing:

		(a)		Notification of Charges and Convictions (if applicable)

		(b)		Documents required in the check-list for outstanding document (if applicable)

		(c)		Other documents (Please specify: )

4.	I would like to effect the payment for my renewal by:

			Cheque which will be sent to you by separate mail.
			(Please make your cheque payable to "Social Workers Registration Board" and print your name and registration number clearly at the back of the cheque. Post-dated cheque would not be accepted.)


			PPS 繳費靈 (via phone) Merchant Code: 9329
			PPS 繳費靈 (via www.ppshk.com) Merchant Code: 9329
				(You may enter the PPS website by clicking the PPS logo.)
			PPS 繳費靈 (make Instant Payment Online)
			Others (Please specify: )

	Name:
	Registration No.:
	HKID Card No.:
	Email Address:
					(If you provide an email address in this field while submitting this application form, you will receive a copy of this application form. )

Note: This application form will only be submitted after you have entered your name, registration number and HKID number in the required fields.