康乐及文化事务署经由康体通预订的康乐设施.doc

康樂及文化事務署經由康體通預訂的康樂設施 Booking of LCSD Leisure Facilities through Leisure Link 取消預訂設施申請 Application for Cancellation of Booking (最少兩個曆日前申請取消租用段節 at least two days before the booked session applied for cancellation) 由康填寫 For Official Use 職員姓名及職位Name Post of Officer : 簽署: 日期 : 本人現申請取消下列以本人名義預訂的康樂設施，並同意已繳付的租用費不會發還： I would like to apply for cancellation of the following booking of leisure facility under my name. I agree that the hiring charge paid would be forfeited: 場地名稱： Name of Venue日期： Date設施： Facility時間： TimeThe original permit, Audit No.: , is returned herewith. □ 本人遺失原來的租用證，如果尋回該租用證，本人定會交還康樂及文化事務署。 I declare that the original permit was lost. If the permit is found, I will return to the Leisure and Cultural Services Department. *申請人簽署: *Signature of Applicant: 聯絡電話： Contact Telephone Number: 申請人姓名(正楷): Name of Applicant (Block Letters): 傳真 : Fax : 申請人護照/身份證首四個號碼(包括英文字母): First four digits of Passport/HKIC No.: 日期: Date: * 未滿18 歲的申請人須由家長或監護人簽署。 For applicants aged below 18, their parent/guardian’s signature should be obtained. (由辦事處填寫For Official Use 接獲申請通知 (收到申請後發給申請人) Acknowledgement (To be given to the applicant on the receipt of this application) 致: 先生/女士 To: Mr/Ms 你要求取消的預訂設施申請及編號 的租用證已經收到。租用的場地／設施為__________及租用日期及時間是_________________________。 I acknowledge the receipt of the application for cancellation of booking and the permit no. for hiring of _____________________(Venue / Facility) at ____________(Time) on ______________(Date). 職員姓名及職位Name and Post of Officer： 注意事項Notes 1. 請將填妥的申請表格，連同原來的用場許可證(如適用)，於申請取消租用段節最少兩個曆日前交回康樂及文化事務署設有「康體通」的康樂場地訂場處。 Please return the completed application form with the original permit, if available, at least two days before the booked sessions applied fo