香港教育博物馆.doc

香港教育博物館 Hong Kong Museum of Education 電話2948 8814 傳真 Fax: 2948 7016 地址：新界大埔露屏路10號D1座平台Address: The Hong Kong Institute of Education, Podium Level, Block D1, 10 Lo Ping Road, Tai Po, N.T. Hong Kong 電郵hkme@.hk 網址.hk 團體參觀申請表 Application for Group Visit 團體名稱 (中文):　 Name of Organization (English): 地址 Address: 聯絡人 Contact Person: 電郵地址 Email Address: 聯絡電話 Contact No: 傳真號碼 Fax No: 參觀日期 Date of Visit : ________________ 參觀時間 Time of Visit : _____________ –_____________ 參觀人數 No. of visitors: ________________ 班別 (學校適用) (for schools) : _______________ 領隊人數 No. of leaders: ________________ 參觀總人數 Total : _______________ 導賞服務 Guided ( 需要 Required ( 不需要 Not Required 選擇語言 Language Preferred ( 粵語 Cantonese ( 普通話 Putonghua ( 英語 English 曾參觀本館 Visited efore ( 是 Yes ( 否 No 有興趣參觀的地方 (可選擇多於一項) that you would like to visit (can select more than one): ( 香港教育博物館 HK Museum of Education ( 蒙民偉圖書館 Mong Man Wai Library ( 香港教育學院校園遊 HKIEd Guided Campus Tour* *僅提供予中學及中學生團體Available to secondary schools and secondary students only 請略述貴機構之背景資料及是次參觀的主要目的。 Please provide brief background information of your Organization and the main purpose of this visit. 特別(例如人士特別) Special Arrangements (e.g. lectures, workshops, activities, special facilities for the elderly or wheel-chair users): 日期Date 簽署Signature 本館專用 Official Use Only Application : accepted* / not accepted* Date received : _______________________ Confirmed date of visit : _______________________ Applicant notified on : _______________________ Remarks : _______________________ Guide arranged : _______________________ Authorized by : _______________________ Signature : _______________________ Date : _______________________ 申請須知 Notes on Application: 地址：新界大埔露屏路10號D1座平台Address: Hong Kong Museum of Education, The Hong Kong Institute of Education, Podium Level, Block D1, 10 Lo Ping Road, Tai Po, New Territories, Hong Kong. 開放時間： 星期一至星期日，上午10:00至下午5:00 (學院假期及公眾假期休館) Opening Hours:Monday to Sunday, 10:00 am – 5:00 p