會籍membership1.我選擇申請iwouldliketo-康樂及文化事務署.pdfVIP

會籍Membership 1. 我選擇申請 I would like to apply for#: □ 新博物館通行證 New Museum Pass □ 博物館通行證續期 Renewal of Museum Pass◆ 舊證號碼 Previous No.: _________________ 有效期至Valid until: _____________ □ 補領博物館通行證 Replacement of Museum Pass◆ 舊證號碼 Previous No.: _________________ ◆若地址等資料不需更新，只需填寫此表格所有適用的黃色方格項目。 Only fill in applicable entries highlighted in yellow in this application form if other information such as address remains the same. 2. 博物館通行證類別Category of Museum Pass#: □ 個人通行證 Individual Pass □ 家庭通行證 Family Pass □ 優惠通行證 Concessionary Pass: □ 學生 Student (請附有顯示現時為全日制學生的學生證或手冊副本 ，個人八達通卡並不適用Please enclose a copy of student I.D. card or handbook showing proof of current full-time student status, personalized Octopus card with “Student Status” is not accepted) □ 殘疾人士 People with Disabilities (請附殘疾人士登記證副本 Please enclose a copy of Registration Card for People with Disabilities) □ 高齡人士 Senior Citizen (請附長者咭或其他年齡證明文件副本 Please enclose a copy of Senior Citizen Card or other documents for age verification) □ 海洋公園「智紛全年入場證」持有人 Ocean Park “SmartFun Annual Pass” Holder (會員證號碼Membership No.: _______________ ) (請附海洋公園「智紛全年入場證」副本 Please enclose a copy of Ocean Park “SmartFun Annual Pass”) □ 香港迪士尼樂園「奇妙處處通」持有人 Hong Kong Disneyland “Magic Access” Holder (只適用於申請及續領全年博物館通行證 Only applicable to new application and renewal of Museum Annual Pass) (請附香港迪士尼樂園「奇妙處處通」副本 Please enclose a copy of Hong Kong Disneyland “Magic Access”) (會員卡號碼Membership No. : _______________ ) 3. 有效日期Period of Validity#: □ 全年 Annual □ 半年Half Year (不適用於家庭通行證 Not applicable to Family Pass) 申請人資料 Applicant’s Particulars 英文姓名 Name in English : (請用大楷填寫 in BLOCK Letters) 姓氏 Last Name 名字 First Name __________________________________ ___