申請編號 - coy.gov.hk.docVIP

申請編號 Application No. (此欄由秘書處填寫For official use only) Application Form for Funding Scheme for Youth Exchange in the Mainland 2015-16 （請填妥一式四份表格連同以MS Word格式儲存的軟複本一併遞交） submit the completed application form in quadruplicate in simple binding together with a soft copy in MS Word format) 甲部 Section A 申請團體資料 Particulars of Applicant Organisation 申請團體名稱 Name of Applicant Organisation 單位Unit （請夾附註冊或證明文件副本。Please attach a copy of registration/supporting document.） 團體簡介 Brief description of the organisation 乙部 Section B 活動計劃概要 Project Overview 活動計劃名稱 Name of project 活動主題 Project theme 活動計劃是 The project is #???( 雙向交流考察計劃（包括邀請內地青年人來港與曾往內地交流的青年人交流） （請夾附內地相關接待單位表示可舉辦訪港交流團的意向書。） Two-way exchange study programme (including a return visit by Mainland youths who will be received by the same group of Hong Kong youths who visited Mainland ) (Please attach a letter of intent issued by the Mainland organisations paying return visit to Hong Kong.) ( 單向往內地交流計劃 One-way exchange programme to the Mainland （附有內地相關接待機構的意向書。 Letter of intent issued by the receiving organisation in the Mainland attached. □ 有Yes □ 沒有No） 活動計劃有否包括在內地舉辦有助香港青年人認識國情的訓練課程或研討會： Does the project include training course(s)/seminar(s) on enhancing Hong Kong youths’ understanding of China in the Mainland? # □ 有Yes （請提供詳細資料。Please provide detailed information.） 沒有No 交流團詳情* Exchange tour details* 香港青年到訪內地部分 Hong Kong youth delegation’s visit to the Mainland 內地青年訪港部分 Return visit of the Mainland youth delegation (只適用於雙向交流團) (For two-way exchange study tour only) 目的地 Destination 省 縣 市 Province County City 交流日期 Schedule dates 交流日數(如該日活動不超過4小時，應作半日計算) Number of days (a duration of no more than 4 hours should be counted as half day) 參加者數目 Number of participants Aged 12-24歲 Aged 25-29歲 Aged 12-24歲 Aged 25-29歲 隨團工作人員數目 Number of staff members accompanying the group 預算開支 Estimated expenditure 申請撥款 Sponsorship sought 配套