康乐及文化事务署-康体通用户申请表解析.docVIP

康樂及文化事務署－康體通用戶申請表 LEISURE AND CULTURAL SERVICES DEPARTMENT – LEISURE LINK PATRON APPLICATION FORM 康文署專用 FOR OFFICIAL USE ONLY 資料已核對 Information checked 是 Yes ( 核對記錄員 Record checked by (Name / Post) / 日期/ Date: 申請編號 Application No: ________________ 檔案記錄員 Record created by:_____________ 申請人資料 PARTICULARS OF APPLICANT 姓名 Name (英文in English) : (請用正楷填寫 in BLOCK letters) (中文in Chinese) : ____________________________________________________________________(如適用 if applicable) 中文姓名電碼 Chinese Character Code : 出生日期 Date of Birth : 性別 Sex * : ? 男Male ? 女Female 日 DD 月MM 年YYYY 香港身份證號碼 : Hong Kong Identity Card No. (未滿11歲而並未持有香港身份證的兒童，請填寫出生證明書/簽證身份書/回港證/前往港澳通行證(俗稱單程證)號碼 (Applicants under the age of 11 who do not have a Hong Kong Identity Card should enter their birth certificate no./Document of Identity /HKSAR Re-entry Permit/One-way Permit) 通訊地址 : ______________________________________________________________________________________________ Correspondence Address ______________________________________________________________________________________________ 電話號碼Tel. No. (日間Day):___________________________ 手提電話／傳呼機號碼Mobile /Pager No.: ______________________ 傳真號碼Fax No. : ____________________________ 電郵地址E-mail Address : _____________________________________ 收取申請通知書(請選擇一項方式) Receive acknowledgement by (please select one method) : ? 電郵 Email ? 郵寄 Mail ?傳真 Fax 申請人的家長或監護人資料（只供未滿18歲申請人的家長或監護人填寫） PARTICULARS OF PARENT OR GUARDIAN OF APPLICANT (to be completed by the parent or guardian of an applicant under the age of 18) 姓名 Name (英文in English) : (請用正楷填寫 in BLOCK letters) (中文in Chinese) : ____________________________________________________________________(