畅通易达时租泊车优惠更改登记资料申请表-领展.PDF

暢通易達時租泊車優惠更改登記資料申請表 Application Form for change the registration information of Accessible Hourly Parking Privilege 請先閱讀附件中的個人資料收集聲明 、本泊車優惠的條款及細則，並以正楷填寫各項資料。 Please read the attached Personal Information Collection Statement, terms and conditions of this Privilege and complete all items in BLOCK LETTER. 申請人資料Particulars of Applicant (傷殘人士 Disabled Person) 申請人姓名Applicant Name :_________________________________________________________________ 聯絡電話號碼Contact Telephone Number :________________________________________________ 汽車牌照登記號碼Vehicle Registration Number: ________________________________________________ 更改事項: Change item(s): 1. 個人八達通號碼(新) Personalized Octopus Card No.(New) :_________________________________________________ 個人八達通號碼(舊) Personalized Octopus Card No.(Old) :__________________________________________________ 2. 通訊地址(新) Correspondence Address (New):_______________________________________________________ 通訊地址(舊) Correspondence Address (Old):________________________________________________________ 更改登記資料原因: Reason for Changing the Registration information: 遺失八達通 信用卡有效日期已滿 搬遷 其他(備註) Others (Remarks): ________________________________________________________________________ (請注意: 1. 申請者或其代表須於交回申請表時出示上述個人八達通及/ 或最近通訊地址證明文件作核對 用途。 2. 所有以上個人資料只作申請暢通易達時租泊車優惠之用及用於附在此申請表的個人資料收 集聲明內所列的其他用途 ，一切資料將會保密。) (Remarks: 1. The Applicant or his/her representative shall present the above Personalized Octopus Card and/or recent document for correspondence address (new) when submitting the application for verification purpose. 2. All the above personal data will be only for processing application for accessible hourly parking privilege and for other purposes more particularly set out in the attached Personal Information Collection Statement, all the