公开筹款许可证申请书.DOCVIP

公開籌款許可證申請書Public Subscription Permit Application Form (根據香港法例第228章《簡易程序治罪條例》第4(17)(i)條簽發的許可證) (A Permit issued under Section 4(17)(i), Summary Offences Ordinance, Cap. 228) 在填寫本表格前，必須先閱讀載於附錄的申請公開籌款許可證。 Please read the Explanatory Notes at Appendix before completing this application form. 填妥的申請書必須在舉行活動最少三個星期送達香港灣仔皇后大道東2號36樓301至02室社會福利署署長[經辦人：行政主任（慈善籌款監管）]。（註：申請書afc@.hk） The completed application form should reach the Director of Social Welfare [Attn: Executive Officer Charitable Fund-raising Control)] at Rooms 3601-02, 36/F, Sunlight Tower, 248 Queen’s Road East, Wanchai, Hong Kong not less than 3 weeks (but not more than 2 months) before the proposed activity takes place. (Note: Original copy of Application Form should be submitted. If the application form is submitted through email, it should be sent to afc@.hk with digital signature supported by e-Certificate.) 請於適當項目(加 ( 。 *請 Please tick the appropriate item. Please delete as appropriate. 申請機構的資料Particulars of Applicant Organisation (請提交貴機構的註冊證書，例如由公司註冊處所簽發的公司註冊證書副本一份) (Please enclose a copy of the valid certificate of registration and proof of registered address of your organisation e.g. Certificate of Incorporation issued by the Companies Registry.) 1. 機構中文名稱 Registered Name of Organisation in Chinese 機構英文名稱 Registered Name of Organisation in English2. 機構 (公開籌款機構) Contact Details of Organisation (The Public Subscription Permit will show the registered address in Chinese and English, telephone number and website of the organisation) 中文地址Registered Address in Chinese 英文地址Registered Address in English 通訊地址(如與註册地址不同） Correspondence Address (If different from registered address) 網址(如有) 電郵 Website (if available) E-mail 電話 傳真 Tel No. Fax No. 3. 機構主席或機構負責人姓名 Name of Chairperson / Head of Organisation (中文 (先生 / 小姐 / 女士)* (English) (Mr / Mrs / Miss / Ms)* 香港身分證 / 護照號碼 Hong Kong Identity Card / Passport No. 職位 Position 聯絡電話 Contact Telephone No. 4. 負責管理上述機構人士的資料 Details of office bearers involved in t