公开筹款许可证申请表格7.docVIP

公開籌款許可證申請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，先閱讀載於附錄的公開籌款許可證。 Please read the Explanatory Notes at Appendix before completing this application form. 填妥的申請必須在舉活動最少送達香港灣仔皇后大道東2號36樓301至02室社會福利署經辦人：二級行政主任（慈善籌款監管）。 The completed original application form should reach the following address at least four weeks (but not more than two months) before the commencement of the proposed activity: Lotteries Fund Projects Section Social Welfare Department Rooms 3601-02 36/F, Sunlight Tower 248 Queen’s Road East, Wan Chai, Hong Kong [Attention: Executive Officer II (Fund-raising Control)] 請於適當項目(加?(。 請刪去不適用者。 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 English2. 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／太太／小姐／女士）* (English) (Mr/Mrs/Miss/Ms)* 香港身份證／護照號碼 Hong Kong Identity Card / Passport No. 職位 Post Title 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 responsible for the administration of the organisation 職位 姓名 Post Title Name 會長主席* President / Chairperson* 秘書 Secretary 司庫 Treasurer 5. 機構的宗旨機構的宗旨。Objectives of the organisation (Plea