务请参阅二零一零年度（二轮）禁毒基金拨款计.docVIP

PAGE 二零一零年度 二零一零年度(第二輪) 禁毒基金撥款計劃 Beat Drugs Fund 2010 Funding Exercise (Second Round) 填表時務請參閱?二零一零年度(第二輪)禁毒基金撥款計劃指引?，申請表須於二零一零年十一月三十日 This form should be completed with reference to “Guide to Beat Drugs Fund 2010 Funding Exercise (Second Round)”. It should be returned to the Beat Drugs Fund Association, c/o Narcotics Division, Security Bureau, 30/F, High Block, Queensway Government Offices, 66 Queensway, Hong Kong on or before 6:00 p.m. on 30 November 2010. 送交表格時請交齊以下文件： 申請表(連同相關的證明文件，一式五份) 申請表的電子版(連同相關的證明文件，共一份) Please ensure the following documents are included in your submission of application: Completed application form (five copies, including supporting documents); and Electronic version of the completed application stored in CD or 3.5” floppy disk (one copy, including supporting documents 註： 如8號或以上熱帶氣旋信號或黑色暴雨警告信號於十一月三十日下午二時至六時仍生效，申請截止時間將順延至下一工作日下午六時。 Note: If typhoon signal no. 8 or above or black rainstorm warning signal is valid between 2:00 p.m. and 6:00 p.m. on 30 November 2010, the application deadline will be postponed to 6:00 p.m. on the next working day. PAGE 16 此欄無須填寫 For Official Use Only 檔案編號 Reference No: 禁毒基金申請表 Beat Drugs Fund Application Form (可用中文或英文填寫。To be completed in Chinese or English) 甲部 計劃資料 Part A Project Information 計劃名稱 Project name 中文 Chinese: 英文 English: 申請人/機構 Applicant 中文 Chinese: 英文 English: 地址 Address: 電話 Tel. No. 傳真 Fax No. 電郵地址 E-mail address 負責人 Responsible Person: 職銜 Post Title:  可提供更詳盡資料的人士 (如與上述填報的負責人不同) Person to be contacted for further information (if different from the responsible person) 姓名 Name: 職銜 Post Title: 地址 Address: 電話 Tel. No. 傳真 Fax No. 電郵地址 E-mail address III. 申請人/機構背景 Background information of applicant (a) (i) 如屬機構，請註明 For applicant organisation, please state – 是否根據下列條例註冊 Whether the applicant is registered under – 《社團條例》 Societies Ordinance 《公司條例》 Companies Ordinance 其他 (請註明) Others (please specify) (註冊年份 Year of Registration: ) (ii) 是否《稅務條例》第88條所指的慈善機構 – Whether the applica