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P.A.T.H.S. to Adulthood : A Jockey Club Community-Based Youth Enhancement Programme
PAGE 0
PAGE 10
Annex 1
Annex 1
For internal reference
To: Youth Section, Social Welfare Department
(Room 942, 9/F, Wu Chung House, 213 Queen’s Road East,
Wan Chai, Hong Kong.)
6 hard copies and 1 soft copy are required
P.A.T.H.S. to Adulthood:
A Jockey Club Community-Based Youth Enhancement Programme
(1/2013 – 12/2015)
Application Form
Part A :Information of Organisation
Name of Applicant Organisation:
(Chinese)
(English)
Address of Applicant Organisation:
(Chinese)
(English)
Name and Signature of Contact Person:
? Dr. ? Mr. ? Mrs. ? Ms. ? Miss ? Others, please specify: ___
(Chinese)
Signature:
(English)
Post of Contact Person:
(Chinese)
(English)
Telehpone Number of Applicant Service Unit:
Email Address of Applicant Service Unit:
Please ? as appropriate.
The applicant Organisation applies solely to operate P.A.T.H.S. to Adulthood: Community–Based Youth Enhancement Programme funded by The Hong Kong Jockey Club Charities Trust.
The applicant Organisation applies jointly with service unit(s) from the following Organisation(s) to operate P.A.T.H.S. to Adulthood: Community–Based Youth Enhancement Programme funded by The Hong Kong Jockey Club Charities Trust.
Name of Joint Applicant Organisation #:
(Chinese)
(English)
Name and Signature of Contact Person of Joint Applicant Organisation:
? Dr. ? Mr. ? Mrs. ? Ms. ? Miss ? Others, please specify: ___
(Chinese)
Signature:
(English)
Post of Contact Person of Joint Applicant Organisation:
(Chinese)
(English)
Telehpone Number of Applicant Service Unit of Joint Applicant Organisation:
Email Address of Applicant Service Unit of Joint Applicant Organisation:
# If there is more than one Joint Applicant Organisation, please provide the 5 items above for each Joint Applicant Organisation by adding new rows to the above table.
Please ? as appropriate .
Please indicate the chosen district for operating the Project (
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