康乐和文化事务署-康体通临时用户申请表.docVIP

康樂及文化事務署－康體通臨時用戶申請表 (供持有有效旅遊證件的旅客 及獲准短期留港人士使用) LEISURE AND CULTURAL SERVICES DEPARTMENT – LEISURE LINK TEMPORARY PATRON APPLICATION FORM (For visitors or persons granted temporary stay in Hong Kong who have a valid travel document) 康文署專用 FOR OFFICE USE ONLY 申請編號 Application No. : ____________________________ 記錄員 Record created by : _______________________ 申請人資料 PARTICULARS OF APPLICANT 姓名 Name (英文 in English): (請用正楷填寫 in BLOCK letters) (中文in Chinese): _________________________________________________________________________ (如適用 if applicable) 出生日期 Date of Birth : 性別 Sex * : ? 男Male ? 女Female 日DD 月MM 年YYYY 有效旅遊證件號碼 Valid Travel Document No. 入境日期 : Date of Entry: (康文署不接受以香港特區護照或英國駐香港總領使館簽發的英國國民(海外)護照提出的申請。 Applications using a HKSAR passport or a BNO passport issued by the British Consulate-General Hong Kong will not be accepted.) 旅遊證件類別Type of Valid Travel Document: ________________簽發機構Issuing Authority: _______________Validity of Stay逗留期限:____________ 香港通訊地址(如有) :________________________________________________________________________________________________________ Correspondence Address in Hong Kong (If any):____________________________________________________________________________________ 電話號碼Tel. No. (日間Daytime):___________________________ 手提電話／傳呼機號碼 Mobile / Pager No. : ___________________________ 傳真號碼Fax No. : ____________________________ 電郵地址E-mail Address : ______________________________________________ 申請人的家長或監護人資料（只供未滿18歲申請人的家長或監護人填寫） PARTICULARS OF PARENT OR GUARDIAN OF APPLICANT　(to be completed by the parent or guardian of an applicant under the age of 18) 姓名 Name (英文in English) : (請用正楷填寫 in BLOCK letters) (中文in Chinese) : ____________________________________________________________________(如適用if applicable) 出生日期 Date of Birth : 性別 Sex * : ? 男Male ? 女Female 日DD 月MM 年YYYY Ho