表演场地资助计划申请表格.docVIP

「表演場地資助計劃」申請表格 Performing Arts Venue Subsidy Scheme Application Form 填寫申請表前，必須先細閱「表演場地資助計劃」邀請計劃書，以助您了解此計劃的申請詳情。如有疑問，歡迎致電2820 1055向本局查詢。請用黑筆填寫申請表格。 Please read the Invitation for Proposals carefully before you fill in this application form. For enquiries, please contact the HKADC at 2820 1055. Please use black ink. I  申請機構資料 Applicant Information 1 申請機構中文名稱 Name of Organization in Chinese FORMTEXT FORMTEXT 2 申請機構英文名稱 Name of Organization in English FORMTEXT 3 團址 Official Address FORMTEXT 香港/九龍/新界HK/ KLN/ NT 聯絡地址 (如與上述不同) Correspondence Address (if different) FORMTEXT 香港/九龍/新界HK/KLN/NT 4 電子郵件地址 (如適用) Email Address (if applicable) FORMTEXT 5 申請機構最高負責人(小姐/女士/先生/其他) Head of Organization (Miss/Ms/Mr/Other title) FORMTEXT 職銜 Post Title 電話/手提電話 Tel/ Mobile no. 傳真 Fax no. 6 計劃負責人 (小姐/女士/先生/其他) Project’s Person-in-charge (Miss/Ms/Mr/Other title) FORMTEXT 職銜 Post Title 電話/手提電話 Tel/ Mobile no. 傳真 Fax no. 本局專用 (For Office Use Only) 收表日期 Date Received 申請機構編號Applicant Number 檔案編號 Project Number 7 機構資料 Organization Background 簡介及宗旨: Introduction and aim: 場地演出紀錄 (包括藝發局及非藝發局資助之活動)。 Key activities records of the venue (whether or not they were subvented by the HKADC). 場地介紹 (包括座位數目、售票服務、宣傳等) Venue information (including audience capacity, ticketing and promotion services etc) 請附上貴機構註冊證書副本、公司章程/法團條例、董事局成員名單(周年申報表)。 Please attach a copy of the organization’s official registration document, its constitution/ Memorandum and Articles of Association, and a list of its key members/ Board of Directors. II  計劃詳情 Project Details 8請介紹計劃內容或資助範圍及規模、推廣計劃及成效評估方案。(包括期望支持的表演藝術類型、目標團體及可支持的藝團數目、預計全年可提供的日數、場地折扣優惠、可為中小型團體提供的支援服務等) (如有需要，請另紙續寫。) Please outline the project’s content or scope and scale of the scheme, promotion plan and project’s evaluation plan. (including the expected applicable art forms, the targeted arts groups, the expected number of supportable arts groups, number of days and discount rate, and supporting services such as publicit