JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HKUAA Community Services - Site Helpers in Famine Campaign 2014
Items marked (*) are mandatory for on-line submission.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name in English(full name):
*
Your answer
Name in Chinese(中文姓名)
*
Your answer
HKID with first 5 digit (e.g. A12345)
*
Your answer
Age
*
Your answer
Gender
*
Male
Female
Contact No. (Mobile preferable)
*
Your answer
Email
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact No.
*
Your answer
Membership
*
Member
Non-member
Year of Graduation
*
Your answer
No. of participant(s) (including you)
*
Your answer
Information of other participants (if applicable)
1. Name in English(full name)
Your answer
1. Name in Chinese(中文姓名)
Your answer
1. HKID with first 5 digit (e.g. A12345)
Your answer
1. Contact No. (Mobile preferable)
Your answer
1. Email
Your answer
1. Emergency Contact Name
Your answer
1. Emergency Contact No.
Your answer
1. Age
Your answer
1. Gender
Male
Female
Clear selection
2. Name in English(full name)
Your answer
2. Name in Chinese(中文姓名)
Your answer
2. HKID with first 5 digit (e.g. A12345)
Your answer
2. Contact No. (Mobile preferable)
Your answer
2. Email
Your answer
2. Emergency Contact Name
Your answer
2. Emergency Contact No.
Your answer
2. Age
Your answer
2. Gender
Male
Female
Clear selection
3. Name in English(full name)
Your answer
3. Name in Chinese(中文姓名)
Your answer
3. HKID with first 5 digit (e.g. A12345)
Your answer
3. Contact No. (Mobile preferable)
Your answer
3. Email
Your answer
3. Emergency Contact Name
Your answer
3. Emergency Contact No.
Your answer
3. Age
Your answer
3. Gender
Male
Female
Clear selection
4. Name in English(full name)
Your answer
4. Name in Chinese(中文姓名)
Your answer
4. HKID with first 5 digit (e.g. A12345)
Your answer
4. Contact No. (Mobile preferable)
Your answer
4. Email
Your answer
4. Emergency Contact Name
Your answer
4. Emergency Contact No.
Your answer
4. Age
Your answer
4. Gender
Male
Female
Clear selection
5. Name in English(full name)
Your answer
5. Name in Chinese(中文姓名)
Your answer
5. HKID with first 5 digit (e.g. A12345)
Your answer
5. Contact No. (Mobile preferable)
Your answer
5. Email
Your answer
5. Emergency Contact Name
Your answer
5. Emergency Contact No.
Your answer
5. Age
Your answer
5. Gender
Male
Female
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
