第四期「賽馬會低碳創聚」培育計劃—報名表格 Cycle 4 JC COIL Incubation Programme: Registration Form
參賽隊伍名稱 Team Name *
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1) 隊長(聯絡人)姓名 Team Leader (Contact person) Name *
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性別 Gender *
香港身份證號碼 HK I.D. Number *
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聯絡電話 Contact Number *
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電郵 Email *
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職業 Occupation *
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請描述曾經參加環保活動的經驗 (100字) Briefly describe the experience of participating in environmental activities (100 words) *
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2) 成員姓名 Team Member Name *
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職業 Occupation *
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請描述曾經參加環保活動的經驗 (100字) Briefly describe the experience of participating in environmental activities (100 words)
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3) 成員姓名Team Member Name
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職業 Occupation
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請描述曾經參加環保活動的經驗 (100字) Briefly describe the experience of participating in environmental activities (100 words)
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4) 成員姓名Team Member Name
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職業 Occupation
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請描述曾經參加環保活動的經驗 (100字) Briefly describe the experience of participating in environmental activities (100 words)
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請簡述參加培育計劃的原因。 你希望本培育計劃對你的團隊及項目發展,帶來什麼效果?(100字) Briefly describe the reasons for participating the incubation programme. What outcome do you expect this incubation program will have on your team and project development? (100 words) *
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提案簡介 Project Description
提案名稱 Project Name *
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目的 Purpose *
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目標客戶群組 Target Customer Group *
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提案欲應對之環境或/及社會議題 Environmental or / and social issues to be addressed by the project *
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請簡述提案內容(100字) Briefly describe the project idea (100 words) *
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隊伍網上平台(如有,例如網頁、Facebook, Blog) Team social media platform (If any, for example website, Facebook, blog)
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請陳述你的隊伍曾否獲得其他培育計劃資助,如有,請申報該培育計劃名稱及受益金額。Please state whether your team has received funding from other incubation programs. If so, please report the name of the incubation program and the amount of funding.
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其他補充Others
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