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Intention to Withdraw 退費申請表
After filling in the form, one of registration staff will contact you via the e-mail address in two weeks if and only if you provided the family number. 若您提供家庭代碼, 填表後註冊組人員會在兩週內以 E-Mail 與您聯絡。
Reason 原因
Your answer
Applicant English Name 申請人英文姓名
Your answer
Applicant E-Mail 申請人電郵地址
Your answer
Applicant Phone 申請人電話
Your answer
Check Payable to 支票抬頭
Your answer
Mailing Address 郵寄地址
Your answer
Family Number 家庭代號
Your answer
Student English Names (One student in a line) 學生英文姓名 (每個學生各一行)
Your answer
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