港島第六十六旅 - 領袖聯絡資料
為了更方便本旅跟各位領袖溝通。請各位領袖填寫以下表格

每位領袖需填寫表格一份
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領袖名稱(中文) *
例: 陳小明
領袖名稱(英文) Member English Name same as HKID *
eg: Chan Lui Lui
成員姓別 Sex *
出生日期 Member Date of Birth *
MM
/
DD
HK ID (頭英文字 + 頭4個數目字) *
eg. A1234
住址 Home Address *
地址: 香港波老道12號東翼1樓 eg: 1/F East Wing, 12 Borrett Road, Mid-Level, Hong Kong
聯絡電話 Contact number *
eg: 8100 7848
電郵地址 Contact email address *
童軍支部 *
貝登堡聯誼會的會員號 (如適用)
總監俱樂部的會員號 (如適用)
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