「歐盟」學習之旅 Application Form
Personal Particulars
Email address *
Name (Chinese) *
Your answer
Name (English) *
Your answer
Age *
Your answer
Sex *
HKID No. *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Type of Travel Document *
Passport No. *
Your answer
Passport Validation *
MM
/
DD
/
YYYY
Residential Address *
Your answer
Residential Phone No.
Your answer
Mobile Phone No. *
Your answer
Email Address *
Your answer
Name of School
Your answer
Year Of Study (e.g. Secondary 2)
Your answer
Major (e.g. Social work)
Your answer
Name of Employer
Your answer
Title of Position Held
Your answer
Emergency Contact person *
Full Name in Chinese or English
Your answer
Relationship *
Phone No. of Emergency contact *
Daytime
Your answer
Phone No. of Emergency contact *
Night time
Your answer
Residential Address of Contact person
(If different from the above address)
Your answer
How do you know this event? *
Required
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