香港聖公會聖多馬幼兒中心
Hong Kong Sheng Kung Hui St.Thomas' Child Care Centre

全日制入學申請表
Application Form for Full-time Education/Service


全日制入學申請 Application for Full-time Education/Service

甲部：申請人資料  Part A: Applicant's Particulars

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1. 嬰幼兒中文姓名（如適用）/ Child or Infant's name in Chinese (if applicable)
2. 嬰幼兒英文姓名（如適用）/ Child or Infant's name in English  (if applicable)
3. 出生日期 /Date of Birth
MM
/
DD
/
YYYY
4. 預產期 / Due Date
MM
/
DD
/
YYYY
5. 嬰幼兒年齡 /Child or Infant's Age
6. 出生證明書號碼#/ Birth Certificate No.# 
     如使用出生證明書以外的身分證明文件，請註明
    # If identity document(s) other than Birth Certificate is used, please specify
7. 電郵地址 / Email Address *
8. 地址 / Home address *
9. 電話號碼 / Telephone No． *
10. 家中常用語言 / Language spoken at home *
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