HONG KONG TOUCH ASSOCIATION "REFEREE" REGISTRATION FORM
Please complete the following questions. Thank you
Surname 姓 *
Your answer
First Name 名 *
Your answer
Gender 性別 *
Date of Birth 出生日期 *
MM
/
DD
/
YYYY
Nationality 國藉 *
Your answer
Contact Number 聯絡電話 *
Only +852 xxxx-xxxx
Your answer
Email Address 電子郵件 *
Your answer
Level 1 badge issued cities, year
Level 1 獲得地方及年份
Your answer
Level 2 badge issued cities, year
Level 2 獲得地方及年份
Your answer
Level 3 badge issued cities, year
Level 3 獲得地方及年份
Your answer
Level 4 badge issued cities, year
Level 4 獲得地方及年份
Your answer
Level 5 badge issued cities, year
Level 5 獲得地方及年份
Your answer
Level 6 badge issued cities, year
Level 6 獲得地方及年份
Your answer
Touch Referee Experience 球證經驗 *
Local (Hong Kong) 本地賽事 , Overseas 海外賽事
Required
Emergency Contact Person and Number 緊急聯絡人及電話 *
Your answer
Referee Declaration 球證聲明 *
I confirm that the statement given by me is ture and correct. All referees are recommened to obtain their own medical insurance to cover injury or inpatient and hospitalisation. 我聲明以上所提及的資料全為正確及真實。各球證需要自行購買傷亡及醫療保險。
Use of Personal Data 個人資料的使用 *
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