HKUAA 心"粽"有您 2018
Items marked (*) are mandatory for on-line submission.
Name in English: *
Your answer
Name in Chinese(中文姓名) *
Your answer
Contact No. (Mobile preferable) *
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Email *
Your answer
Gender *
Membership *
Year of Graduation *
Your answer
Joined elderly service (including organized by HKUAA / other parties) before *
No. of participant(s) (including you) *
Your answer
Information of other participants (if applicable)
1. Name
Your answer
1. Age
1. Gender
2. Name
Your answer
2. Age
2. Gender
3. Name
Your answer
3. Age
3. Gender
4. Name
Your answer
4. Age
4. Gender
5. Name
Your answer
5. Age
5. Gender
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