申請成為學民之友 Application for "Friends of Scholarism"
學民思潮收到不少市民、支持者反映,希望可以獲得有關我們的最新資訊。故此,除了在Facebook專頁定期更新外,學民思潮決定成立學民之友系統,於大型行動前會透過短訊各位,及定時以電郵和郵寄信件發佈組織最新資訊。
Scholarism has been receiving comments from citizens and supporters that they would like to receive our latest information. Therefore, other then renewing our Facebook page regularly, Scholarism has decided to set up Friends of Scholarism system. We will inform you our latest information regularly and before large actions through email.
私隱政策 Privacy Policy
學民思潮絕對尊重閣下的個人私隱,並會將資料保密。我們會妥善保存閣下提交予我們的任何個人資料。請細閱此私隱政策,如有任何疑問,請聯絡我們。藉此表格是收集閣下資料成為學民之友申請,以及方便我們日後就組織的事宜與閣下聯絡。閣下的資料只供本組織保存和參考,絕不會外借或出售。申請表格內填報的個人及其他有關的資料,會供本會處理發佈活動 / 行動資訊有關的用途。在表格內提供的個人及其他有關資料純屬自願。然而,如果沒有正確或足夠的資料,本會可能無法處理有關的申請。
Scholarism respects your personal privacy and is committed to maintaining your trust and confidence. We believe
in ensuring the security of your personal information. Please take the time to read this policy, and contact us
if you have any questions or concerns. We strive to protect any personal information you may provide us but
by law we must allow inspection of the membership register. The purpose of collecting the information in this
form is to allow us to consider your application for Friends of Scholarism and if you become a member of
Scholarism, to allow us to contact you concerning organisation matters. We are the sole owner of any
information we collect. Your personal information is not lent or sold to anyone for any purpose. The personal data and other related information provided in the application form will be used by the Organisation for releasing information of activities/ actions and other related purposes. The provision of personal data and other related information by means of the application form is voluntary. However, we may not be able to process the application if no accurate or adequate data is provided.
*Required
中文姓名 Name in Chinese
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Your answer
英文姓名 Name in English
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請先寫姓氏後寫名字。Please write your surname first.
Your answer
稱呼 Title
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Choose
先生 Mr.
太太 Mrs.
小姐 Ms.
性別 Gender
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Choose
男 Male
女 Female
出生日期 Date of Birth
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格式:DD/MM/YYYY (日/月/年)
Your answer
年齡(Range)
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Choose
18歲以下
18-25
26-35
36-45
46-55
56-65
65歲以上
年齡 Age
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Your answer
聯絡電話 (手提) Phone Number (Mobile)
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Your answer
聯絡電話 (住宅) Phone Number (Home)
Your answer
通訊地址 Correspondence Addres
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請填寫完整地址,以便學民思潮定期寄出信件
Your answer
電郵地址 Email Address
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Your answer
Facebook
請貼上網址
Your answer
職業 Occupation
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Your answer
學歷 Education Level
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Choose
小學 Primary
中一 Secondary One
中二 Secondary Two
中三 Secondary Three
中四 Secondary Four
中五 Secondary Five
中六 Secondary Six
中七 Secondary Seven
大專 Tertiary
學士 Undergraduate
碩士 Postgraduate
博士Doctorate
就讀學校 School
僅適用於仍在學人士。Only applicable to students.
Your answer
居住地區(五區) Districts of Legislative Council
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Choose
香港島及離島 Hong Kong Island and Islands
九龍東 Kowloon East
九龍西 Kowloon West
新界東 New Territories East
新界西 New Territories West
海外 Overseas
居住地區(十八區) Districts of Hong Kong (18 political areas)
*
Choose
中西區 Central and Western
灣仔區 Wan Chai
東區 Eastern
南區 Southern
油尖旺區 Yau Tsim Mong
深水埗區 Sham Shui Po
九龍城區 Kowloon City
黃大仙區 Wong Tai Sin
觀塘區 Kwun Tong
葵青區 Kwai Tsing
荃灣區 Tsuen Wan
屯門區 Tuen Mun
元朗區 Yuen Long
北區 North
大埔區 Tai Po
沙田區 Sha Tin
西貢區 Sai Kung
離島區 Islands
海外 Overseas
其他社會組織聯繫 (如有) Social Organization Affiliation (if any)
Your answer
我謹申請成為學民之友並確認以上資料正確無誤。 I wish to apply for Friends of the Scholarism and I declare that the above information is accurate.
*
是 Yes
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