2020-2021年度新生入學申請表
香港中文大學校友會聯會
陳震夏幼稚園  順龍仁澤幼稚園
Email address *
甲部:申請人資料 (Part A : Applicant’s Particulars)
中文姓名 Name in Chinese *
Your answer
英文姓名 Name in English *
Your answer
性別 Sex *
出生日期 Date of Birth *
MM
/
DD
/
YYYY
出生地點 Place of Birth *
Your answer
出生證明書號碼 Birth Certificate No. *
Your answer
年齡 Age *
Your answer
家中常用語言 Spoken language at home *
Your answer
住宅 電話 Home Telephone
Your answer
住址 Home Address *
Your answer
乙部:家長 / 監護人資料 Part B : Parent/Guardian’s Particulars
父親姓名 Surname and name of father *
如不適用請填 "NIL" If not applicable, Please specify "NIL"
Your answer
職業 Occupation
Your answer
聯絡電話 Telephone No.
Your answer
母親姓名 Surname and name of mother *
如不適用請填 "NIL" If not applicable, Please specify "NIL"
Your answer
職業 Occupation
Your answer
聯絡電話 Telephone No.
Your answer
監護人姓名 Name of Guardian *
Your answer
與學生關係 Relationship *
Your answer
聯絡電話 Telephone No. *
Your answer
丙部:報讀資料 Part C : Applied Information
報讀校舍 Name of SchoolApplied For *
陳震夏幼稚園 CHAN CHUN HA KINDERGARTEN
順龍仁澤幼稚園 SHUN LUNG YAN CHAK KINDERGARTEN
第一選擇(首選) First choice
第二選擇(次選) Second choice
1.申請班級 Applying for Class *
2.申請班級 Applying for Class *
上午班 A.M.
下午班 P.M.
全日班 Whole Day
第一選擇(首選) First choice
第二選擇(次選) Second choice
第3選擇(最後選擇) Last choice
現或曾就讀本幼稚園的兄弟姊妹(如適用) Particulars of Siblings attending or having attended this Kindergarten (if applicable)
(1) 姓 名 Name
Your answer
(1) 學 年 School Year
Your answer
(1) 班 級 Class
Your answer
(1) 關 係 Relationship
Your answer
(2) 姓 名 Name
Your answer
(2) 學 年 School Year
Your answer
(2) 班 級 Class
Your answer
(2) 關 係 Relationship
Your answer
(2) 關 係 Relationship
Your answer
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