耆樂會申請表格 Seniors Community Application
姓名 Name (中文 Chinese) *
Your answer
姓名 Name (英文 English) *
Your answer
性別 Gender *
出生日期 Date of Birth (日dd / 月mm / 年yyyy) *
Your answer
出生地點 Place of Birth *
Your answer
學歷 Education *
職業 Occupation *
Your answer
婚姻狀況 Marriage Status *
領洗狀況 Baptismal Status *
領洗日期 Date of Baptism
己領洗者適用 Applicable to the Baptized
Your answer
地址 Address *
Your answer
電話 Telephone *
Your answer
手提電話 Mobile
Your answer
電郵 Email
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