TEDxYouth @ HongKong Application Form 2017/18
Please complete this form and submit to JA.
請填妥以下表格,並交回JA。
Details of TEDxYouth @ HongKong 2017 活動詳情
Date: 2017.11.25 (Sat)
Time: 1:00pm - 6:00pm
OLE hours: 5 hours
Venue: Cyberport 3 數碼港第三期
School Information 學校資料
English Name 英文名稱 *
Your answer
Chinese Name 中文名稱 *
Your answer
School Address 學校地址 *
Street No. & Street
Your answer
*
District
Your answer
*
HK/KLN/NT
School Tel 學校電話 *
Your answer
School Website 學校網站
Your answer
Head of School 校長
English Name 英文姓名 *
Sal 稱呼
*
Surname 姓
Your answer
*
First Name 名
Your answer
Office Tel. No. 辦公室電話
Your answer
Link Teacher 負責老師
English Name 英文姓名 *
Sal 稱呼
*
Surname 姓
Your answer
*
First Name 名
Your answer
Position 職位 *
Your answer
Office Tel No. 辦公室電話 *
Your answer
Mobile No. 手提電話 *
Your answer
Email Address 電郵地址 *
Your answer
Expected number of participating student (max. 20 students for TEDxYouth@HongKong on site event) 預計參與學生人數(最多20名學生可參與TEDxYouth@HongKong現場)
Mainly conduct in Cantonese 活動主要以廣東話為主
Form 級別
Your answer
Number of Student 學生人數
Your answer
Form 級別
Number of students 學生人數
Your answer
We will arrange the shuttle bus service between Cyber Port to Admiralty, do you need this service? 活動當日將會有接駁巴士來回數碼港與及金鐘站, 貴 校需要此安排? ^註: 主辨機構保留最後分配接駁巴士座位決定權。 *
Remarks 備註
Your answer
Declaration 聲明
I declare that the information given in this application is true and accurate, and confirm that this application has been endorsed and supported by the school. I hereby authorise JA Hong Kong to contact relevant parties and verify information given in this application form.

本人聲明此申請表格內之資料屬實及準確,並確定此申請已得到校方認可及支持。本人謹此授權青年成就香港部與有關人士聯絡,核實申請表格內之資料。

*
Name 姓名 *
Your answer
Position 職位 *
Your answer
Date 日期 *
MM
/
DD
/
YYYY
Please print a copy of this completed form for your record before submitting this form. 遞交前,請先列印已填妥的申請表以作記錄。
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