HKCPEC Youth Programme 2019/20 “Play” It Forward HK@APEC Game Design Competition Application Form「玩」出香港遊戲設計比賽申請表
Please complete this form and submit to JA HK.
請填妥以下表格,並交回JA HK。
School Information 學校資料
English Name 英文名稱 *
Your answer
Chinese Name 中文名稱 *
Your answer
English Address 英文地址 *
Your answer
*
HK/KLN/NT
Chinese Address 中文地址 *
Your answer
School Tel 學校電話 *
Your answer
School Fax 傳真號碼 *
Your answer
School Website 學校網址
Your answer
Head of School 校長
English Name 英文姓名 *
Sal 稱呼
*
English Surname 姓
Your answer
*
English First Name 名
Your answer
Chinese Name 中文姓名 *
Your answer
Email Address 電郵地址 *
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
*
English Surname 姓
Your answer
*
English First Name 名
Your answer
Chinese Name 中文姓名
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 預算參與學生人數
Form 4 中四 / Year 11
Number of Student 學生人數
Your answer
Form 5 中五 / Year 12
Number of Student 學生人數
Your answer
Form 6 中六 / Year 13
Number of Student 學生人數
Your answer
Language of Instruction 授課語言
*
* Workshop dates and venues are to be announced in due course. JA HK will notify link teachers on the workshop details when it becomes available. 工作坊舉行之時間及地點將容後公佈。JA HK 將通知各負責老師工作坊之確實日期及地點。
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 the Hong Kong Committee for Pacific Economic Cooperation (HKCPEC) and Junior Achievement Hong Kong (JA HK) 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。本人謹此授權太平洋經濟合作香港委員會及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。
How do you know about this program? 從哪渠道得知此課程?
Your answer
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