2018年度 ~ 香港業餘龍舟總會最新會員資料HKADBA Membership Updates ~ Year 2018
*每一位現任、續會及新會員,必須填寫一份電子表格 | Google form to be completed by all existing, renewal and new members. ONE form per person.
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業餘龍 入會申請 / 更改資料表格 | HK ADBA MEMBERSHIP APPLICATION / CHANGE OF INFORMATION FORM
新會員可在入會前電 9097 6752 聯系本會,以得到更多本會資料。 For new member, you can call 9097 6752 to obtain more information about ADBA.
(會籍年度為是年一月一日至十二月三十一日 Membership Year is from 1 Jan to 31 Dec)
個人會籍及會費 Individual Membership and Fee: *
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是否於2017年12月31日或之前已經繳交會費? Have you paid the Membership Fee by 31 Dec 2017? *
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支票抬頭請寫「香港業餘龍舟總會有限公司」或 存款至本會之香港匯豐銀行賬戶(戶口號碼:636-361719-001),請提供收據及支票號碼。Cheque payable to ”HONG KONG AMATEUR DRAGON BOAT ASSOCIATION LIMITED” or deposit to HSBC Account (A/C No.: 636-361719-001), please provide bank-in slip with cheque nos.
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"業餘龍"會員編號 HKADBA Membership No: (如知悉 | If known)
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會員個人資料 APPLICANT'S PARTICULARS :
(會籍年度為是年一月一日至十二月三十一日 Membership Year is from 1 Jan to 31 Dec )
中文名 | Chinese Name:
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英文名 | English Name: (請與旅遊証件上相同 as per printed on your travelling document) *
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昵稱 | Nickname: (如有 optional)
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香港身分證 或 護照 (字母及首3位數字) | HKID Card no. or Passport no. (Alphabet & first 3 digits): *Example A123xxx(x)
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性別及年齡 | Gender & Age: *
聯絡地址 | Contact Address:
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香港手機號碼 (可用WhatsApp) | HK Mobile number (with WhatsApp): *
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緊急聯絡人 EMERGENCY CONTACT | (姓名Name / 與申請人關係Relationship): *
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緊急聯絡人電話 EMERGENCY CONTACT No. *
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其他個人資料 OTHER PERSONAL DETAILS :
(此乃新增項目,以供幹事會更了解每位會員各項專長。 This newly added categories is for a better understanding of each individual member.)
"龍總"運動員証編號 HKCDBA Athlete Card No: (如適用 | If applicable)
Your answer
我有急救証書 I have a First Aid Card: (如適用,請提供証件有效日期及發証機構名稱 | If applicable, please provide the valid date for that certificate and Name of Organisation that issued/certified of such)
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我還有其他相關証書 I have other relevant certificate(s): (如適用,請提供証件有效日期及發証機構名稱 | If applicable, please provide the valid date for that certificate and Name of Organisation that issued/certified of such)
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聲明 DECLARATION :
本人同意遵守香港業餘龍舟總會有限公司 ( " 業餘龍 " )之會章及會規,本會有權拒絕接納本人之申請而無需給予任何原因。
I agree to abide by the constitution and by-law of Hong Kong Amateur Dragon Boat Association Limited ( " the Association " ), which may refuse to accept this application without giving any reason for its decision.
本人聲明本人為此申請所提供之資料出於自願,證實所填資料正確無訛,並同意業餘龍將有關資料只作處理會員申請及日後聯絡之用。
I hereby acknowledge and confirm that the information which I am required to disclose in this application is voluntary. I warrant that the information provided aforesaid is true, correct and complete. I hereby also agree that the information provided will only be used for membership and future contact purpose by the Association.
本人能游泳 50 米或以上。
I am able to swim 50 meters or above.
以下簽名證明本人已閱讀、符合及同意所有印在此表格上的條件及聲明。
I certify that I agree to all the terms, conditions and disclosures on this Application Form.
在各項練習及比賽活動期間,如遇傷亡或財物損失,均願自負全責,與業餘龍及相關的主辦機構無關。
Each member is solely responsible for his or her own safety during practice and race sessions, and no responsibility will be accepted by the Association for any injury, damage or loss incurred is borne by member.
本人經已閱讀上述聲明並明白其內容 I have read the above-mentioned relevant declaration and understand the contents *
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