Form

HONG KONG CHINESE LADY GOLFERS ASSOCIATION LIMITED

香港華人女子高爾夫球總會有限公司

Membership Application Form

會藉申請表格

PLEASE TYPE OR WRITE IN BLOCK LETTERS 請用大楷

Surname/Family Name

姓

First Name

名

Middle Name

別名

Name in Chinese (if applicable)

中文姓名

Nationality

國藉

Date of Birth (DD/MM/YY)

出生日期

Recent Photo

1-1/2" x 2"

ID Card/Passport No.(copy attached)

身份証/護照(副本)

Occupation

職業

with name

on reverse side

近照

(white background preferred)

Martial Status

婚姻狀況

Name of Spouse

家眷姓名

白色背景為理想

Residential Address

住址

Correspondence Address

通訊地址

E-mail Address

電子郵件

Telephone No. Home

住宅電話

Portable

手機

Office

辦公室電話

Fax

傳真

Membership of other golf clubs, social clubs and society

其他會藉

Current Handicap Index (current handicap certificate attached)

最近讓桿記錄分數

Handicap certificate of which club

讓桿証書所屬會

I, the undersigned, enclose a copy of my Hong Kong Identity Card or copy of my Passport, apply for Membership to the Hong Kong Chinese Lady Golfers Association Ltd. (HKCLGA) and that the information contained in this form is true and correct. I agree to be bound by the Rules and Regulations of the HKCLGA. I undertake to inform the Association of any changes thereto from time to time.

吾,付上本人香港身份証副本或護照副本,現向貴會申請會藉,此報上資料屬實,如有更改,並即時通知貴會。

本人同意遵守貴會條文。

Further, I agree that your Association has the right of access and correction with respect to personal data of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of my personal data.

根據個人資料(私穩)條例,貴會有權索閱或修訂吾個人資料,包括本人申報的資料或其副本。

Date Signature

日期 : 簽署 :

====================================================================

Name of Proposer: Membership No.

提名人 : 會員號碼 :

Signature Date

簽署 : 日期 :

Name of Seconder: Membership No.

贊同人 : 會員號碼 :

Signature Date

簽署 : 日期 :

Application Approved/Rejected on

申請接納/拒絕日期 : Committee Member New Membership No.

委員會會員新會員號碼