(学生个人资料学生个人资料学生个人资料学生个人资料)
保良局羅氏基金中保良局羅氏基金中學羅氏基金中學
Po Leung Kuk Laws Foundation College
Application for Admission to Secondary One 中一入學申請表格(2009/2010)
D. Parents / Guardian (家長/監護人)
Name of Father :_______________________________ _________________ 父親姓名 (in English 英文) (in Chinese 中文)
Occupation :___________________________________________________ 職業
Name of Organization:______________________________________________ 服務機構
Telephone Number :___________________(Office) _______________(Mobile)
電話 公司 手機
Name of Mother :_______________________________ _________________ 母親姓名 (in English 英文) (in Chinese 中文)
Occupation :___________________________________________________ 職業
Name of Organization:______________________________________________ 服務機構
Telephone Number :___________________(Office) _______________(Mobile) 電話 公司 手機 I declare that：
(1) I am the parent/guardian of the above-mentioned applicant.
(2) I understand the purpose for which the personal data provided by means of this form will be used,
as well as my rights for data access/correction as stipulated in the Personal Data (Privacy) Ordinance.
(3) To the best of my knowledge, the information contained in this form is true and correct. If false
information is supplied, this application will be rendered null and void.
(4) I am aware that Po Leung Kuk Laws Foundation College is a Direct Subsidy Scheme School. I
fully understand that I shall pay a school fee of HK$16,000 per annum* (by 10 installments) *Subject to EDB's approval.
I confirm that I would apply, on behalf of the applicant, for a Po Leung Kuk Laws Foundation College Secondary One Place in 2009/2010.
本人聲明：
1. 本人為上述申請人的家長/監護人；
2. 本人已明白此表格提供的個人資料的用途，和根據＜個人資料（私隱）條例＞有關查閱及 改正資料的權利；
3. 此表格內的資料全屬正確無訛，倘若有虛報資料，則本申請作廢；
4. 本人知悉保良局羅氏基金中學為直資學校，學生每年要繳HK$16,000學費*（分十期繳交）
*學費仍待教育局審批。
本人決定為上述申請人申請 貴校二零零九 / 二零壹零年度的中一學位。
家長/監護人簽署 Signature of Parent/Guardian 家長/監護人姓名 Name of Parent/Guardian 日期
Date
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