國小入學申請書範文
File No.:________________
APPLICATION FORM FOR SCHOOL ADMISSION
注: 申請者所提供的資料將用作入學申請有關事宜,並會供校方有關部門或人士查閲.入學申請程序完成後,未獲取錄之申請者資料, 當無需保留時將全部銷燬. Note : The information provided will be used for school enrollment application only. It may be accessible to offices or persons who will process admission matters. Information on unsuccessful applicants will be destroyed after the admission process when no longer required.
申請入讀年級 Class applied for
Ref. No. :______________
I. 個人資料 Personal Particulars
英文姓名 (姓氏先行) Name in full (English) (Surname first) 中文姓名 Name (Chinese)
學生紀錄咭編號 STRN
出生日期 Date of Birth
請貼上近照
香港出世紙/其他身份證明文件號碼 C.O.B./Other I.D. No.
性別 Gender
Please stick a recent photo here
出生地點 Place of Birth
國籍 Nationality 電話 (住宅) Telephone No. (Home)
住址 Residential Address
通訊地址 Correspondence Address (if different from above)
II. 家長/監護人資料 Parents/Guardian Particulars
父 Father 英文姓名 (姓氏先行) Name in full (English) (Surname first) 中文姓名 Name (Chinese) 身份證號碼 I.D. Card No. 職業 Occupation 電話號碼 (辦公室) Telephone No. (Office) 電話號碼 (個人通訊) Telephone No. (Mobile/Pager) 電子郵址 E-mail Address 母 Mother 監護人 Guardian
III. 申請人學歷 (請順序列出) Academic Qualifications (in chronological order)
由 From 月/年 Month/Year 至 To 月/年 Month/Year
學校名稱
地址
School Name
Address
電話 Telephone No.
IV. 課外活動 Extra-Curricular activities
由 From 月/年 Month/Year 至 To 月/年 Month/Year
活動名稱 Name of activities
V. 特殊技能
(例如:音樂, 體育, 朗誦, 數學,舞蹈等等)
Special Skills (e.g. Music, Physical ation., Choral Speaking, Mathematics, Dancing etc.)
VI. 校外獎項 External Awards (in chronological order)
日期 Date 月/年 Month/Year
參與機構 Name of organization
獎項名稱 Name of Awards
VII. 校內獎項 Internal Awards (in chronological order)
日期 Date 月/年 Month/Year
參與機構 Name of organization
獎項名稱 Name of Awards
VIII. 推薦人及評語
(如有)
Recommendation & Comments (if any)
IX. 其他 Others 1. 申請者如有近親於本校就讀,請列明其姓名,班級及與申請者的關係 If you have close relatives currently studying at the school, please state their names, classes and relationship to you ____________________________________________________________________________________ 2. 申請者如有近親同時申請入讀本校,請列明其姓名,班級及與申請者的關係 If you have close relatives currently applying for the school, please state their names, classes and relationship to you ____________________________________________________________________________________ X. 備註 Remarks 填妥本表格後,請連同下列文件一併送交新界元朗天水圍天恆邨順德聯誼總會翁佑中學 Please hand in the completed application form to the school office of S.T.F.A. Yung Yau College, Tin Heng Estate, Tin Shui Wai, Yuen Long N.T. with the following documents 1. 寫上學生姓名之學生近照兩張 A recent photo of the student (with endorsement) 2. 學生最近之成績表影印本 A photocopy of the latest school report of the student
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XI 校務處專用 Official Use Only
負責人簽署 Person-in-charge Signature 日期 Date 取錄與否 Acceptance 是 / 否 Yes / No 校長簽署 Principal Signature 日期 Date
編配班級 Class Arrangements
