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Appform

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Information about Appform

Published on February 18, 2009

Author: knksmart

Source: slideshare.net

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THE JAPAN SOCIETY OF HONG KONG MEMBERSHIP APPLICATION FORM Please complete using BLOCK LETTERS> In order to expedite your application, please complete in full. Please select one of the following: INDIVIDUAL MEMBER COUPLE MEMBER CORPORATE MEMBER Please complete in English for data input: Name: Mr/Mrs/Miss *_______________________________ Chinese Character: ____________________________________ Date of Birth: _________________ I.D. /Passport No. *____________________ Nationality: ___________________________________ Name of Company/Organization: _____________________________________________________________________________________ Nature of Business/Occupation: ______________________________________________________________________________________ Position: _________________________________________________________________________________________________________ Address: _________________________________________________________________________________________________________ ______________________________________________ Tel: ___________________________ Fax: ____________________________ Residential Address: ________________________________________________________________________________________________ _______________________________________________ Tel: __________________________ Fax: ____________________________ E-mail Address: _______________________________________ Pager/Mobile Phone: __________________________________________ Education: University or above Post Secondary Secondary Others Membership in Other Organizations: 1. _________________________________ 2. _____________________________________ 3. _________________________________ 4. _____________________________________ Please complete if applying for COUPLE MEMBER: Name of spouse: Mrs/Mr *______________________________________ Chinese Character: ____________________________________ Date of birth: _________________________________________________ Nationality: _________________________________________ Your special interests in: Arts in General Architecture Business/Industry/Economy Others: _________________ Literature Flower Arrangement Science & Technology _________________ Drama/Cinema Sports/Pastimes Travel _________________ Music History Japanese Language _________________ Painting/Calligraphy Education Life in Japan _________________ Language preferred (for lectures): English Japanese Chinese ______________________________________________ ______________________________________ ____________________ Signature of Application (Company Stamp, if applicable) Signature of Spouse (if applicable) Date of application Please send correspondence to: Home Address Office Address E-mail Address Reference Person (if available): _________________________________________ Name Tel. No. ________________________________________ Name Tel. No. Please submit your application form to: Secretary-General, The Japan Society of Hong Kong, 2/F, Fung House, 19-20 Connaught Road C, Central, Hong Kong.

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