File No.:________________

　　APPLICATION FORM FOR SCHOOL ADMISSION

　　注: 申請(qǐng)者所提供的資料將用作入學(xué)申請(qǐng)有關(guān)事宜,并會(huì)供校方有關(guān)部門或人士查閱.入學(xué)申請(qǐng)程序完成后,未獲取錄之申請(qǐng)者資料, 當(dāng)無(wú)需保留時(shí)將全部銷毀. 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(qǐng)入讀年級(jí) Class applied for

　　I. 個(gè)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(xué)生紀(jì)錄咭編號(hào) STRN

　　出生日期 Date of Birth

　　請(qǐng)貼上近照

　　香港出世紙/其他身份證明文件號(hào)碼 C.O.B./Other I.D. No.

　　性別 Gender

　　Please stick a recent photo here

　　出生地點(diǎn) Place of Birth

　　國(guó)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(zhǎng)/監(jiān)護(hù)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(hào)碼 I.D. Card No. 職業(yè) Occupation 電話號(hào)碼 (辦公室) Telephone No. (Office) 電話號(hào)碼 (個(gè)人通訊) Telephone No. (Mobile/Pager) 電子郵址 E-mail Address 母 Mother 監(jiān)護(hù)人 Guardian

　　III. 申請(qǐng)人學(xué)歷 (請(qǐng)順序列出) Academic Qualifications (in chronological order)

　　由 From 月/年 Month/Year 至 To 月/年 Month/Year

　　學(xué)校名稱

　　地址

　　School Name

　　Address

　　電話 Telephone No.

　　IV. 課外活動(dòng) Extra-Curricular activities

　　由 From 月/年 Month/Year 至 To 月/年 Month/Year

　　活動(dòng)名稱 Name of activities

　　V. 特殊技能

　　(例如:音樂(lè), 體育, 朗誦, 數(shù)學(xué),舞蹈等等)

　　Special Skills (e.g. Music, Physical .Education., Choral Speaking, Mathematics, Dancing etc.)

　　VI. 校外獎(jiǎng)項(xiàng) External Awards (in chronological order)

　　日期 Date 月/年 Month/Year

　　參與機(jī)構(gòu) Name of organization

　　獎(jiǎng)項(xiàng)名稱 Name of Awards

　　VII. 校內(nèi)獎(jiǎng)項(xiàng) Internal Awards (in chronological order)

　　日期 Date 月/年 Month/Year

　　參與機(jī)構(gòu) Name of organization

　　獎(jiǎng)項(xiàng)名稱 Name of Awards

　　VIII. 推薦人及評(píng)語(yǔ)

　　(如有)

　　Recommendation & Comments (if any)

　　IX. 其他 Others 1. 申請(qǐng)者如有近親於本校就讀,請(qǐng)列明其姓名,班級(jí)及與申請(qǐng)者的關(guān)系 If you have close relatives currently studying at the school, please state their names, classes and relationship to you ____________________________________________________________________________________ 2. 申請(qǐng)者如有近親同時(shí)申請(qǐng)入讀本校,請(qǐng)列明其姓名,班級(jí)及與申請(qǐng)者的關(guān)系 If you have close relatives currently applying for the school, please state their names, classes and relationship to you ____________________________________________________________________________________ X. 備注 Remarks 填妥本表格后,請(qǐng)連同下列文件一并送交新界元朗天水圍天恒邨順德聯(lián)誼總會(huì)翁佑中學(xué) 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(xué)生姓名之學(xué)生近照兩張 A recent photo of the student (with endorsement) 2. 學(xué)生最近之成績(jī)表影印本 A photocopy of the latest school report of the student

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　　XI 校務(wù)處專用 Official Use Only

　　負(fù)責(zé)人簽署 Person-in-charge Signature 日期 Date 取錄與否 Acceptance 是 / 否 Yes / No 校長(zhǎng)簽署 Principal Signature 日期 Date

　　編配班級(jí) Class Arrangements