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Name 姓名 (Chinese 中文) *
Name 姓名 (English 英文) *
Gender 性別*
Male 男
Female 女
Age 年齡*
School / Company / Organization name 學校 / 公司 / 組織名稱*
Class / Faculty 年級 / 學系*(Please fill in “N/A” if not applicable 如不適用,請填上N/A)
Contact no 聯絡電話*
Email address 電郵地址*
Mailing address 郵寄地址*
(Applicable to participant aged below 18) (以下部份只適用於 18 歲以下的參加者)
#Name of Parent / guardian 家長 / 監護人姓名
#Relationship with participant 與參加者關係
Contact Person 組別聯絡人姓名 (Chinese中文)
Contact Person 組別聯絡人姓名 (English英文)
Contact no. of contact person 組別聯絡人電話
- Mobile手機 (Name of App 應用程式名稱 )
- Sports bracelet 運動手環 (Brand name 手環品牌名稱 )
Please upload the captured screen of no. of steps from 10 days請上載10天的步數截圖 * Please gather your captured screen images, zip / pdf it as one file and upload* 請將你所有的步數截圖集合成一個zip / pdf 檔,並上載。
Participants must agree to and abide by all the following terms and conditions to qualify for the competition: 參加者必須同意及遵守以下所有細則及條款,方合符資格參與是次比賽
All violated the rules and submitted the captured screen late will be disqualified; 有不符合參賽規則及逾時繳交截圖結果的參加者將會被取消資格。
If any suspected cheating or dishonest behavior during the competition, the organizer has the right to disqualify any participant without any notice;如發現任何懷疑作弊或利用不誠實行為參加比賽,主辦機構有權取消任何作弊人士之參加資格,恕不作另行通知。
Participants agree to provide personal data and authorize the Organizers to release such data for promotional purposes. All collected data will be destroyed if no longer required after the competition;參賽者同意提供個人資料及授權主辦機構公開有關資料,作宣傳用途。比賽完成後,所有收集的資料,如無須保留,將全部銷毀。
The Organizers reserve the final right to interpret and amend the regulations of the competition; 主辦機構保留對本章程的最終解釋及修訂權利。
Participants must have full understanding of the regulations of the competition. Submission of entries by participants implies that they have agreed to abide by and accept all the regulations involved; 參賽者必須清楚明白比賽規則,遞交參加資料即表示已同意遵守和接納是次比賽所有規則及條款。
If you do not wish to receive future information from HKAHF, please tick the box. The Foundation will, without charge to you, comply with requirement. The notification of such requirement may be sent to the Foundation by post, fax, electronic mail, telephone call or others means of communication. (Address: 199 Tsuen King Circuit, Tsuen Wan, Hong Kong / Tel: 2276 7131 / Fax: 2275 6417/ Email: foundation@twah.org.hk) 若閣下/貴機構不想再收到有關港安醫院慈善基金的任何資訊,請在方格內加☑。 閣下/貴機構可以隨時要求基金停止使用閣下/貴公司的個人資料作為籌募善款之用。基金不會因此要求而收取費用。此項要求可以藉郵件、傳真、電子郵件、電話通話或其他形式的傳訊,通知基金,地址:香港荃灣荃景圍199號/電話:2276 7130 /傳真:2275 6417 /電郵地址:foundation@twah.org.hk
Remarks 備註: An acknowledgement email will be sent to the participants with the recommended amount and donation method once received the submission. 主辦機構收到參賽表格後,將會電郵參加者一封確認郵件有關其建議捐款金額及捐款方法。
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