Hong Kong Baptist University Humanities Alumni Association Department of Humanities and Creative Writing, RRS 606, Sir Run Run Shaw Building, Ho Sin Hang Campus, HKBU, 224 Waterloo Road, Kowloon Tong Enquiry Fax : (852) 3411 5579 Email: humalumni@gmail.com Membership Application Form 會藉申請表格 Please bring your record up to date by completing the form below. Your personal data will not be disclosed to external parties for use on unrelated purposes without your prior approval. 請填妥以下資料,以便日後聯絡。資料只會用作校友會通訊、活動宣傳及統計之用,絕不外洩。 A. Personal Particulars 個人資料 Name 姓名: (中文) (English) (Nickname 別名) Student No. Graduation Year 學生編號: 畢業年份: Sex 性別: □M □F DOB 出生日期: / DD / MM YYYY Telephone/cell phone 電話/手機: Email Address 電郵: Permanent Correspondence 聯絡地址: Job 職業: Special Skills 特別技能: Hobbies 嗜好: Payment Method 付款方法 □ Crossed Cheque / Bank Draft -- made payable to Hong Kong Baptist University Humanities Alumni Association Limited and send to us together with the application form. Cheque No: ____________________________________ □ ATM transfer -- Pay the fee into our account (#366-141281-668) by transfer at any Hang Seng Bank ETC/ATM machine and return the bank slip through fax or email. To be completed by HUMAA 由人文薈幹事填寫 Date: Payment Method: □ Cheque/ Bank Draft Processed by: □ ATM Transfer □ Cash