Co-organised by the Leisure and Cultural Services Department and Yuen Long District Sports Association Ltd. (Sponsored by Yuen Long District Council) Yuen Long District Age Group Table-tennis Competition 2011 Prospectus Purpose : Date Time Venue : : : To provide members of the community in different age groups with an opportunity to participate in table-tennis competitions, so as to sustain their interest in table-tennis, enable them to pit their skills against other players and keep fit. 14, 21, 28 August 2011 (Sunday) 9:00am to 6:00pm Tin Shui Wai Sports Centre (Address: No.1, Tin Pak Road, Tin Shui Wai, Yuen Long.) Division and Quota: Singles Event : Men’s Event Division Singles 55 or above Master 45 - 54 35 - 44 25 - 34 Adult 19 - 24 16 - 18 14 - 15 12 - 13 Youth 10 - 11 9 or below Age Women’s Quota *Waiting Division Successful Code List Applicant Applicant Quota *Waiting Successful List Applicant Applicant Date of Birth Division Code Activity Code On or before 14 Aug 1956 MA 40251001 16 5 FA 40250999 8 3 15 Aug 1956 – 14 Aug 1966 15 Aug 1966 - 14 Aug 1976 15 Aug 1976 - 14 Aug 1986 15 Aug 1986 - 14 Aug 1992 15 Aug 1992 - 14 Aug 1995 15 Aug 1995 - 14 Aug 1997 15 Aug 1997 - 14 Aug 1999 15 Aug 1999 - 14 Aug 2001 MB MC MD ME MF MG MH MI 40251002 40250997 40251010 40251011 40251012 40251013 40251014 40264231 16 16 16 16 32 48 48 48 5 5 5 5 11 16 16 16 FB FC FD FE FF FG FH FI 40251000 40250996 40251005 40251006 40251007 40251008 40251009 40264233 16 8 16 12 16 16 32 32 5 3 5 4 5 5 11 11 On or after 15 Aug 2001 MJ 40264232 32 11 FJ 40264234 16 5 Activity Code Doubles Event: (One entry only (Doubles or Mixed Doubles)) Men’s Event Division Age Date of Birth Doubles 35 or On or before 14 Aug 1976 above Adult 19 - 34 15 Aug 1976 - 14 Aug 1992 18 or Youth 15 Aug 1992 below Master Quota *Waiting Division Successful Code List Applicant Applicant Women’s Quota *Waiting Successful List Applicant Applicant Division Code Activity Code Activity Code MK 40251004 16 5 FK 40251003 8 3 ML 40250998 16 5 FL 40251017 8 3 MM 40251016 32 11 FM 40251015 16 5 Event Doubles Quota Division Mixed Doubles (open) Date of Birth Any Division Code DA Activity Code 40265492 1 Successful Applicant *Waiting List Applicant 16 5 Remarks: 1. Applicants should join the division according to their date of birth. Enrolment in higher division is not allowed. 2. If the competition is postponed for any reason, the original commencement day of the competition will be taken to determine to which age group the participant belongs. 3. If the number of enrolment is less than 2 players/teams for a particular division, the competition for that division will be cancelled and the enrolment fee paid will be refunded to participants. 4. For better resource utilisation, the Organiser reserves the right to adjust the quota for each division with reference to the enrolment response. The participants should have no objection. 5. * If places are available after the ‘Date for Payment by Successful Applicants’, those places will be opened for applicants on the waiting list on first-come-first-served basis. For details, please refer to Enrolment Method (P.3). A. Eligibility and Notes to Applicants: 1. To foster a sense of belonging to districts among the public, residents or students of the organising district may enrol in the capacity of “Local resident or local student” (“Local Status”) for District Age Group Competitions so as to enjoy priority in balloting. Applicants using “Local Status” for enrolment are required to sign a declaration. Residents or students of Yuen Long District who participate in the capacity of “Local Status” will be accorded priority in balloting. “Local Status” refers to people residing in or students studying in government/ aided/ private secondary schools, primary schools, special schools or kindergartens within the boundary of District as defined in the Electoral Boundary Maps of the District Council Election. Student hostels and athlete hostels cannot be regarded as the place of residence. For the school list of each district, please browse the website of the Education Bureau (http://www.edb.gov.hk/index.aspx?langno=2&nodeid=480). Applicants can also check out the boundary of Yuen Long District at the website of the Electoral Affairs Commission (http://www.eac.gov.hk/en/distco/2007dc_elect_map.htm). 2. The entitlement to priority in balloting can apply only once for the same type of sports competition. Applicants may enrol in the capacity of “Local Status” once for the same type of sports competition in one district within the same financial year (i.e. 1 April 2011 to 31 March 2012). Successful applicants and those put on the waiting list will be regarded as having enjoyed their priority entitlement. 3. Those who are regarded as having enjoyed their priority entitlement cannot enrol in the capacity of “Local Status” again in the same type of sports competition in other districts within the same financial year. However, they may still enrol in the capacity of “Non-local resident or non-local student” (“Non-local Status”). 4. For doubles events, if both players of a team apply by using the “Local Status”, their application will be given first priority in balloting. If only one player of a team applies by using the “Local Status”, their application will be given second priority in balloting. 5. If a participant is found using the “Local Status” for enrolment repeatedly within the same financial year and is admitted as a successful applicant or put on the waiting list, he/she will be disqualified and all the results he/she attained in the capacity of “Local Status” within that financial year will be cancelled. All enrolment fees will not be refunded. Team results attained in double events will also be cancelled. 6. Upon payment of fees, the applicant who enrols in the capacity of “Local Status” is required to provide a copy of valid residence or schooling proof bearing his/her name for verification and retention. The LCSD has the right to require any participant at any time to produce the original of the proof for verification, and the participant shall raise no objection to it. If the participant fails to produce the original of the proof or the original produced is different from the copy provided previously, the LCSD has the right to cancel his/her status as a successful applicant/an applicant on the waiting list, and reject his/her application. His/her competition results and award(s) attained will even be forfeited. 2 (a) Residence Proofs i. Statement (such as demand note for rates, electricity bill, water charges bill, monthly bank statement or telephone bill) issued by public utilities, commercial organisations or banks in the last three months; ii. Declaration of residence issued by the Home Affairs Department; iii. Mortgage statement, tenancy agreement or resident card; or iv. Student handbook (any student who cannot produce his/her handbook may provide any of the documents stated in items (i) to (iii) bearing the name(s) of his/her parent(s) together with his/her birth certificate). (Note: Student hostels and athlete hostels cannot be regarded as the place of residence.) (b) Schooling Proofs Valid student handbook or student card. 7. Each applicant may enrol in a maximum of one singles event and one doubles event and pay the entry fee for only one event. To facilitate the ballot arrangement, the applicant should submit separate enrolment forms for singles and doubles events and declarations. 8. Each applicant should submit only one enrolment form for each division. In case of multiple submissions, all enrolment forms submitted by the applicant will not be entertained. 9. Information provided in the enrolment form should be true and correct and be completed in full. Once the enrolment form is submitted, change of information (except change of contact telephone number, correspondence address and occupation) is not allowed before the completion of the “Yuen Long District Age Group Table-tennis Competition 2011”. 10. Applicant providing false information will be disqualified. His/her results attained will be cancelled and enrolment fee will not be refunded. 11. Applicant aged below 18 should provide a declaration signed by his/her parent or guardian before taking part in the competition. 12. The Organiser reserves the right to forbid any participant from taking part in the competitions. B. Enrolment : $20 per person (those aged below 15, aged 60 or above, full-time students and persons Fee with disabilities can enjoy a 50% off concessionary rate upon production of valid identity documents.) Each applicant should pay the fee according to his/ her age on the first day 14 August 2011 of the competition. C. Enrolment : Admission by ballot; Method Applicants should return the completed enrolment form and the “Declaration” to the District Leisure Services Office (DLSO) (Address: 2nd floor, Yuen Long Government Offices and Tai Kiu Market, 2 Kiu Lok Square, Yuen Long) or sports centres of Yuen Long District between 1 June 2011 and 6 June 2011; or submit enrolment form through Internet (http://www.lcsd.gov.hk/Prog/Ls/indexc.html) or Leisure Link Self-service Kiosk. If the enrolment form is submitted by post, please return the completed form together with the “Declaration” to DLSO of Yuen Long District on or before 8 June 2011 (the date of receipt of the enrolment form by the above office is regarded as receipt date) with “Yuen Long District Age Group Table-tennis Competition 2011” written on the envelope; If the enrolment form is submitted through Internet or Leisure Link Self-service Kiosk, please provide your personal particulars including Division, Event and Gender clearly and complete the “Declaration” to declare whether your enrolment is in the capacity of ‘Local resident or local student’. 3 Date for Payment and Procedures Date for Submissi on of Enrolment Form Date Remarks From 1 June 2011 to 8 June 2011 Accept enrolment forms submitted either in the capacity of “Local Status” or “Non-local Status”. Balloting Date Date for Payment by Successful Applicants 20 June 2011 From 30 June 2011 to 6 July 2011 Applicants enrolling in the capacity of “Local Status” will enjoy priority in balloting. Applicants enrolling in the capacity of “Local Status” should provide a copy of valid residence or schooling proofs for verification and retention. Date for Payment by Waiting List Applicants (applicable only when places are available after the deadline for payment by successful applicants) “Local Status” “Non-local Status” From 8 July 2011 to 10 July 2011 From 12 July 2011 to 13 July 2011 The waiting list is drawn on the “Balloting Date”. Places will be allocated on a firstcome-first-served basis. Singles Events: Unfilled places, if Applicants any, will be filled enrolling in the by applicants capacity of “Local enrolling in the Status” will enjoy capacity of “Nonpriority in filling the local Status”. places and should They should make make payment on payment starting a first-come-firstfrom 12 July 2011. served basis The process will starting from 8 July complete once all 2011. places are filled. Doubles Events: Both applicants enrolling in the capacity of “Local Status” (First Priority), will enjoy priority in filling the places and should make payment on a first-come-firstserved basis starting from 8 July 2011. Open Enrolment for Remaining Places From 15 July 2011 to 20 July 2011 If there are still places remaining after the deadline for payment by waiting list applicants, or if the competition is under-subscribed, the remaining places will be open for public enrolment on a first-come-firstserved basis. No priority will be given to applicants who enrol in the capacity of “Local Status”. One of the applicants enrolling in the capacity of “Local Status” (Second Priority) will enjoy priority in filling the places and should make payment on a firstcome-first-served basis starting from 10 July 2011. Applicants who take part in both singles and doubles events should ensure that they have received receipts for both events. For the doubles event, payment shall be made by both team members together. If any team fails to make the payment within the specified dates or only one team member has made the payment, it will be regarded as waiving their right of being successful applicants or applicants on the waiting list. The enrolment fee will not be refunded and their places will be allocated to other applicants. 4 D. Places and Time for Submission of Enrolment Form: Yuen Long DLSO Monday to Friday Saturday, Sunday and Public Holidays E. Arrangements for : Successful /Waiting List Applicants F. Date of Announcement Sports Centres in Yuen Long District 8:30 am to 6:15 pm Close 7 am to 11 pm If any division is over-subscribed, the DLSO will decide the successful applicants by ballot. The number of the successful applicants drawn should be equivalent to the quota of the division. Other applicants equivalent to one-third of the quota of the division (or 30 at most, whichever is the less) will also be drawn and included into a waiting list. An open ballot for successful applicants and waiting list applicants will be held at 3pm on 20 June 2011. Members of the public are welcome to attend. Both the successful and waiting list applicants will be notified in writing after the ballot. Please note that unsuccessful applicants will not be informed separately. The DLSO shall not be responsible for any postal delay caused by incorrect or incomplete correspondence address provided by the applicant. : The list of successful applicants and the waiting list applicants will be posted on the notice boards of the DLSO and sports centres of Yuen Long District on 28 June 2011(Tue). The balloting result will also be posted on the LCSD website 5 days after the “Balloting Date”. G. Payment Method : Successful applicants and waiting list applicants should make reference to and Document Section C ‘Enrolment Method’ and this Section ‘Payment Method and Time’ listed below together with the following documents upon payment of fee. (1) Notification letter; (2) Original or copy of identification document; (3) Copy of valid residence or schooling proof bearing the applicant’s name (Only applicable to the applicants enrolling in the capacity of “Local Status”). Please refer to 6(a) and (b) of Section A ‘Eligibility and Notes to Applicants’ for details. If applicant fails to provide the copy of valid residence or schooling proof bearing the applicant’s name for verification and retention, the LCSD has the right to cancel his/her successful applicant/ waiting list applicant status.) Successful applicants who do not complete the payment procedure will be deemed to have abandoned their participation right. Unfilled places, if any, will be filled by waiting list applicants. Applicants enrolling in the capacity of ‘Local Status’ will enjoy priority. 5 (A) Payment in person or by the representative Applicants enrolling in the capacity of “Local Status” should provide above Document (1-3) and make payment at Yuen Long DLSO or recreation and sports venues with Leisure Link Services (except Leisure Link Self-service Kiosk) in Yuen Long District within the specified time and dates for verification of “Local Status” by the LCSD staff. Applicants enrolling in the capacity of “Non-local Status” should provide above Document (1-2) and make payment at all DLSOs or recreation and sports venues with Leisure Link Services in all Districts within the specified dates. Places and Time for Payment: Yuen Long DLSO Applicants enrolling in the capacity of ‘Local resident or local student’ Monday to Friday Saturday, Sunday and Public Holidays 8:30 am to 4:30 pm Close All DLSOs Applicants enrolling in the Monday to Friday capacity of ‘Non-local Saturday, Sunday and resident or non-local Public Holidays student’ Recreation and sports venues with Leisure Link services in Yuen Long Districts (except Leisure Link Self-service Kiosk) 8:30 am to 10 pm Recreation and sports venues with Leisure Link services in all Districts (including Leisure Link Self-service Kiosk) 8:30 am to 4:30 pm Close 8:30 am to 10 pm (B) Payment by Post (For Successful Applicants Only) Successful applicants should send the copies of the Notification Letter and Document (2) mentioned in Section G ‘Payment Method and Document’, while for applicants enrolling in the capacity of “Local Status” should also provide a copy of Document (3) together with a crossed cheque (Post-dated cheque is not accepted) payable to ‘The Government of the Hong Kong Special Administrative Region’ and a stamped return envelope by post to the Yuen Long DLSO (Address: 2nd floor, Yuen Long Government Offices and Tai Kiu Market, 2 Kiu Lok Square, Yuen Long) before dead line (the date of receipt of the cheque by above office is regarded as payment date). Remarks 1: Remarks 2: Please ensure that all information on the cheque is accurate and the instructions stated in the Notification Letter are followed. Please send out the cheque early so that the application will not be disqualified due to postal delay. 6 H. Arrangements for Open Enrolment : If there are remaining places after the deadline for payment by waiting list applicants, or if the competition is under-subscribed, the DLSO will arrange open enrolment on a first-come-first-served basis from 15 July 2011(starting from 8:30am) to 20 July 2011 at all DLSOs or recreation and sports venues with Leisure Link Services. All are welcome to enroll and no priority will be given to applicants who enroll in the capacity of “Local Status” in such case. Applicants shall submit a completed enrolment form and produce a copy of identification document upon payment, which can be made in person or by the representative. To verify the information provided by the applicants instantly, the enrolment method through Telephone Booking, Leisure Link Internet Booking and Leisure Link Self-service Kiosk are not applicable in this enrolment stage. If an applicant enrolled in doubles event wish to join singles event or vice versa, he/she should submit a separate completed enrolment form by producing the copy of identification document and bring the relevant receipt for exemption of enrolment fee. I. Fixture Draw : The draw will be held at 3:00 pm on 26 July 2011 (Tue) at Yuen Long DLSO (Address: 2/F, Yuen Long Government Offices and Tai Kiu Market, 2 Kiu Lok Square, Yuen Long). Members of the public are welcome to attend. Applicants will be notified of the competition schedule in writing. If they do not receive the competition schedule before the competition, they may visit the website (http://www.lcsd.gov.hk/en/ls_act_comp.php) or enquire the Yuen Long DLSO for competition schedule on their own. J. Format : 1. Single knock-out system will be adopted. 2. Each game carries 11 points. The preliminary and second rounds will adopt ‘the best of five” system while the final and third-place match will adopt “the best of seven” system. K. Regulations : 1. Unless otherwise specified in the prospectus, the competition will adopt the regulation approved by the Hong Kong Table-tennis Association. 2. If only one participant shows up on the competition day, he/she will still be given the respective award. L. Awards : A trophy/medal will be awarded to the champion, first, second and third runners-up of each division. M. Marshall : 1. Participants of each division should report to the competition venue 15 minutes before the specified reporting time and take part in all their matches. Those who fail to show up 5 minutes after the judges’ roll-call will be deemed to have abandoned their participation right. Their results and awards attained in the whole competition will be cancelled and enrolment fee will not be refunded. No appeal will be accepted. 2. Participants should produce original identification document with a photo on it (e.g. identity card, student card or student’s handbook) for verification by the staff. Participants failing to do so or whose personal particulars different from those on the enrolment forms should not be allowed to enter the competition and will be disqualified. Enrolment fee will not be refunded. (Remarks: The Student Registration Card of Hong Kong School Sports Federation and the player card of the national sports associations or sport organisations are not accepted.) N. Judges : Judges of all matches will be served by qualified referees. All players should abide by their decisions. 7 O. Appeal : No appeal will be accepted. The judges’ decision on the competition results shall be final. P. Inclement : Should Pre-No.8 special announcement (an advance notice to the public issued by the Observatory when the tropical cyclone warning signal No. 8 is expected within two hours), tropical cyclone warning signal No. 8 or above or black rainstorm warning signal is in force 2 hours (3 hours for Island DLSO) before the reporting time for preliminary round of the competition, all games on that day will be cancelled. DLSO will notify the participants of the corresponding arrangement in due course. Weather Arrangement “Very High” Air Pollution Level (Air Pollution Index: 101 to 200) Activities will be held as scheduled. The Environmental Protection Department advises participants with existing heart or respiratory illnesses (such as coronary heart disease and other cardiovascular diseases, asthma and chronic obstructive airways diseases including chronic bronchitis and emphysema) to reduce physical exertion and outdoor activities, to seek advice from a medical doctor before participating in sports activities and take more breaks during the activities. Children and the elderly are advised to reduce physical exertion and outdoor activities. “Severe” Air Pollution Level (Air Pollution Index: 201 to 500) Activities will be held as scheduled. The Environmental Protection Department advises participants with existing heart or respiratory illnesses (such as coronary heart disease and other cardiovascular diseases, asthma and chronic obstructive airways diseases including chronic bronchitis and emphysema), children and the elderly to avoid physical exertion and outdoor activities. The general public is advised to reduce physical exertion and outdoor activities, to seek advice from a medical doctor before participating in sports activities and take more breaks during the activities. Q. Points to Note : 1. Participants should bring their own rackets. The rubber covering of the racket should be approved by the International Table Tennis Federation. The racket should be red on one side and black on the other. 2. All balls used in the competition (orange in colour, 40mm in diameter) will be provided by the Organiser. 3. The group aged 9 or below (Group J) should use low table (68cm in height) for match. 4. Each participant should wear a short-sleeved polo shirt, a pair of shorts (main colour of the shirt and shorts shall not be orange or near to orange) and nonmarking sports shoes. The length of shorts should not exceed the knee. Otherwise, the Organiser reserves the right to disqualify the participant(s). 5. Absentees will be deemed to have abandoned their participation right. No refund will be made. 6. If a participant who has taken part in one of the matches is unable to take part in the remaining matches for weather or other reasons, no refund will be made by the LCSD. 7. If a participant fails to finish all matches, the Organiser will disqualify him/her from receiving an award. 8. Participants should observe the regulations and remarks contained in the prospectus as well as all the rules of the sports centres. 8 R. Supplementary : 1. The schedule for each division on the competition day should follow the on-thespot announcements. Regulations 2. If any participant(s) is/are found to be impostors or having violated the rules or engaged in improper conduct that affects the competition results, the Organiser will have the right to order him/her/them to withdraw from the competition and his/her/their result in the competition will be cancelled. Enrolment fee will not be refunded. 3. The DLSO has the right to release the result of competition to the public. 4. In addition to the rules and remarks stated in this prospectus, participants should also follow all the rules in the Notes to Participant attached. S. Acceptance of : Complaint T. Enquiries Any persons who would like to lodge a complaint against the abuse use of the “Local Status” should provide his/her name, telephone, correspondence address and the information of the person he/she complains against, including name, division and the organising district for investigation at least ten working days before the start of the event. Complaints received less than ten working days before the start of the event may be handled after the completion of the event. : Leisure and Cultural Services Department Yuen Long District Leisure Services Office Tel : 2478 4342 Yuen Long District Sports Association Ltd Tel : 2474 1221 LCSD reserves the right to amend it at any time without giving any prior notice. 9 For Office Use With priority No priority Verified and Collected the copy of the residence or schooling proof Co-organised by the Leisure and Cultural Services Department and Yuen Long District Sports Association Ltd. Successful list (Sponsored by Yuen Long District Council) Yuen Long District Age Group Table-tennis Competition 2011 Waiting list Enrolment Form for Singles Events Notes on Personal Particulars: The information you have provided will only be used for the purposes of enrolment, compilation of statistics, future liaison work and promotion of activities organised by the Leisure and Cultural Services Department (LCSD). Only duly authorised LCSD staff will be given access to your personal data. If you wish to revise or retrieve your personal data, please contact staff at the counter of this office. All the information (except contact telephone number, correspondence address and occupation) provided in this form must not be changed once the enrolment form has been submitted. Please fill in the following enrolment form and the declaration. If you do not provide the required personal data, your application will not be entertained. I. Division to be entered (Please tick “” the box as appropriate.) Event Men’s Division Age Date of Birth Women’s Division Division to be Division Division to be Activity Code Activity Code Code entered “” Code entered “” 55 or above On or before 14 Aug 1956 MA 40251001 FA 40250999 45 - 54 15 Aug 1956 - 14 Aug 1966 MB 40251002 FB 40251000 35 - 44 15 Aug 1966 - 14 Aug 1976 MC 40250997 FC 40250996 25 - 34 15 Aug 1976 - 14 Aug 1986 MD 40251010 FD 40251005 Adult 19 - 24 15 Aug 1986 - 14 Aug 1992 ME 40251011 FE 40251006 16 - 18 15 Aug 1992 - 14 Aug 1995 MF 40251012 FF 40251007 14 - 15 15 Aug 1995 - 14 Aug 1997 MG 40251013 FG 40251008 Youth 12 - 13 15 Aug 1997 - 14 Aug 1999 MH 40251014 FH 40251009 10 - 11 15 Aug 1999 - 14 Aug 2001 MI 40264231 FI 40264233 9 or below On or after 15 Aug 2011 MJ 40264232 FJ 40264234 (Each participant should submit one enrolment form only. For Double Event, please return the completed enrolment form together with partner) Master Singles II. Personal Particulars (The following items must be filled in. Please use BLOCK LETTERS for English.) Name: __________________ (Chinese) ______________ (English) Identity Document No.: __________________ ( Sex: M/F ) Date of Birth: / / Age:___________ (DD / MM / YYYY ) Residential Address: (*If you enrol in the capacity of ‘Local resident’, you must complete the above.) Name of School: School Address: (*If you enrol in the capacity of ‘Local student ’, you must complete the above.) (Remarks: The entitlement to priority in balloting is based on the residential/school address provided above by the applicant and the Declaration made in Part III. The applicant’s ‘Local Status’ or ‘Non-local Status’ shall not be changed once his/her enrolment form is submitted. The applicant should notify the organising district of any change of his/her correspondence address for communication purpose.) Contact Telephone No.(Day)_______________(Night) _____________ (Mobile) ______________ (If I encounter any emergency in the course of the activity, please contact _______________ (Name of Contact Person) at _______________ (Telephone No.)) Occupation (Please tick “”the box as appropriate.) 1. Employed 2. Housewife 3. Student 10 4. Retired 5. Others III. Declaration (All applicants should complete below) 1. Please tick “” the appropriate box. 2. Please delete non-applicable item(s) adjacent to the * mark. 3. ‘Local resident or local student’ refers to people residing in or students studying in government / aided / private secondary schools, primary schools, special schools or kindergartens within the boundary of Yuen Long District as defined in the Electoral Boundary Maps of the District Council Election. the applicant (for an applicant aged 18 or above) A. This declaration is to be completed by the parent / guardian (for an applicant aged below 18) I (* the applicant / parent or guardian) hereby declare that: 1. The applicant (Name of the applicant) is residing in Yuen Long District, and is going to enrol in this competition in the capacity of “Local resident or local student” (“Local Status”). The applicant (Name of the applicant) is studying in Yuen Long District, and is going to enrol in this competition in the capacity of “Local resident or local student” (“Local Status”). Since the applicant (Name of the applicant) was admitted as successful applicant or put on the waiting list using “Local Status” in the same type of sports competition in other districts within this financial year, or due to other reasons, the applicant is going to enrol in this competition in the capacity of “Non-local resident or non-local student” (“Non-local Status”) even though he/she is residing or studying in Yuen Long District. The applicant (Name of the applicant) is not residing or studying in Yuen Long District. 2. The information provided in the enrolment form by the applicant is true and correct and the applicant is eligible for the competition according to the rules set by the Organiser. I (and the applicant) understand that if false information is provided, the applicants will be immediately disqualified with all the results cancelled. Enrolment fee will not be refunded. 3. If I (or the applicant) fail to provide a copy of valid residence or schooling proof bearing my/ the applicant’s name for verification and retention upon payment of fees, the enrolment by using the 'Local Status' will be immediately cancelled. Furthermore, the LCSD has the right to require me (or the applicant) at any time to produce the original of the proof for verification and shall raise no objection to it. If I (or the applicant) fail to produce the original of the proof or the original produced is different from the copy provided previously, the LCSD has the right to cancel the status as the successful applicant /the applicant on the waiting list, and reject application, and even the competition results award(s) attained will even be forfeited. (Application during the “Open Enrolment for Remaining Places” is not applicable.) 4. The applicant agrees to comply with all the rules set by the Organiser and abides by the decisions of the referee(s). 5. The applicant is healthy and physically fit to participate in the above competition. The Leisure and Cultural Services Department shall not be liable for any injuries or death which the applicant may sustain in the competition due to his / her own negligence, ill health or poor physical condition. If the applicant aged 18 or above, he/ she is required to fill in Column A only; If the applicant aged below 18, his/her parent / guardian is required to fill in Column B only. A. Signature of the Applicant : Date : B. Signature of Parent/Guardian Name of Parent/Guardian Date 11 : : : B. To be completed by Applicant/ Parent/ Guardian enrolling in the capacity of ‘Local resident or local student’. I hereby declare that _____________________(applicant’s name) has studied the prospectus of the event and agree to comply with the stipulated rules and regulations and is now applying in the capacity of a “local resident/local student”. I confirm that he/she have not been successfully balloted as candidate or one on the waiting list of the candidate in any event of the same sport in the capacity of a ‘Local resident or local student’ in other districts in the period from 1 April 2011 to 31 March 2012. Otherwise he/she will be disqualified and all the competition results that he/she has attained in any event of the same sport in the same period will be cancelled and the enrolment fee paid will not be refunded. The Leisure and Cultural Services Department shall not be liable for any loss due to his/her negligence or any omissions in this application form. Any false declaration made by the parent or lawful guardian would render the enrolment null. A. Signature of the Applicant : Date : B. Signature of Parent/Guardian Name of Parent/Guardian Date : : : (There is no need to fill in the address if fax number has already been provided.) Name: ______________________ Name: ______________________ Name: ______________________ Fax No. / Address: Yuen Long District Age Group Fax No. / Address: Yuen Long District Age Group Fax No. / Address: Yuen Long District Age Group Table-tennis Competition 2011 Table-tennis Competition 2011 Table-tennis Competition 2011 12 For Office Use First priority Second priority No priority Verified and Collected the copy of the residence or schooling proof 1st Player _______________ 2nd Player_______________ Co-organised by the Leisure and Cultural Services Department and Yuen Long District Sports Association Ltd. (Sponsored by Yuen Long District Council) Yuen Long District Age Group Table-tennis Competition 2011 Successful list Enrolment Form for Doubles Events Waiting list Notes on Personal Particulars: The information you have provided will only be used for the purposes of enrolment, compilation of statistics, future liaison work and promotion of activities organised by the Leisure and Cultural Services Department (LCSD). Only duly authorised LCSD staff will be given access to your personal data. If you wish to revise or retrieve your personal data, please contact staff at the counter of this office. All the information (except contact telephone number, correspondence address and occupation) provided in this form must not be changed once the enrolment form has been submitted. Please fill in the following enrolment form and the declaration overleaf. If you do not provide the required personal data, your application will not be entertained. I. Division to be entered (Please tick “” the box as appropriate.) Event Doubles Division Age Date of Birth Master 35 or above Adult 19 - 34 Youth 18 or below On or before 14 Aug 1976 15 Aug 1976 14 Aug 1992 On or after 15 Aug 1992 Division Code Men’s Activity Code Division to be entered “” Division Code Women’s Activity Division to be Code entered “” MK 40251004 FK 40251003 ML 40250998 FL 40251017 MM 40251016 FM 40251015 Event Division Date of Birth Division Code Activity Code Division to be entered “” Doubles Mixed Doubles (open) Any DA 40265492 II. Particulars of the First Team Member Personal Particulars (The following items must be filled in. Please use BLOCK LETTERS for English.) Name: __________________ (Chinese) ________________________ (English) Sex: M/F Identity Document No.: ( ) Date of Birth: / / (DD / MM / YYYY) Age:___________ Residential Address: (*If you enrol in the capacity of ‘Local resident’, you must complete the above.) Name of School: School Address: (*If you enrol in the capacity of ‘Local student ’, you must complete the above.) (Remarks: The entitlement to priority in balloting is based on the residential/school address provided above by the applicant and the Declaration made in Part IV. The applicant’s ‘Local Status’ or ‘Non-local Status’ shall not be changed once his/her enrolment form is submitted. The applicant should notify the organising district of any change of his/her correspondence address for communication purpose.) 13 Contact Telephone No.(Day)_______________(Night) ________(Mobile) ______________ (If I encounter any emergency in the course of the activity, please contact Contact Person) at (Telephone No.)) (Name of Occupation (Please tick “”the box as appropriate.) 1. Employed 2. Housewife 3. Student 4. Retired 5. Others III. Particulars of the Second Team Member Personal Particulars (The following items must be filled in. Please use BLOCK LETTERS for English.) Name: __________________ (Chinese) ________________________ (English) Sex: M/F Identity Document No.: ( ) Date of Birth: / / (DD / MM / YYYY) Age:___________ Residential Address: (*If you enrol in the capacity of ‘Local resident’, you must complete the above.) Name of School: School Address: (*If you enrol in the capacity of ‘Local student ’, you must complete the above.) (Remarks: The entitlement to priority in balloting is based on the residential/school address provided above by the applicant and the Declaration made in Part IV. The applicant’s ‘Local Status’ or ‘Non-local Status’ shall not be changed once his/her enrolment form is submitted. The applicant should notify the organising district of any change of his/her correspondence address for communication purpose.) Contact Telephone No.(Day)_______________(Night) ________(Mobile) ______________ (If I encounter any emergency in the course of the activity, please contact Contact Person) at (Telephone No.)) Occupation (Please tick “”the box as appropriate.) 1. Employed 2. Housewife 3. Student (Name of 4. Retired 5. Others (There is no need to fill in the address if fax number has already been provided.) Name: ______________________ Name: ______________________ Name: ______________________ Fax No. / Address: Fax No. / Address: Fax No. / Address: ____________________________ ____________________________ ____________________________ Yuen Long District Age Group Yuen Long District Age Group Yuen Long District Age Group Table-tennis Competition 2011 Table-tennis Competition 2011 14 Table-tennis Competition 2011 IV. Declaration (All applicants should complete below) 1. Please tick “” the appropriate box. 2. Please delete non-applicable item(s) adjacent to the * mark. 3. ‘Local resident or local student’ refers to people residing in or students studying in government / aided / private secondary schools, primary schools, special schools or kindergartens within the boundary of Yuen Long District as defined in the Electoral Boundary Maps of the District Council Election. the applicant (for an applicant who is aged 18 or above). the parent / guardian (for an applicant who is aged below 18). (For Doubles Events) It is hereby declared that: A. This declaration is to be completed by 1. The team comprises (Name of the first team member) and _________________ (Name of the second team member). Both team members are residing or studying in Yuen Long District and are going to enrol in this competition in the capacity of “Local resident or local student” (“Local Status”). Since both team members were admitted as successful applicants or put on the waiting list using “Local Status” in the same type of sports competition in other districts within this financial year, or due to other reasons, they are going to enrol in this competition in the capacity of “Non-local resident or non-local student” (“Non-local Status”) even though they are residing or studying in Yuen Long District. Only (Name of team member) is residing or studying in Yuen Long District and is going to enrol in this competition in the capacity of “Local Status”. The other team member is going to enrol in this competition in the capacity of “Non-local Status”. Although (Name of team member) is residing or studying in Yuen Long District, since he/she was admitted as a successful applicant or put on the waiting list using “Local Status” in the same type of sports competition in other districts within this financial year, or due to other reasons, both team members are going to enrol in this competition in the capacity of “Non-local Status”. Both team members are not residing or studying in Yuen Long District. 2. The information provided in the enrolment form by the applicants is true and correct and the applicants are eligible for the competition according to the rules set by the Organiser. I (and the applicants) understand that if false information is provided, we will be immediately disqualified with all the results cancelled. Enrolment fee will not be refunded. 3. If I (or the applicant(s)) fail to provide a copy of valid residence or schooling proof bearing my/ our names for verification and retention upon payment of fees, the enrolment by using the 'Local Status' will be immediately cancelled. Furthermore, the LCSD has the right to require me (or the applicant(s)) at any time to produce the original of the proof for verification and shall raise no objection to it. If I (or the applicant(s)) fail to produce the original of the proof or the original produced is different from the copy provided previously, the LCSD has the right to cancel the status as the successful applicants /the applicant(s) on the waiting list, and reject application, and even the competition results and award(s) attained will even be forfeited. (Application during the “Open Enrolment for Remaining Places” is not applicable.) 4. The applicants and team members agree to comply with all the rules set by the Organiser and abide by the decisions of the referee(s). 5. The applicants and team members are healthy and physically fit to participate in the above competition. The Leisure and Cultural Services Department shall not be liable for any injuries or death which the applicants and team members may sustain in the competition due to their own negligence, ill health or poor physical condition. If the applicant aged 18 or above, he/ she is required to fill in Column A only; If the applicant aged below 18, his/her parent / guardian is required to fill in Column B only. 15 First Team Member (i) Applicant / Name team member of the first (ii) Name of the Parent or Guardian of the first team member : Signature of the Parent or Guardian of the first team member : Date : : Applicant / Signature of the first team member Date : : Second Team Member (ii)Name of the Parent or Guardian of the second team member : Signature of the Parent or Guardian of the second team member : Date : (i) Applicant / Name of the second team member : Signature of the second team member Date : : 16 B. To be completed by Applicant/ Parent/ Guardian enrolling in the capacity of ‘Local resident or local student’ (1) Applicant/ First Team Member Applicants aged 18 or above should sign this column I _____________________(applicant’s name) hereby declare that I have studied the prospectus of the event and agree to comply with the stipulated rules and regulations and I am now applying in the capacity of a “local resident/local student”. I confirm that I have not been successfully balloted as candidate or one on the waiting list of the candidate in any event of the same sport in the capacity of a ‘Local resident or local student’ in other districts in the period from 1 April 2011 to 31 March 2012. Otherwise I will be disqualified and all the competition results that I have attained in any events of the same sport in the same period will be cancelled and the enrolment fee paid will not be refunded. The Leisure and Cultural Services Department shall not be liable for any loss due to my own negligence or any omissions in this application form. Any false declaration would render the enrolment null. Signature of Applicant: Date: For applicants aged below 18, this column should be completed by their parents or guardians I hereby declare that ________________(applicant’s name) has studied the prospectus of the event and agree to comply with the stipulated rules and regulations and is now applying in the capacity of a “local resident/local student”. I confirm that he/she have not been successfully balloted as candidate or one on the waiting list of the candidate in any event of the same sport in the capacity of a ‘Local resident or local student’ in other districts in the period from 1 April 2011 to 31 March 2012. Otherwise he/she will be disqualified and all the competition results that he/she has attained in any event of the same sport in the same period will be cancelled and the enrolment fee paid will not be refunded. The Leisure and Cultural Services Department shall not be liable for any loss due to his/her negligence or any omissions in this application form. Any false declaration made by the parent or lawful guardian would render the enrolment null. Parent's/Guardian’s Signature: ______________ Name of Parent/Guardian: Date: (2) Second Team Member Applicants aged 18 or above should sign this column I _____________________(applicant’s name) hereby declare that I have studied the prospectus of the event and agree to comply with the stipulated rules and regulations and I am now applying in the capacity of a “local resident/local student”. I confirm that I have not been successfully balloted as candidate or one on the waiting list of the candidate in any event of the same sport in the capacity of a ‘Local resident or local student’ in other districts in the period from 1 April 2011 to 31 March 2012. Otherwise I will be disqualified and all the competition results that I have attained in any events of the same sport in the same period will be cancelled and the enrolment fee paid will not be refunded. The Leisure and Cultural Services Department shall not be liable for any loss due to my own negligence or any omissions in this application form. Any false declaration would render the enrolment null. Signature of Applicant: Date: For applicants aged below 18, this column should be completed by their parents or guardians I hereby declare that _______________(applicant’s name) has studied the prospectus of the event and agree to comply with the stipulated rules and regulations and is now applying in the capacity of a “local resident/local student”. I confirm that he/she have not been successfully balloted as candidate or one on the waiting list of the candidate in any event of the same sport in the capacity of a ‘Local resident or local student’ in other districts in the period from 1 April 2011 to 31 March 2012. Otherwise he/she will be disqualified and all the competition results that he/she has attained in any event of the same sport in the same period will be cancelled and the enrolment fee paid will not be refunded. The Leisure and Cultural Services Department shall not be liable for any loss due to his/her negligence or any omissions in this application form. Any false declaration made by the parent or lawful guardian would render the enrolment null. Parent's/Guardian’s Signature: ____________________ Name of Parent/Guardian: ____________________ Date: ____________________ 17