FE27/714
THE UNIVERSITY OF HONG KONG
FACULTY OF EDUCATION
Application Form for Use of Lockers
Note:
Applications should be made in person at the Programme Office in Room 219, Runme Shaw
Building from September 11 (Thu) to September 12 (Fri), 2014 (9:30am – 12:30pm &
2:30pm – 5:30pm).
You must present your HKU Student Registration Card to apply for a locker (subject to
availability).
Name (in block letters):
Curriculum:
Mr / Miss / Ms / Dr
PGDE (Full-time)
University No.:
Major:
Telephone No.:
Correspondence address:
Locker no. allocated:
(office use only)
I undertake to abide by the rules governing the use of the locker:
i)
that I am responsible for the security of items stored in it, and also for the proper
maintenance of the locker and key;
ii)
that locker is allocated free of charge, but a charge of HK$150 will be imposed for
lost keys and replacement of keys;
iii)
that HK$150 will be charged if the key is not returned to the Programme Office
(Room 219, Runme Shaw Building) at the end of my final year studies (i.e. by June
30, 2015) in the Faculty.
Signature
Date