Personal Information - Jockey Club Learn-to-Swim Programme for Primary Students

Part 1A Personal Particulars
(*Mandatory)

Remaining Time:

* Surname

* Given Name

Chinese Name

* Gender

This field is required

* Date of Birth (Must be born in 2016)

/ 2016

(D/M/Y)

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* Type of Birth Certificate

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* Number of Birth Certificate
(Prefix and first 4 digits or first 5 digits)

Please enter a valid HKID Card No. or Registration No. of HK Birth Cert. or Passport No.

* Email Address
(For receiving notification email)

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* HK Mobile No.
(For receiving notification SMS)

(852)

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* Residential District

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* HK Postal Address (Successful applicant will receive swim gear by courier)

This field is required