Transcription of Form A Maryknoll Convent School
1 Maryknoll Convent School ( secondary Section) 5 Ho Tung Road Kowloon Application for a discretionary Place in Form 1 (2022-2023) (This application form is issued free of charge.) Name: _____ _____ (English) (as shown on card) (Chinese) Date of Birth: _____ HK No.: _____ day / month / year Address: _____ _____ Home Telephone No.: _____ Contact Email: _____ Fax No.:_____ Primary School (s) attended (with dates): Name of School Class Year (with dates) 1. 2. Student Reference No. ( ): Sister(s) or family members at ( secondary Section)(if any): Name Class Year 1. 2. Dates of tests/ examinations in Feb/March: _____ (Please specify day) I hereby certify that the above information is true and correct. _____ Signature of applicant (student) _____ _____ Signature of mother Name of mother (in block letters) Mobile phone No.
2 :_____ _____ _____ Signature of father Name of father (in block letters) Mobile phone No.:_____ The information collected is used solely for processing your application for a discretionary place in Form 1 at Maryknoll Convent School ( secondary Section). Form AAffix a photo here Application No. _____
