團體參觀及導賞服務申請表 | Group Visit and …

1 724 Application No.: 7 7 Castle Road, Mid-Levels, Central, Hong Kong Group Visit and Guided Tour Service Application Form / Telephone Booking / Enquiries 3580 6780 Fax 3580 0498 Monday Friday : 9:30am 12:45pm & 2:00pm 5:30pm Please call us during office hours for reservation first and read the Notes on Application on before filling in this form.

2 Guided tour service is provided every day, except Thursday. The Museum will be open on Thursday when it falls on a public holiday, during which free guided tour service will also be offered. Part A Group Information Name of School / Organisation (as shown on the supporting document) / (20 )Registered kindergarten / primary / secondary / post-secondary institution / university (20 persons or more) (20 ) Registered charitable organisation (20 persons or more) (20 ) Registered non-profit-making organisation (20 persons or more) (10 )

3 Registered school and charitable or non-profit-making organisation serving people with disabilities or the elderly (10 personsor more) Others (please specify, government department)( Please attach certified copy of the supporting document) / Address of School / Organisation / Officer-in -charge Tel. No. Fax No. Proposed Date of Visit Time of Visit From: To: / No. of Students / Members (1) / Class (For School) / Age / No.

4 Of Teachers / Leaders (2) Any special request for visitors? Yes No Total No. of Visitors (1) + (2) / ? Did you charge members admission fee for this proposed Visit ? No Yes $ Remarks: The undersigned hereby confirms that all the information given in this form is correct and complete. / ( )Name of Principal / Authorised Officer (in block letters) / Seal 1 Signature Date OfficialLCS 990

5 20-30 Part B Guided Tour Service (Each guided tour admits about 20-30 persons) 1. : 1. Permanent ExhibitionGuided tour service: Required Not required 2. : 2. Special Exhibition (Please check the exhibition period)Guided tour service: Required Not required 3. : 3. Exploring Tour of Kom Tong Hall(Only available on Sundays in Cantonese) Guided tour service: Required Not required Language preferred Cantonese English Putonghua Remarks: Part C Audio-guide Service 30 ( ) No.

6 Of audio-guide set required (maximum 30 sets) Total: sets (B orrower shall abide by the Notes to Hirers listed on the Registration Form for Rental of Audio Guide Set ) Part D Planning Yo u r VisitPlease tick and plan the time of your Visit for ease of arrangement. Programme Duration Schedule Arrival at the Museum Guided tour service for the exhibitions1 hr to Visit the exhibitions on your own1 hr to Departure For the Museum Use Only / / / Application for Guided To u r / Audio-guide Service Confirmation Slip To : Your application for guided tour service is / is not approved.

7 Audio-guide service is / is not approved. Notes to the Group Leader , Location Map and Floor Plan of Dr Sun Yat-sen Museum are enclosed for reference. Signature _____ Name and Post _____ Date LCS 990 2 1. i. 20 ii. 10 2. 10 6 10 7 10 5 11 12 3 12 3.

8 201 6 8 1 201 6 11 9 30 12 45 2 5 30 3580 6780 4 3580 0498 4. 5. 6.

9 7. 8. 30 9. 25 1 2 10. 11. 12. 1:20 13.

10 14. 15. 3580 6780 1. 2. 7 / 3580 6779 Notes on Application 1.