大廈 門牌號碼及街道名稱No 地區 - SCAA

1 MEMBERSHIP APPLICATION FORM 100 x 200 The Application Form submitted should be made on white or light color plain paper with original size 100 x 200 mm. Front Page 200 mm - MEMBERSHIP APPLICATION FORM ((( ))) CCCaaarrrddd NNNooo ..(((oooffffffiiiccciiiaaalll uuussseee ooonnnlllyyy))) Surname Given Name Mr. Mrs. Ms. HKID No. Name in Chinese Date of Birth D M Y Nationality Valid to ( ) Room Floor Block Phase Passport No.

2 D M Y Postal Address Home / / Building/House Estate/Court Office No Name of Street/Road Tel Mobile District HK KLN NT a Please select any one and as appropriate. E5mail 18 Permanent Honorary President Member Permanent Honorary Director Member Permanent Honorary Council Member Life Member Ordinary Member Youth Member (age below 18) Visiting Member (non Resident) Visiting (Catering) Member $20,000/ $15,000/ $10,000/ $1,500/ $120/ $60/ $60/ $20/ Admission Admission Admission Admission Annum Annum Month Month ( ) Team Chinese Name of Referee(if any) ( )

3 Donation $ Total $ 1(b) I certify that the information provided in this Application Form is true and correct. I have read all the conditions listed overleaf and agree to abide by the constitution and by5laws of SCAA. I agree do not agree to SCAA continuing to use my personal data for the purposes mentioned in 1(b) overleaf. 100 11 5 11 5 / / 5 5 5 88 2577 4427 Signature Issue Date Reverse Page MEMBERSHIP APPLICATION PROCEDURE

4 1. (a) (b) 2. 1(b) 5 5 5 i. ii. 2882 1213 iii. SOUTH CHINA ATHLETIC ASSOCIATION (SCAA) COLLECTION AND USE OF PERSONAL DATA STATEMENT NOTICE 1. Purpose of Collection and Use : (a) The personal data you provide(d) to SCAA is for use of the membership application. Failure to provide full information may result in the decline or delay in the processing of your application.

5 (b) Your personal data will be used by SCAA and/or our partners only for promotion and/or marketing purposes of the membership campaign, sports and recreational newsletters, activities, courses, seminars, conferences, events, competitions, etc under your consent or an indication of no objection, you being the data subject. 2. Updating and Stop Using Your Personal Data : If you do not wish SCAA to continue to use your personal data for the purposes mentioned in 1(b) above, and/or would like to enquire/update your personal data, please let us know via any one of the following ways : 5 add appropriate overleaf; or 5 email to with your name and membership no.

6 ; or 5 download and fill in the PERSONAL DATA UPDATE Form at ; and i. email to , or ii. fax to 2882 1213, or iii. post to The Honorary General Secretary, South China Athletic Association, 88 Caroline Hill Road, Causeway Bay, Hong Kong. Membership can be applied in person, by authorized representative or by mail. APPLICATION FORM Please complete in block letters, the name must correspond with the Hong Kong Birth Certificate or Hong Kong Identity Card or Passport. Member renewing his membership within 100 days before or after expiry is not required to complete the Application Form. IDENTIFICATION (An original or copy of any one of the followings) Age below 11 HK Birth Certificate or HK Identity Card or Passport Age 11 and above HK Identity Card or Passport PAYMENT METHODS 5 All fees paid are not refundable.

7 Please select one of the following. Cash/Octopus/Credit Card Membership Card can be collected forthwith. Cheque Membership Card can be collected 5 working days after clearance of the cheque. Crossed cheque should be made payable to "South China Athletic Association". Post5dated cheque is not accepted. A STAMPED SELF5 ADDRESSED ENVELOPE (for mail application only) Processing time for mail application normally requires approximately 2 weeks. Only payment by cheque is accepted. (DO NOT MAIL CASH) Our Association will not be held liable or responsible for any loss through mail. Applicant must send all the required documents with a stamped self5addressed envelope to: South China Athletic Association 5 Members' Section 88 Caroline Hill Road, Causeway Bay, Hong Kong.

8 ENQUIRY HOTLINE: 2577 4427 Oct 2014 1. 2. (50 x 40 ) ** NOTICE 1. Monthly and Yearly Membership Cards are with no photos. 2. A Life Membership applicant has the option of printing a photo on the Membership Card. Please submit one brand5new passport5size photo (50 x 40 mm) taken within the last 6 months with a plain background. **Used and/or family photo is not accepted.