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明愛社會工作服務義工登記表 (個人)
Caritas Social Work Services Volunteer Registration Form (Individual)
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* Indicates required question
中文姓名 Chinese Name
*
Your answer
備註 Remark
Your answer
英文姓名 English Name
*
Your answer
年齡 Age
*
18歲以下 Under 18
18 - 30
31 - 60
60 歲以上 Over 60
性別 Sex
*
男 Male
女 Female
聯絡電話 Phone Number
*
Your answer
電郵 Email
*
Your answer
服務對象 Target to Serve
*
可選擇多於一項 Can choose more than 1 option
幼兒 Young Children
兒童及青少年 Children and Youth
長者 Elderly
基層家庭 Deprived Families
智障人士 Mentally Handicapped
精神病康復者 Ex-mentally Ill Persons
新來港人士 New Arrivals
少數族裔 Ethnic Minorities
Required
服務地區 Districts
*
可選擇多於一項 Can choose more than 1 option
中西區 Central & Western
灣仔 Wan Chai
東區 Eastern
南區 Southern
油尖旺 Yau Tsim Mong
深水埗 Sham Shui Po
九龍城 Kowloon City
黃大仙 Wong Tai Sin
觀塘 Kwun Tong
葵青 Kwai Tsing
荃灣 Tsuen Wan
屯門 Tuen Mun
元朗 Yuen Long
北區 North
大埔 Tai Po
沙田 Sha Tin
西貢 Sai Kung
離島 Islands
Required
備註 Remark
Your answer
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