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General Information 基本資料
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* Indicates required question
Full Name (as per Identification Card) 英文姓名(請依據身份證填寫)
*
Your answer
Full Name in Chinese (If any) 中文姓名 (若有)
Your answer
Gender 性別
*
Female 女
Male 男
Other:
Identification No./ Passport No. 身份證/護照號碼
*
Your answer
Date of Birth 生日日期
*
MM
/
DD
/
YYYY
Mobile Phone No. 聯絡電話(手機)
*
Your answer
Nationality 國籍
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Your answer
Email Address 電郵地址
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Your answer
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