Hong Kong Integrated Nepalese Society Limited

HONG KONG INTEGRATED NEPALESE SOCIETY LIMITED - PROGRAM PARTICIPATION FORM

Select Program Type *

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Participant Information:

Name *

The name field is required.

Gender *

Male

Female

The gender field is required.

HKID No. *

The HKID number field is required.

Date of Birth *

The date of birth field is required.

Address *

The address field is required.

Contact No. *

The contact number field is required.

Email *

The email field is required.

Types of Participants: *

Participants

Volunteer

Audience

Others

Health & Emergency Information:

Special Medical Condition

Emergency Contact Name *

The emergency contact name field is required.

Emergency Contact No. *

The emergency contact number field is required.

Declaration:

I confirm that the information provided in this form is true.

You must confirm that the information provided is true.

I agree to abide by the rules and regulations set by Hong Kong Integrated Nepalese Society Limited.

You must agree to abide by the rules set by HINS.

I consent to the use of photos/videos of the program for promotional purposes.

You must provide consent for the use of photos/videos for promotional purposes.

Signature *

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