Surname 姓 | Personal Name 名 | |||||
Chinese Name 中文姓名 | ##被过滤## 性別 | |||||
Address 地址 | Post Code 郵區 | |||||
Telephone 電話 | Fax 傳真 | |||||
E-Mail 目前電郵 | Permanent Email 永久電郵 | |||||
Date of Birth 出生年月日 | Place of Birth 出生地 | |||||
University (full name & address) 大學(全名及地址) | ||||||
Name of Course 修讀課程 | Year of Course 修讀學年 | |||||
Course Start Date 課程開始日期 | Course End Date 課程結束日期 | |||||
Secondary school (full name & address) 中學(全名及地址) | ||||||
Date of arrival in UK 抵英日期 | ||||||
Parents’ occupations 父母職業 | Father Mother | Family Income p/a 家庭年收入 | ||||
Is your family entitled Income benefit? 家庭是否有資格領取ZF收入津貼? | Yes 有 | No 沒有 | ||||
Number of family members 家中人數 | ||||||
Reas##被过滤## for application 申請助學金理由 | ||||||
Academic achievements 學業成績 | ||||||
Proficiency of Chinese 中文程度 | Spoken說 Yes / No | Written寫 Yes / No | ||||
References(at least one of whom must have known the candidate as a student) 諮詢人(甚中一人曾是申請人的老師) | (1) Name Address (2) Name Address | |||||
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