發放「青苗十大進步獎2022-23」及「青苗學界進步獎獎學金2022-23」支票回條

基本資料

姓名*

學校名稱*

聯絡電話*

聯絡電郵*

本會將會以支票形式向你（或你的監護人）發放獎學金支票，獎學金金額為港幣$1,000。請填寫以下資料，並確保支票受款人已年滿十八歲，以便我們簽發支票。

受款人姓名*
必須與受款人銀行戶口名稱相同

受款人身分*

如你選擇「其他」，請註明：

*Required

聲明 Declaration
青苗基金非常重視個人私隱，並確保轄下之服務於任何情況下收集、使用、儲存、轉移及查閱個人資料之程序均符合香港的《個人資料(私隱)條例》的要求。請參閱私隱政策，如有其他疑問，請與青苗基金秘書處聯絡。 Youth Arch Foundation (YAF) respects the privacy of individuals. We do our best to ensure the collection, usage, storage, transfer and disclosure of your personal data accord to the Personal Data (Privacy) Ordinance. Please refer to the Privacy Policy. Please contact the YAF Secretariat if there is any further request.

我已閱讀並接受私隱政策 I have read and accepted the Privacy Policy.
本人知悉及同意青苗基金在活動進行期間對本人進行拍攝或錄影，本人同意貴會及相關支持機構有權使用該等影像及影片，連同本人在活動中自行拍攝的影像和影片，以及有關活動之分享，作紀錄及宣傳之用。I give my consent to YAF to take my photograph or film me during the program, and that the pictures or videos taken will be used for documentation or promotion purposes by YAF and any supporting organisations. I also give my consent to allow YAF and any supporting organisations to use any/all images and/or videos and/or testimonials taken of or provided by me about the program for the above purposes.

如不想接收青苗基金的資訊，請電郵至 unsubscribe@youtharch.org. Should you wish to stop receiving news and information from YAF, please contact us at unsubscribe@youtharch.org.

基本資料

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