St Clare's Primary School

Admission

Application Form For K1

學生姓名
Name of Student *

請根據身份證明文件填寫中英文姓名。
Please refer to the identity document to fill in the names.

出生地點
Place of Birth *

出生日期
Date of Birth *

身份證號碼 / 出生證明書號碼
I.D. Card No. / Birth Certificate No. *

如學生非本港出生，請提供護照號碼，並於報名當天帶備正副本，以作查核。
For students who are not born in Hong Kong, please provide the passport number and bring along the original and the copy of the passport on the application day.

國籍
Nationality *

宗教
Religion

領洗日期
Date of Baptism

領洗紙登記號碼
Certificate of Baptism Reg. No.

居住地址
Residential Address *

住宅電話
Home Telephone No. *

電郵地址
E-mail address *

現讀學校
Present School

現讀學校之地區
District of present school

家長或監護人資料
Parent / Guardian’s particulars

父親姓名
Name of Father *

請根據身份證明文件填寫中英文姓名。
Please refer to the identity document to fill in the names.

職業 / 職位
Occupation / Position *

僱主 / 公司名稱
Name of Employer / Company

手提電話號碼
Mobile Phone No. *

母親姓名
Name of Mother*

請根據身份證明文件填寫中英文姓名。
Please refer to the identity document to fill in the names.

職業 / 職位
Occupation / Position *

僱主 / 公司名稱
Name of Employer / Company

手提電話號碼
Mobile Phone No. *

監護人姓名
Name of Guardian

請根據身份證明文件填寫中英文姓名。
Please refer to the identity document to fill in the names.

職業 / 職位
Occupation / Position

僱主 / 公司名稱
Name of Employer / Company

手提電話號碼
Mobile Phone No.

附加資料
Additional Information

姊姊在聖嘉勒女書院、小學或幼稚園就讀
Elder Sister(s) studying in our school (St. Clare’s Girls’ School or St. Clare’s Primary School or Kindergarten)

姓名 Name

就讀日期 Date Joined

姓名 Name

就讀日期 Date Joined

父/母全職在聖嘉勒女書院或小學或幼稚園工作
Parent(s) teaching or working full time in our school

姓名 Name

入職日期 Date Joined

姓名 Name

入職日期 Date Joined

父/母或姊姊為聖嘉勒女書院或小學畢業生
Parent(s) or sister(s) being a graduate of our school

姓名 Name

就讀日期 Date Joined

姓名 Name

就讀日期 Date Joined

幼兒近照
Child’s Recent Photograph *

聲明
Declaration

本人明白
I understand that

(i)

申請表及所有已經遞交的文件及資料只作是次入學遴選之用，遴選過後將會銷毀，一概不予發還；
this application form and all items submitted are for the admission procedures only. Upon completion of the admission procedures, all forms and items submitted will be destroyed and will not be returned.

(ii)

此申請一經遞交，不能取消；
this application cannot be cancelled after submission.

(iii)

本人提供的資料如有失實，此學位申請將被視作無效；及
any false information given by me will render the application invalid; and

(iv)

本人須親身到校遞交申請，並攜同以下文件，包括
I need to submit the application in person at the school, and bring the following documents, including

已簽署及填妥之申請表格之列印本
A printed copy of the signed and completed application form
學生之身份證 / 出生證明書正副本
A photocopy and original copy of the student’s Hong Kong I.D. Card / Birth Certificate
學生之天主教領洗紙正副本（如適用）
A photocopy and original copy of the Certificate of Baptism (if any)
其他補充文件／資料（最多兩頁單面A4紙）
Other supplementary documents/information (maximum TWO A4 single-sided pages)
以學生為收信人之回郵信封2個（貼上$2.2郵票）
Two self-addressed stamped envelopes with the student as addressee ($2.2 stamp)
報名費港幣肆拾元正
A non-refundable application fee of HK$40