St Clare's Primary School

Admission

Application Form for Mid-joiners

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 *

A.M.

P.M.

W.D.

現讀學校之地區
District of present school *

現就讀年級
Current grade *

擬申請就讀年級
Proposed entry grade *

轉校原因
Reason(s) for transfer *

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 *

學生之身份證／出生證明書副本
A photocopy of the student’s Hong Kong I.D. Card / Birth Certificate *

(在香港以外地方出生之申請人，請遞交外地之出生證明書副本及獲准居港證明文件
For applicants born outside Hong Kong, please submit a photocopy of the Birth Certificate of place outside Hong Kong AND documents permitting her to stay in Hong Kong.)

學生之天主教領洗紙副本（如適用）
A photocopy 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)

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；及
this application cannot be cancelled after submission; and

(iii)

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