The Family Planning Association of Hong Kong

ARC Membership Application Form

Notes on Membership Requirements

Please read the “Notes on ARC Membership Requirements” before submitting this application form.

Please complete the form below

* Mandatory Fields

Name (Chinese)

* Please input Name (Chinese)

Name (English) *

* Please input Name (English)

Gender *

Female

Male

Others

* Please select Gender

Mobile/Contact Telephone No. *

* Please input Mobile/Contact Telephone No.

* Please input a valid Mobile/Contact Telephone No.

Email *

* Please input a valid Email

Is the applicant 18 years of age or older? *

Yes

* Please select Is the applicant 18 years of age or older?

The Collection and Use of Personal Data Statement

Personal data collected by The Family Planning Association of Hong Kong (FPAHK) will be used for the service booking and communication purpose. Apart from the above usage, all personal data will be kept confidential, handled strictly in accordance with applicable laws and will not be transferred to any organizations or parties.

The Use of Personal Data for Promotional Purpose

FPAHK would like to provide our promotional information to you by email according to the contact information you have provided (including name, email address etc.)

Even if you agree to receive FPAHK promotional information now, you may change your mind in the future. Please notify us of your name and email address through email, we will stop sending any promotional information to you.

For contact information of FPAHK, please visit our website.

Please tick the appropriate boxes below if you agree.

I have read, understood and agreed with "The Collection and Usage of Personal Data Statement" mentioned above. *

* Please tick the box

I have read, understood and agreed with "The Use of Personal Data for Promotional Purpose" mentioned above and agree to receive FPAHK promotional information.

Captcha *

* Please input Captcha