Sexual and Reproductive Health Education Program Application Form

Please complete the form below

* Mandatory Fields

* Please input Name of Organization
* Please input Organization Address
* Please input a valid Organization Address
* Please input Name of Person-in-charge
* Please input Job Title
* Please input Contact No.
* Please input a valid Contact No.
* Please input Fax No.
* Please input a valid Fax No.
* Please input Email Address
* Please input a valid Email Address
* Please input Business Nature
* Please select Nature of Organization
* Please input Date of Talk 1
* Please input Date of Talk 2
* Date of Talk cannot repeat
* Please input Time of Talk 1
* Please input Time of Talk 2
* Please input Venue and Address of Talk
* Please input a valid Venue and Address of Talk
* Please select Nature of Talk
* Please select Target Audience
* Please input No. of Female Participants
* Please input No. of Male Participants
* Please select Topics
* Please input Other Equipment
* Please select Equipment Available

Notes on Application

(1) To facilitate the arrangements, please submit the application at least 6 weeks prior to the intended date of the program by fax at 2833 6646 or email at wkwong@famplan.org.hk. For enquiries, please contact us at 2919-7746.

(2) The program is available from Monday to Friday from 9am to 5pm (Not applicable to public holidays).

(3) The duration of the program with Q & A session is approximately 1.5 hours. The program will be conducted in Cantonese, please specify if special arrangement is required.

(4) The number of participants will be determined by the activity modes and will be further discussed after the application is accepted.

(5) Applicant organization is required to confirm the number of participants 7 days prior to the program to facilitate the arrangements.

(6) The fee for each program (1.5 hours) is HK$360, please make the crossed cheque payable to “The Family Planning Association of Hong Kong” and submit it by hand on the program date.

(7) Applicant organization will be notified of the application result within 3 weeks after submitting the application.

(8) FPAHK reserves the sole right to approve the application. 

 

The Collection and Use of Personal Data Statement

Personal data collected by The Family Planning Association of Hong Kong (FPAHK) will be used for application process 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 send our promotional information to you by telephone, email and mail according to the contact information you have provided (including name, telephone no., email address and correspondence address etc.).

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

For enquiries, please contact us at 2919-7746.

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