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Women's Club Volunteer Registration Form

Please complete the form below

* Mandatory Fields

* Please input Name (English)
* Please input Name (Chinese)
* Please input Membership No.
* Please input Year of Membership
* Please input a valid Year of Membership
* Please select Respective Women's Club
* Please select Education Attainment
* Please select Occupation
* Please input No. of Son
* Please input No. of Daughter
* Please input Contact No. (Home)
* Please input a valid Contact No. (Home)
* Please input Contact No. (Mobile)
* Please input a valid Contact No. (Mobile)
* Please input Correspondence Address
* Please input a valid Correspondence Address
* Please input Email Address
* Please input a valid Email Address
* Please input Personal Interests
* Please input Expertise
* Please input Emergency Contact Name 1
* Please input Emergency Contact Tel No. 1
* Please input a valid Emergency Contact Tel No. 1
* Please input Emergency Contact Relationship 1
* Please input Emergency Contact Name 2
* Please input Emergency Contact Tel No. 2
* Please input a valid Emergency Contact Tel No. 2
* Please input Emergency Contact Relationship 2
* Please select Women’s Club activities you have participated in
* Please input Volunteer Work Experience
* Please input Available Dates, Time and Hours for Volunteer Service

The Collection and Use of Personal Data Statement
Personal data collected by The Family Planning Association of Hong Kong (FPAHK) will be used for volunteer recruitment 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 your respective 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.

Please tick the appropriate boxes below if you agree.

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