Dr. Yeung Ming- Biu and Ms. Au Po-Kee Outstanding Athlete Scholarship 2024/2025 Application Form
(A) Personal Data 個人資料
Name
*
姓名
*
Gender 姓別
*
Gender 姓別
Male 男
Female 女
Student ID No. 學號
*
Current HK Team 現役港隊
*
Current HK Team 現役港隊
Yes 是
No 否
Sports Specialty運動專項
*
Sports Specialty運動專項
Athletics
Archery
Badminton
Basketball
Cross Country
Dragon Boat
Fencing
Handball
Karatedo
Rowing
Rugby
Soccer
Softball
Sport Climbing
Squash
Swimming
Taekwondo
Table Tennis
Tennis
Volleyball
Water Polo
Woodball
Other
Other
Major 主修
*
Minor 副修
Year of Study 在學年級
*
Length of Study 學業年期
*
Address in English 住址以英文填寫
*
Telephone 電話
Mobile No. 手機號碼
*
Hostel 宿舍
Room No. 房號
Hostel Telephone 宿舍電話
(B) Academic Performance 學業成績
Year G.P.A 全學年平均
*
(C) Intramural Sports Performance 校內運動表現
(1)Date From 日期由
(1)Date From 日期由
*
/
MM
/
DD
YYYY
(1)Date To 日期至
(1)Date To 日期至
*
/
MM
/
DD
YYYY
(1)Name of Activities 活動紀錄
*
(1)Position / Results 名次/成績
*
(2)Date From 日期由
(2)Date From 日期由
/
MM
/
DD
YYYY
(2)Date To 日期至
(2)Date To 日期至
/
MM
/
DD
YYYY
(2)Name of Activities 活動紀錄
(2)Position / Results 名次/成績
(3)Date From 日期由
(3)Date From 日期由
/
MM
/
DD
YYYY
(3)Date To 日期至
(3)Date To 日期至
/
MM
/
DD
YYYY
(3)Name of Activities 活動紀錄
(3)Position / Results 名次/成績
(D) Extramural Sports Performance 校外運動表現
(1)Date From 日期由
(1)Date From 日期由
*
/
MM
/
DD
YYYY
(1)Date To 日期至
(1)Date To 日期至
*
/
MM
/
DD
YYYY
(1)Name of Activities 活動紀錄
*
(1)Position / Results 名次/成績
*
(2)Date From 日期由
(2)Date From 日期由
/
MM
/
DD
YYYY
(2)Date To 日期至
(2)Date To 日期至
/
MM
/
DD
YYYY
(2)Name of Activities 活動紀錄
(2)Position / Results 名次/成績
(3)Date From 日期由
(3)Date From 日期由
/
MM
/
DD
YYYY
(3)Date To 日期至
(3)Date To 日期至
/
MM
/
DD
YYYY
(3)Name of Activities 活動紀錄
(3)Position / Results 名次/成績
(E) Name of referee 推薦人姓名
Name 姓名
*
Dr. LEUNG Fung Lin Elean
Mr. CHENG Yuk Chuen
Dr. HON Suet
Mr. WONG On Tung
Ms. CHEUNG Ka Yee Crystal
Mr. CHEUNG Tsz Fai
Mr. CHEUNG Wai Kit
Mr. FONG William Wing Lun
Dr. HO Sze Tak Robin
Mr. HO Wai Keung
Mr. HUI Ka Kit
Mr. KONG Tsz Yeung
Mr. LAM Ho Fung
Mr. LAM Kin Wing
Dr. LAU Kwok On
Mr. LIU Chi Fung
Ms. MAK Wai Sze Angel
Dr. NG Siu Kuen
Dr. SUN Li
Mr. WU Tat Cheung Clement
Mr. AU YEUNG Ka Hym Calvin
Mr. CHEUNG Yuk Kit
Ms. HUANG Minyi
Mr. LAI Ka Wing
Mr. TAM Chi Kin
I declare that all information provided above is true. 茲聲明以上提供之資料均屬真確無訛。
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Disclaimer
The personal data collected will be used by Physical Education Unit, FOE, CUHK (PEU) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.