山城書節二手圖書捐贈表格 Book Festival Second-hand Books Donation Form

Name in English
中文姓名
凡捐贈 200 本或以上圖書的人士，其名字將刊載於山城書節網頁之捐贈者名單內，以表謝意。
如閣下不希望名字刊載於書節網頁，請剔以下方格。
The name of donors who give 200 or more books will be displayed on the Book Festival web page as a token of gratitude. Please check the box in the following question if you do not wish to disclose your name on Book Festival web page.

凡捐贈 200 本或以上圖書的人士，其名字將刊載於山城書節網頁之捐贈者名單內，以表謝意。如閣下不希望名字刊載於書節網頁，請剔以下方格。 The name of donors who give 200 or more books will be displayed on the Book Festival web page as a token of gratitude. Please check the box in the following question if you do not wish to disclose your name on Book Festival web page. 本人不希望名字刊載於書節網頁 I do not wish to disclose my name on Book Festival web page
聯絡電郵 Email
聯絡電話 Phone no
Must be 8 digits. Currently Entered: 0 digits.
身份 Identity

身份 Identity 中大校友 CUHK Alumni 中大學生或教職員 CUHK Students or Staff 公眾人士 Public
（中大學生或教職員請填寫 CUHK Students or Staff please fill in）
學生證 / 職員證編號 Student / Staff ID
（中大校友、學生或教職員請填寫 CUHK Alumni, Students or Staff please fill in）
學系 Department
（中大校友請填寫 CUHK Alumni please fill in）
畢業年份 Graduation Year
捐出書本數目 No. of books to donate
Must be a number greater than or equal to 200.
請準確填寫捐書數量以便安排 Please indicate the exact no. of donated books for our arrangement
地區 District
HK 收書時間（請盡量選填以便安排收書）
Available pick up time (Please check all that apply)

HK 收書時間（請盡量選填以便安排收書） Available pick up time (Please check all that apply) 19/10 (Sun) 9am - 6pm 5 /11 (Wed) 9am - 6pm
KL 收書時間（請盡量選填以便安排收書）
Available pick up time (Please check all that apply)

KL 收書時間（請盡量選填以便安排收書） Available pick up time (Please check all that apply) 17/10 (Fri) 9am - 6pm 25/10 (Sat) 9am - 6pm
NTE 收書時間（請盡量選填以便安排收書）
Available pick up time (Please check all that apply)

NTE 收書時間（請盡量選填以便安排收書） Available pick up time (Please check all that apply) 11/10 (Sat) 9am - 6pm 11/11 (Tue) 9am - 6pm
NTW 收書時間（請盡量選填以便安排收書）
Available pick up time (Please check all that apply)

NTW 收書時間（請盡量選填以便安排收書） Available pick up time (Please check all that apply) 12/10 (Sun) 9am - 6pm 30/10 (Thu) 9am - 6pm
收書地點 Pick up location （請填寫中文地址 Please fill in the address in Chinese (if applicable)）
(離島區、邊境禁區、非固定地址或一般車輛不能到達之地址暫不設收書服務. Pick up service is temporary not available in Islands District, frontier closed areas, non-permanent address, or areas not accessible by vehicles.)
是否需要上落樓梯？Does it require to go up/down stairs?

是否需要上落樓梯？Does it require to go up/down stairs? 是 Yes 否 No
備註 Remarks
個人資料收集聲明 Personal Information Collection Statement:
本組向申請人收集上述的個人資料用以處理此活動申請及相關活動之用。未經閣下同意，以上資料不會向第三方透露。 The purpose of collecting personal data by means of this form is to process your application for this activity. The personal data collected will not be disclosed to third parties other than those specified without your express approval, or unless required by law.
Disclaimer The personal data collected will be used by I·CARE Centre for Whole-person Development (ICAREC) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.