方逸華助學(xué)金申請(qǐng)書(存儲(chǔ)版)
【正文】 t to investigation. Any wilful misrepresentation or omission will lead to disqualification and possible prosecution.聲明書內(nèi)填寫事項(xiàng)，須經(jīng)調(diào)查。(D) EXTRACURRICULAR ACTIVITIES 課外活動(dòng)Particulars of responsible positions held at school during the last three years, such as monitor, prefect, student librarian, mittee member of club/society/student union or student editor of school publication:於校內(nèi)負(fù)責(zé)服務(wù)性活動(dòng)如班長(zhǎng)、領(lǐng)袖生、圖書館管理員、學(xué)生會(huì)幹事、學(xué)會(huì)幹事、?？庉嫷戎毼徽撸篩ear 年度School 學(xué)校Position Held 職位(E) FREE PLACE AND SCHOLARSHIP HELD 所得之其他獎(jiǎng)學(xué)金及貸款Particulars of free place, scholarship or reduction of school fee during the last three years, if you have granted such at any school:最近三年來所得之獎(jiǎng)學(xué)金及貸款詳情：Year 年度School 學(xué)校Nature and Amount of Financial Assistance Obtained所得之獎(jiǎng)/ 助學(xué)金及貸款之名稱及金額(F) OTHER SCHOLARSHIPS OR GRANTS 已申請(qǐng)之獎(jiǎng)/助學(xué)金Particulars of any other scholarships or grants for which you have applied or intend to apply this year in addition to this Scholarship/Loan:已申請(qǐng)之獎(jiǎng)助學(xué)金詳情：____________________________________________________________________________________________________________________________________(G) FINANCIAL CIRCUMSTANCES 家庭經(jīng)濟(jì)狀況Notes on Declaration of Financial Circumstances:填寫家庭經(jīng)濟(jì)狀況聲明書時(shí)應(yīng)注意事項(xiàng)：i. This declaration should be made by the applicant’s father or, if he is dead or in overseas, by the applicant’s mother, or in the case of an orphan, by the guardian.本聲明須由申請(qǐng)人之父親提出，如其父親身故或離港，則由母親提出，如申請(qǐng)人父母俱喪，則由監(jiān)護(hù)人提出。Signature 班主任簽署 ：____________________Name 班主任姓名 ：____________________(J) STATEMENT OF PRINCIPAL OR RESPONSIBLE TEACHER校長(zhǎng)或負(fù)責(zé)老師之證明I have read and endorsed this application and *wish to remend / do not remend the applicant for such an award.吾已詳閱本申請(qǐng)表並 *推薦 / 不擬推薦 申請(qǐng)人獲助學(xué)金。）Name姓名Occupation and Place of Employment職業(yè)及工作地點(diǎn)Total Ine for the last 12 months ending July 31由去年八月一日計(jì)至本年七月三十一日之全年總收入(a) My Self 本人 ………………..…..……………………...$…..……………My wife/husband本人之妻/丈夫………………….......………….………...$…..………..…..Total總計(jì):$(If the declarant is unemployed, the reason should be stated here):如聲明人無職業(yè)，請(qǐng)申述理由：…………………………………………………………………………………………………………………………………………………………………………………………………………………………
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