方逸華助學金申請書-資料下載頁
2025-08-04 17:01本頁面
【正文】 (Address)(地址)$………………..(c) …………share/capital invested in …………………………………………… 股份/資金投於 (Company)(公司)$………………..(d) Bank deposit in …………………………………………………...amounting to 銀行存款在 金額$………………..(e) Motorcar(s) ………………………………………………………………………. 汽車 (Make and Year) (款式及年份)$………………..Total 總計:$8. I understand I am required to report immediately any changes affecting my financial circumstances, improvement or deterioration.本人之經(jīng)濟情況以後如有任何變更，不論改善或逆轉(zhuǎn)，當即報告。甲、 DECLARATION 聲明I declare that all information provided by me in this application form is accurate and plete to the best of my knowledge. I understand that, if I knowingly make any statement which is false in a material particular, I shall render myself liable to disqualification and possible prosecution.茲聲明上述一切資料是我確知及信為完全與真實者。本人明白，如故意填報失實，本人申請助學金之資格將被取消，並依法控訴。Signature of Applicant：__________________申請人（學生）簽署Signature of Applicant’s Parent/ Guardian：__________________家長/監(jiān)護人簽署Date：__________________日期 FOR OFFICIAL USE ONLY 本頁不必填寫(I) REMARKS OF FORM TEACHER 班主任之評語__________________________________________________________________________________________________________________________________________I *strongly remend/ remend/ do not remend the applicant for such an award.本人 *極為推薦 / 推薦 / 不擬推薦 申請人獲助學金。Signature 班主任簽署 ：____________________Name 班主任姓名 ：____________________(J) STATEMENT OF PRINCIPAL OR RESPONSIBLE TEACHER校長或負責老師之證明I have read and endorsed this application and *wish to remend / do not remend the applicant for such an award.吾已詳閱本申請表並 *推薦 / 不擬推薦 申請人獲助學金。Signature 簽署 ：________________Name 姓名 ：________________Position 職位 ：________________Date 日期 ：________________*Delete whichever inappropriate 請刪去不適用者(K) COMMITTEE ACTION 委員會決定Committee Member(s) 委員：_______________________________________________ _______________________________________________Action 決定Bursary 助學金Rejected 否決Amount Granted per month每月金額Period 期限FromTo 由:至:Total No. of Months受助月數(shù)Chairman’s Signature：_________________主席簽署Name 姓名：_________________Date 日期：_________________9
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