Enrollment Form

1.25 The Hon. Secretary
Diocesan School Old Boys' Association Ltd.
c/o Diocesan Boys' School
131 Argyle Street, Mongkok
Hong Kong
Tel. (852) 2713-5268

Dear Sir,

Please enroll me as a Life/Student/Sports Club* member of the Diocesan School Old Boys' Association and I agree to be bound by the Rules and Bye-Laws of the Association.

I enclose here with the sum of $ ________ being payment of:

[ ] Life Membership HK$ 1,200
[ ] Annual Student Membership HK$ 70
[ ] Annual Sports Club Membership (only for members) HK$ 200
(* Delete whichever not applicable)

PARTICULARS: (in block letters please)

Full Name: Chinese:
Marital Status: Date of Birth:
Occupation: (Position) (Line of Business)
Name of Company:
Mailing Address:
Tel: (Office) (Res)
Fax: (Office) Mobile/Pager/Email:
Year/Form entering DBS: Year/Form leaving DBS:
Year of School Cert.: Class of Cert.:
DBS House: Hobbies:
Other clubs you have joined:
My decision to join is strictly self initiated/due to* solicitation of:
(Name/Cert. Year)
Signature: Dated:

Membership application subject to approval by the General Committee.
Crossed cheque only and payable to DSOBA LTD.


FOR OFFICIAL USE ONLY

Application received on:
Cash/Cheque No.: Bank: Branch:
Membership No.: Approved on: