Enrollment Form
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: |
|