．請用正楷填寫本表格或其影印本，然後交回／寄回尖沙咀九龍公園S4座或傳真 2735 8781 至本中心。申請者必須年滿十四歲或以上的
香港居民。如欲查詢，請致電 2377 9275／2377 4825。
． Please send the completed form or its photocopy by mail to Health Education Exhibition and Resource Centre at Block S4, Kowloon Park,
Tsim Sha Tsui, Kowloon or by fax 2735 8781. Applicants should be Hong Kong residents of 14 years old or above. For enquiry, please call
2377 9275／2377 4825.
中文姓名 英文姓名
Chinese Name English Name
出生日期 年齡 性別
Date of Birth Age Sex
身分證號碼 教育程度
HKID Card No. Education
職業／就讀班級 工作機構／就讀學校
Profession/Class Name of Company/School Attending
通訊地址
Correspondence Address
聯絡電話號碼 (日) (夜)
Telephone No. (Day) (Night)
傳真號碼 電郵地址
Fax No. Email Address
申請人簽署 日期
Applicant’s Signature Date
* 家⾧／監護人簽署 姓名 日期
* Parent’s / Guardian’s Signature Name Date
＊如申請者年齡少於十八歲，必須有家⾧或監護人加簽。
* Countersigned by Parents / Guardians for those applicants below 18 years old.
申請人提供的資料會用作申請衞生教育展覽及資料中心義工服務。根據《個人資料(私隠)條例》，你有權要求查閱及更正所提供的個人資料。倘對
填報個人資料㇐事有任何疑問，包括要求查閱或更改資料等，請與本中心總衞生督察聯絡。我們承諾在遵守《個人資料(私隠)條例》的規定方面，
會完全符合，並且在可能情況下超越國際認可的個人資料保障水平。為履行此承諾，我們會確保屬下職員依從保安及保密方面最嚴格的規定。
The personal data provided by means of the form will be used for application for the volunteer service in the Health Education Exhibition and Resource
Centre. You have the right to request access to and to correct personal data in accordance with Personal Data (Privacy) Ordinance. Enquiries concerning the
personal data, including the request for access and correction, should be addressed to the Chief Health Inspector. We pledge to meet fully, and where possible
exceed, internationally recognized standards of personal data privacy protection, in complying with the requirements for the Personal Data (Privacy) Ordinance. In
doing so, we will ensure compliance by our staff with the strictest standards of security and confidentiality.
此欄由本中心職員填寫
To be completed by Staff
訓練班日期 義工編號
Date of Training Course Volunteer No.
FEHB 113 (10/2024)
義工計劃 Volunteer Scheme
服務性質 Service Nature
協助本中心舉辦活動和推廣食物安全及環境衞生的訊息。
To assist in organizing activities of the Centre and promoting the messages of food safety and
environmental hygiene.
申請資格 Criteria
年滿十四歲或以上的香港居民 (*)
Hong Kong residents of 14 years old or above (*)
(*) 如申請者年齡少於十八歲，必須有家⾧或監護人加簽。
(*) countersigned by parents/guardians for those applicants below 18 years old.
申請表格 Application form
如閣下有興趣參加義工計劃，請填妥申請表，以郵寄、傳真、親身或以電子表格方式交回本中心。
For those interested in the Volunteer Scheme, please complete the Application Form and deliver to the
Centre by mail, by fax, by hand or using e-form.
備註 Remarks
1. ㇐年內服務超過二十小時者，可獲得義工服務證書。
Issue of Certificate of Voluntary Service to those volunteers serving for more than 20 hours within the
year.
2. 本活動可作香港青年獎勵計劃的金、銀和銅章級服務之考核。
Being qualified for the issue of Gold, Silver and Bronze Badges from The Hong Kong Award for Young
People.
中 心 資 料 Centre Information
地址 Address
九龍尖沙咀九龍公園S4座
Block S4, Kowloon Park, Tsim Sha Tsui, Kowloon
開放時間 Opening Hours
星期二、三、五及六：上午8時45分至下午6時15分
Tuesday, Wednesday, Friday and Saturday: 8:45 am to 6:15 pm
星期日：上午11時至下午9時 Sunday: 11:00 am to 9:00 pm
星期一 、 四及公眾假期休息
Monday, Thursday and Public Holidays: Closed
查詢電話 Enquiry 傳真 Fax
2377 9275/2377 4825 2735 8781
FEHB 113 (10/2024)
