Online Activity Registration Form
All fields with * must be filled in
Event Details
Event ID:
Surname:
*
Other Name:
*
Membership:
Member
PolyU Staff/Students
Non-Member
Membership No.:
Contact Phone:
e-mail:
*
Event Title:
Event Date:
(yyyy/mm/dd)
First Choice of Group:
Please Select*
Group A
Group B
Group C
Group D
Group E
Group F
Second Choice of Group:
Please Select*
Group A
Group B
Group C
Group D
Group E
Group F
Third Choice of Group:
Please Select*
Group A
Group B
Group C
Group D
Group E
Group F
Need Certificate?:
Please Select*
Yes
No
Payment Method:
Please Select*
Mail Cheque
Pay HKOSHA Account
Free of Charge
Cheque No.:
For cheque payment
Bank:
For cheque payment
