Application Form

photo First name – Last name (English)…………………………………………

Chinese name………………………………………………………………………… Date of Birth …………/…..……./…………. Age…………………………… Home Country…………………………… Nationality…………..………… Religion………………………………….……. Gender Male Female

School Name………………..……………………………………………………… Year of study………………………………or Title…………………………….

Mobile phone…………………………………………..

E-mail …………………………………………………………………………

Emergency Contact ………………………………………..………….………. Number………………..……………..………..

Relationship with applicant ……………………………………………

Chinese language ability  Excellent Good  Fair  Poor English language ability  Excellent Good  Fair  Poor Other languages ……………………………………………..…………………..

Food  Normal  Vegetarian  Halal

Do you have any physical restrictions, impairments or allergies that will limit participation in everyday activities?  Yes  No

If yes, please explain …………………………………………………

Shirt size

 S (bust = 32 inches)  M (bust = 36 inches)  L (bust = 40 inches)  XL (bust = 44 inches)  XXL (bust = 48 inches)

Arrival : Flight No……..………………..

Arrival Date……………………… Arrival Time ……………….……. Departure : Flight No……..……………

Departure Date………………… Departure Time ………………….

June 8, 2016